Hidden morbidity in cancer: Spouse caregivers
Hidden morbidity in cancer: Spouse caregivers
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DOI：
10.1200/jco.2006.10.0909
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发表时间：
2007-10-20
影响因子：
45.3
通讯作者：
Rodin, Gary
中科院分区：
文献类型：
--
作者：
Braun, Michal;Mikulincer, Mario;Rodin, Gary
目的本研究旨在评估晚期癌症患者及其配偶照顾者的心理困扰，同时探讨照顾负担和相关变量（依恋取向和婚姻满意度）对配偶照顾者抑郁症状的相对贡献。测量方法包括贝克抑郁量表-II（BDI-II），照顾负担量表，亲密关系量表的经验，和ENRICH婚姻satisfactionsscale.Results共38.9%的照顾者报告显着的抑郁症状（BDI-II>= 15）相比，23.0%的患病配偶（P < .0001）。在预测照顾者抑郁的分层回归中，配偶照顾者的年龄和患者的癌症部位被输入在第一步中，客观负担被输入在第二步中，主观负担被输入在第三步中，照顾者的依恋得分被输入在第四步中，照顾者的婚姻满意度得分被输入在第五步中。最终模型解释了照顾者抑郁的37%的方差，主观负担（β = 0.38; P <0.01），照顾者的焦虑依恋（β = 0.21; P <0.05），照顾者的回避依恋（β = 0.20; P <0.05），和照顾者的婚姻满意度（β = 0.25; P <0.05）。
Purpose This study assesses psychological distress among advanced cancer patients and their spouse caregivers, while examining the relative contribution of caregiving burden and relational variables (attachment orientation and marital satisfaction) to depressive symptoms in the spouse caregivers.Methods A total of 101 patients with advanced GI or lung cancer and their spouse caregivers were recruited for the study. Measures included Beck Depression Inventory-II (BDI-II), Caregiving Burden scale, Experiences in Close Relationships scale, and ENRICH Marital Satisfaction scale.Results A total of 38.9% of the caregivers reported significant symptoms of depression (BDI-II >= 15) compared with 23.0% of their ill spouses (P < .0001). In a hierarchical regression predicting caregiver's depression, spouse caregiver's age and patient's cancer site were entered in the first step, objective caregiving burden was entered in the second step, subjective caregiving burden was entered in the third step, caregiver's attachment scores were entered in the fourth step, and caregiver's marital satisfaction score was entered in the fifth step. The final model accounted for 37% of the variance of caregiver depression, with subjective caregiving burden (beta = .38; P < .01), caregiver's anxious attachment (beta = .21; P < .05), caregiver's avoidant attachment (beta =.20; P < .05), and caregiver's marital satisfaction (beta =