Anxiety, depression, and quality of life of caregivers of palliative care patients with cancer
DOI:
https://doi.org/10.15649/cuidarte.3670Keywords:
Quality of life, Anxiety, Depression, Palliative Care, CaregiversAbstract
Highlights
- Caregivers tend to experience symptoms of overburden due to the informal nature of their work and lack of preparation for the physical and emotional challenges of caring for terminally ill patients.
- Anxiety and depression in caregivers can negatively impact areas of their lives, such as relationships, socialization, and work performance, especially for those who are employed as caregivers.
- Supporting the use of technologies among caregivers is essential to promote care access to information on guidelines for providing care.
- Mental health programs led by interdisciplinary teams are relevant to supporting family caregivers of terminally ill patients.
Introduction: Palliative care has recently gained importance in the context of life-threatening diseases, such as cancer, that affect the mental health of patients and their caregivers. Psychological symptoms, such as anxiety and depression, are the most prevalent in this population. Objective: To determine the association between anxiety, depression, and quality of life of caregivers of palliative care patients with cancer. Materials and Methods: A quantitative, descriptive, and correlational design was used. A total of 190 primary caregivers recruited from Colombian hospitals and home care programs participated. The Quality of Life in Life-Threatening Illness-Family Carer (QOLLTI-FT) questionnaire, the Beck Depression Inventory-II (BDI-II), and the Beck Anxiety Inventory (BAI) were used. The analysis was performed with SPSS Statistics 26.0, using descriptive and inferential statistics. Results: The predominant sex was female, and the level of education was high school. The mean age of the caregivers was 44.15 years, and the mean age of the patients was 64.51 years. The average time as a caregiver was 33.79 ± 64.77 months. The results show correlations between anxiety and caregiver status (p≤0.000), anxiety and ICT use (p≤0.006). There were also correlations between anxiety, quality of life, and caregiver status (p≤0.000) and between depression and total quality of life (p≤0.001). Discussion: Correlations were also found between depression and quality of life and between hours of daily care and the level of dependency of the cancer patient. This entails the need to manage the psychological symptoms as soon as the family member is diagnosed to prevent alterations in their quality of life that could affect their well-being. Conclusion: Caregivers with moderate or severe depression were more likely to report symptoms of sadness, punishment feelings, self-dislike, suicidal thoughts or wishes, indecisiveness, irritability, changes in appetite, concentration difficulty, and tiredness or fatigue. Among caregivers with mild depression, loss of interest in sex, agitation, and past failure were identified. Strategies for psycho-emotional counseling, education, and support for caregivers are needed.
How to cite this article: Alvarado García Alejandra María, Vargas-Escobar Lina María, Arias-Rojas Mauricio, Avendaño-Vásquez Carlos Javier, Consuegra-Pareja Cesar Antonio. Anxiety, depression, and quality of life of caregivers of palliative care patients with cancer. Revista Cuidarte. 2025;16(1):e3670. https://doi.org/10.15649/cuidarte.3670
References
Pan American Health Organization. World Cancer Day 2023. [Internet]. United States: 2023 [Cited 2023 nov 09]. Available from: https://www.paho.org/en/campaigns/world-cancer-day-2023-close-care-gap
World Health Organization. Statistics 2020: Cancer Today [Internet]. United States: 2023 [Cited 2023 nov 09] Available from: https://gco.iarc.fr/today/data-sources-methods
