Prevalence and Associated Factors of Anxiety and Depressive Symptoms Among Bereaved Family Members of Cancer Patients in Korea: A Nation-Wide Cross-Sectional Study.
Prevalence and Associated Factors of Anxiety and Depressive Symptoms Among Bereaved Family Members of Cancer Patients in Korea: A Nation-Wide Cross-Sectional Study.
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DOI：
10.1097/md.0000000000003716
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发表时间：
2016-05
期刊：
影响因子：
1.6
通讯作者：
Kim SH
中科院分区：
文献类型：
--
作者：
Jho HJ;Choi JY;Kwak KS;Chang YJ;Ahn EM;Park EJ;Paek SJ;Kim KM;Kim SH
癌症患者失去亲人的家庭成员有焦虑和抑郁等心理问题的风险。然而，韩国还没有对这一人群中焦虑和抑郁症状的患病率和相关因素进行调查。我们对2012年在韩国44个临终关怀姑息病房(HPCU)去世的3522名癌症患者的家属进行了全国范围的横断面问卷调查。问卷包括医院焦虑和抑郁量表(HADS)和良好死亡问卷(GDI)。已故患者的年龄、性别、原发肿瘤部位、在HPCU的住院时间、对临终状态的认识、丧亲成员的年龄、性别以及与死者的关系均来自韩国癌症终末期患者信息系统。回收问卷1121份，应答率为31.8%。以HADS分量表的临界值8为界，焦虑和抑郁症状的发生率分别为48.0%和57.6%。HADS-A和HADS-D平均得分分别为7.88 ± 4.87和8.91 ± 4.82。在丧亲者中，在多因素Logistic分析中，年龄较大、死者的配偶、较年轻患者的家庭成员以及一些GDI项目得分为负值与焦虑或抑郁症状的风险增加显著相关。总之，我们注意到在失去亲人的癌症患者中焦虑和抑郁症状的高流行率，并确定了这些心理疾病的相关因素。需要系统的努力来改善癌症患者失去亲人的家属的心理健康。
Bereaved family members of cancer patient are at risk of having psychological problems such as anxiety and depression. However, prevalence and associated factors of anxiety and depressive symptoms among this population have not been explored in Korea. We conducted a nation-wide cross-sectional questionnaire survey of 3522 bereaved family members of cancer patients who died at 44 hospice palliative care unit (HPCU) in Korea in 2012. The questionnaire comprised the Hospital Anxiety and Depression Scale (HADS) and Good Death Inventory (GDI). Deceased patient's age, sex, primary site of cancer, duration of stay at HPCU, awareness of terminal status, bereaved family member's age, sex, and relation to the deceased were collected from Korean Terminal Cancer Patients Information System. 1121 returned questionnaires were analyzed (response rate, 31.8%). Using a cut-off value of 8 for HADS subscale, the prevalence of anxiety and depressive symptoms was 48.0% and 57.6%, respectively. Mean scores for HADS-A and HADS-D were 7.88 ± 4.87 and 8.91 ± 4.82, respectively. Among the bereaved, older age, being a spouse to the deceased, family members of younger patient, and negative score for a few GDI items were significantly associated with an increased risk of having anxiety or depressive symptoms in the multivariate logistic analysis. In conclusion, we noted the high prevalence of anxiety and depressive symptoms among the bereaved of cancer patients and identified associated factors for these psychological morbidities. Systematic efforts are needed to improve the mental health of the bereaved family members of cancer patients.