Social Support, Depression and Anxiety in Cancer Patient-Relative Dyads in Early Survivorship: An Actor-Partner Interdependence Modeling Approach.

IF 3.3 2区医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-12-01 DOI:10.1002/pon.70038

Myriel Hermann, Ute Goerling, Charis Hearing, Anja Mehnert-Theuerkauf, Beate Hornemann, Peter Hövel, Sabrina Reinicke, Hanna Zingler, Tanja Zimmermann, Jochen Ernst

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Abstract

Objective: Cancer places a psychological burden on both patients and their relatives. Perceived social support influences the extent of psychological distress. Our aim was to investigate associations between positive support, detrimental interactions, depression and anxiety in patient-relative dyads in the initial period after diagnosis.

Methods: Patients with a solid tumor and their relatives participated in this prospective, multicenter observational study. Participants answered validated measures including the Illness-specific Social Support Scale (SSUK-8), the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder Scale (GAD-7). We analyzed cross-sectional data from the initial time following diagnosis with paired t-tests and actor-partner interdependence models.

Results: A total of 347 dyads of patients (mean age 59.9 years) and their relatives (mean age 56.7 years) participated. Compared to their relatives, patients reported significantly higher levels of depression (patients: M = 6.31, SD = 4.94; relatives: M = 5.44, SD = 4.77) and lower levels of anxiety (patients: M = 4.40, SD = 4.10; relatives: M = 4.98, SD = 4.47) as well as more positive support (patients: M = 14.31, SD = 2.07; relatives: M = 12.46, SD = 3.29) and a lower frequency of detrimental interactions (patients: M = 3.21, SD = 2.97; relatives: M = 3.66, SD = 2.93). Intrapersonal effects: Positive support was associated with lower distress only for relatives, whereas detrimental interactions were associated with higher distress for both patients and relatives (all p < 0.05). Interpersonal effects: More positive support and fewer detrimental interactions experienced by relatives were associated with lower patient distress (all p < 0.05).

Conclusions: Better support for relatives may not only reduce their own distress, but also patients' distress. Relatives experience similar levels of distress and poorer social support than patients.

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社会支持、抑郁和焦虑在癌症患者亲属的早期生存：一个行动者-伙伴相互依赖模型方法。

目的：癌症给患者及其家属带来了心理负担。感知到的社会支持影响心理困扰的程度。我们的目的是调查在诊断后最初阶段患者亲属的积极支持、有害互动、抑郁和焦虑之间的关系。方法：实体瘤患者及其亲属参与了这项前瞻性、多中心观察性研究。参与者回答了有效的测量，包括疾病特定社会支持量表（SSUK-8），患者健康问卷（PHQ-9）和一般焦虑障碍量表（GAD-7）。我们用配对t检验和行动者-伴侣相互依赖模型分析了诊断后最初时间的横断面数据。结果：共有347对患者及其亲属（平均年龄59.9岁）参与研究，平均年龄56.7岁。与亲属相比，患者报告的抑郁水平明显更高(患者：M = 6.31, SD = 4.94；亲属：M = 5.44, SD = 4.77)和较低水平的焦虑(患者：M = 4.40, SD = 4.10；亲属：M = 4.98, SD = 4.47)以及更多的积极支持(患者：M = 14.31, SD = 2.07；亲属：M = 12.46, SD = 3.29)和较低的有害相互作用频率(患者：M = 3.21, SD = 2.97；亲属：M = 3.66, SD = 2.93)。个人影响：积极的支持只与亲属的痛苦程度降低有关，而有害的互动与患者和亲属的痛苦程度升高有关（均为p）。结论：对亲属更好的支持不仅可以减少他们自己的痛苦，还可以减少患者的痛苦。亲属的痛苦程度与患者相似，社会支持也比患者差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.