Moderators of interdependent psychological distress in cancer survivor-caregiver dyads.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2025-01-01 Epub Date: 2025-01-09 DOI:10.1080/07347332.2025.2450012

Chris Segrin, Alla Sikorskii, Nathan Cunicelli, Terry Badger

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Abstract

Background: The purpose of this study was to test dyadic interdependence in psychological distress (anxiety and depressive symptoms) and explore moderators of interdependence among cancer survivors in treatment and their informal caregivers.

Methods: Cancer survivors and their caregivers completed measures of anxiety and depressive symptoms, social support, social isolation, and burden of other symptoms, at three points in time over the course of 17 weeks.

Results: In 315 dyads, depressive symptoms and anxiety were transmitted from caregivers to survivors. Survivors with high symptom burden or low social support were especially influenced by caregivers' depressive symptoms. Caregivers who had high social isolation or low social support were most likely to be influenced by survivors' depressive symptoms.

Conclusion: Psychological distress is transmitted within dyads during cancer treatment. Dyadic interdependence was most pronounced from caregivers to survivors. Symptom burden, social isolation, and low social support enhanced this dyadic interdependence.

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癌症幸存者-照顾者二人组相互依赖心理困扰的调节因素。

背景：本研究的目的是测试心理困扰（焦虑和抑郁症状）中的二元依赖关系，并探索癌症幸存者在治疗及其非正式照顾者之间相互依赖的调节因素。方法：癌症幸存者和他们的照顾者在17周的过程中，在三个时间点完成焦虑和抑郁症状、社会支持、社会隔离和其他症状负担的测量。结果：315对夫妇中，抑郁症状和焦虑由照顾者传给幸存者。高症状负担或低社会支持的幸存者尤其受照顾者抑郁症状的影响。高社会孤立或低社会支持的照顾者最有可能受到幸存者抑郁症状的影响。结论：肿瘤治疗过程中，心理困扰存在于两代人之间。从照顾者到幸存者，二元相互依赖最为明显。症状负担、社会孤立和低社会支持增强了这种二元相互依赖。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

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期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.