Examining fear of cancer recurrence in primary brain tumor patients and their caregivers using the Actor-Partner Interdependence Model.
Examining fear of cancer recurrence in primary brain tumor patients and their caregivers using the Actor-Partner Interdependence Model.
复制标题
使用演员-伴侣相互依赖模型检查原发性脑肿瘤患者及其照顾者对癌症复发的恐惧。
DOI：
10.1002/pon.5659
复制
发表时间：
2021-07
期刊：
影响因子：
3.6
通讯作者：
Loughan, Ashlee R.
中科院分区：
文献类型：
--
作者：
Braun, Sarah Ellen;Aslanzadeh, Farah J.;Thacker, Leroy;Loughan, Ashlee R.
关键词：
癌症复发恐惧（FCR）与癌症患者及其照顾者的心理困扰和生活质量低下有关。然而，没有研究调查FCR在神经肿瘤学。鉴于脑癌的预后、治疗和疾病轨迹各不相同，FCR可能会对患者及其护理人员产生不同的影响。80名成人原发性脑肿瘤（PBT）患者和52名照顾者完成了问卷调查，评估FCR和心理困扰（抑郁症状，广泛性焦虑和死亡焦虑）。通过人口统计学和医学特征检查了患者和护理人员FCR的差异。使用多层次模型，演员-合作伙伴相互依赖模型（APIM）被用来调查病人和照顾者FCR与人口统计学和心理困扰的措施之间的相互关系。护理人员报告的FCR显著高于患者。人口统计学或医学特征对患者FCR无影响。自诊断以来的时间与照顾者FCR呈负相关。所有的心理困扰的措施都对患者和照顾者的FCR产生了显着的演员效应。两个合作伙伴的影响被发现：照顾者抑郁症状和死亡焦虑负预测患者的FCR。这是首次对PBT患者及其照顾者进行FCR调查。大多数人口统计学和医学特征与患者或护理人员FCR无关。看护者FCR在诊断时可能较高，并随时间推移而降低。APIMs揭示了演员的影响，病人和照顾者FCR的心理困扰的所有措施。结果表明，脑肿瘤诊断的二元效应，强调需要包括照顾者的神经肿瘤患者的心理治疗。
Fear of cancer recurrence (FCR) is related to psychological distress and poor quality of life in cancer patients and their caregivers. However, no studies have investigated FCR in neuro-oncology. Given the varied prognosis, treatment, and disease trajectory of brain cancer, FCR may affect patients and their caregivers differently. Eighty adult primary brain tumor (PBT) patients and 52 caregivers completed questionnaires assessing FCR and psychological distress (depressive symptoms, generalized anxiety, and death anxiety). Differences in patient and caregiver FCR by demographic and medical characteristics were examined. Using multilevel modeling, the Actor-Partner Interdependence Model (APIM) was used to investigate the interrelationship between patient and caregiver FCR with demographics and psychological distress measures. Caregivers reported significantly higher FCR than patients. There were no effects of demographic or medical characteristics on patient FCR. Time since diagnosis was negatively related to caregiver FCR. All measures of psychological distress exerted a significant actor effect on FCR among both patients and caregivers. Two partner effects were found: caregiver depressive symptoms and death anxiety negatively predicted patients’ FCR. This is the first investigation of FCR in PBT patients and their caregivers. Most demographic and medical characteristics were not related to patient or caregiver FCR. Caregiver FCR may be higher at the time of diagnosis and decrease over time. APIMs revealed actor effects on patient and caregiver FCR for all measures of psychological distress. Results demonstrated the dyadic effects of a brain tumor diagnosis, emphasizing the need to include caregivers in psychotherapy for neuro-oncology patients.
登录
查看更多内容
DOI：
10.1007/s10880-019-09690-8
发表时间：
2019-12-17
影响因子：
2.2
作者：
Loughan, Ashlee R.;Lanoye, Autumn;Braun, Sarah
通讯作者：
Braun, Sarah
影响因子：
4.8
作者：
Badr, Hoda;Gupta, Vishal;Posner, Marshall
通讯作者：
Posner, Marshall
影响因子：
3.6
作者：
Mellon, Suzanne;Kershaw, Trace S.;Freeman-Gibb, Laurie
通讯作者：
Freeman-Gibb, Laurie
影响因子：
3.1
作者：
Mehnert, Anja;Koch, Uwe;Dinkel, Andreas
通讯作者：
Dinkel, Andreas
影响因子：
3.9
作者：
Hanprasertpong, Jitti;Geater, Alan;Songhong, Nartya
通讯作者：
Songhong, Nartya