Effects of financial status on major depressive disorder and complicated grief among bereaved family members of patients with cancer
Effects of financial status on major depressive disorder and complicated grief among bereaved family members of patients with cancer
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DOI：
10.1002/pon.5642
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发表时间：
2021-02-23
期刊：
影响因子：
3.6
通讯作者：
Miyashita, Mitsunori
中科院分区：
文献类型：
--
作者：
Aoyama, Maho;Sakaguchi, Yukihiro;Miyashita, Mitsunori
目的了解癌症患者家属目前的经济状况、丧亲前后的变化及其对可能的重大抑郁障碍(MDD)和合并悲痛(CG)的影响。方法于2016年5月至7月在日本71家姑息关怀机构对787名癌症患者家属进行横断面问卷调查。这项调查评估了人们对当前财务状况的担忧程度，以及在失去亲人后是否发生了变化。我们还收集了人口统计学因素的信息，并分别使用患者健康问卷9和简明悲痛问卷评估了可能的MDD和CG。结果共回收问卷491份(62%)。大多数参与者(n=382，78%)报告对他们的生活没有或轻度担忧，而19%(n=95)有中度到严重的担忧。关于亲属丧亡之痛后财务状况的变化，7%(n=35)的人报告有所改善，28%(n=131)的人报告恶化，65%(n=308)的人报告没有变化。可能的MDD和CG的患病率分别为22%(n=108)和9%(n=41)，在对生活不太关心和丧失亲人后经济状况没有改变的参与者中，可能的MDD和CG的患病率显著降低(P<；0.05)。结论约五分之一的丧亲家庭成员报告了不同程度的经济困难，这些与MDD和CG显著相关。这些调查结果提供了需要心理社会支持的证据，包括为失去亲人的家庭成员提供财务咨询。
Objective To examine current financial status, changes before and after bereavement, and their effects on possible major depressive disorder (MDD) and complicated grief (CG) among bereaved family members of patients with cancer.Methods We conducted a nationwide cross-sectional questionnaire survey on 787 bereaved family members of patients with cancer in 71 palliative care institutions in Japan from May to July 2016. The survey assessed perceived level of concern regarding current financial status and whether it changed after bereavement. We also collected information on demographic factors and assessed the possible MDD and CG using the Patient Health Questionnaire-9 and Brief Grief Questionnaire, respectively. We then conducted bivariate analysis to examine the relationship between these factors and financial status.Results A total of 491 (62%) questionnaires were returned. The majority of the participants (n = 382, 78%) reported having no or mild concerns about their livelihood, whereas 19% (n = 95) had moderate to severe concerns. Regarding the change in financial status after bereavement, 7% (n = 35) reported improvement, 28% (n = 131) reported worsening, and 65% (n = 308) reported no change. The prevalences of possible MDD and CG were 22% (n = 108) and 9% (n = 41), respectively, and were significantly lower among participants with less concern regarding their livelihood and whose financial status had not changed after bereavement (both p < 0.05).Conclusions About one-fifth of the bereaved family members reported financial difficulties to some extent; these were significantly associated with MDD and CG. These findings provide evidence of the need for psychosocial support including financial consultation for bereaved family members.