World Health Organization. 2020: Colombia. [Internet]. United States: 2023 [Cited 2023 nov 09] Available in: https://gco.iarc.fr/today/data/factsheets/populations/170-colombia-fact-sheets.pdf
National Cancer Institute. Persistent poverty is associated with an increased risk of dying from cancer. [Internet]. United States: 2023 [Cited 2023 nov 09] Available from: https://www.cancer.gov/espanol/noticias/temas-y-relatos-blog/2021/pobreza-persistente-aumento-riesgo-morir-cancer
Kent EE, Rowland JH, Northouse L, Litzelman K, Chou WYS, Shelburne N, et al. Caring for Caregivers and Patients: Research and Clinical Priorities for Informal Cancer Caregiving. Cancer. 2016;122(13):1987–1995. https://doi.org/10.1002/cncr.29939
Akter J, Konlan KD, Nesa M, Ispriantari A. Factors influencing cancer patients’ caregivers’ burden and quality of life: An integrative review. Heliyon. 2023;9(11):e21243. https://doi.org/10.1016/j.heliyon.2023.e21243
Baudry AS, Vanlemmens L, Anota A, Cortot A, Piessen G, Christophe V. Profiles of caregivers most at risk of having unmet supportive care needs: Recommendations for healthcare professionals in oncology. Eur. J. Oncol. Nurs. 2019;43:101669. https://doi.org/10.1016/j.ejon.2019.09.010
Tay DL, Reblin M, Iacob E, Cloyes KG, Thomas Hebdon MC, Reynaga M, et al. Cancer Hospice Caregivers' Self-care Behaviors: The Role of Caregiving Tasks, Burden, and Mental Health. J Hosp Palliat Nurs. 2023;25(5):286-295. https://doi.org/10.1097/NJH.0000000000000962
Concepción AA, Puello AE, Valencia JN. Características psicoafectivas y sobrecarga de los cuidadores informales de pacientes oncológicos terminales en Montería, Colombia. Rev Cubana Salud Pública. 2020;46(1):e1463. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662020000100010&lng=es.
Guerra-Martín MD, Casado-Espinosa MDR, Gavira-López Y, Holgado-Castro C, López-Latorre I, Borrallo-Riego Á. Quality of Life in Caregivers of Cancer Patients: A Literature Review. Int. J. Environ. Res. Public Health. 2023;20(2):1570. https://doi.org/10.3390/ijerph20021570
Sun V, Raz DJ, Kim JY. Caring for the informal cancer caregiver. Curr Opin Support Palliat Care. 2019;13(3):238–242. https://doi.org/10.1097/SPC.0000000000000438
Watson D, Clark LA. Negative affectivity: the disposition to experience aversive emotional states. Psychol Bull. 1984;96(3):465-90. https://doi.org/10.1037/0033-2909.96.3.465
Maldonado-Avendaño N, Castro-Osorio R, Cardona-Gómez P. Propiedades psicométricas del Inventario de Depresión de Beck-II (BDI-II) en población universitaria colombiana. RCP. 2021;51(1):S51-S59. https://doi.org/10.1016/j.rcp.2021.08.007
Vizioli NA, Pagan AE. Inventario de Ansiedad de Beck: validez estructural y fiabilidad a través de distintos métodos de estimación en población argentina. Acta Colombiana de Psicología. 2022;25(1):28-41. https://doi.org/10.14718/acp.2022.25.1.3
Cohen R, Leis AM, Kuhl D, Charbonneau C, Ritvo P, Ashbury FD. QOLLTI-F: measuring family carer quality of life. Palliat Med. 2006;20(8):755–6714. https://doi.org/10.1177/0269216306072764
Alvarado GA, Vargas EL, Arias-Rojas M, Avendaño CJ, Consuegra CA. Anxiety, depression, and quality of life of caregivers of palliative care patients with cancer. 2024. Mendeley Data, V1. https:/doi.org/10.17632/ww5ks7g7mb.1
Ministerio de Salud. Resolución 8430 de 1993 (October 4). Bogotá, D.C Colombia. Consulta: Octubre: 21, 2022. Disponible en: https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf
Ahmad Zubaidi ZS, Ariffin F, Oun CTC, Katiman D. Caregiver burden among informal caregivers in the largest specialized palliative care unit in Malaysia: a cross sectional study. BMC Palliat Care. 2020;19(1):186. https://doi.org/10.1186/s12904-020-00691-1
Asano R, Kellogg A, Sulmasy D, Anderson KM, Nolan MT. Religious Involvement, Depressive Symptoms, and Burden in Caregivers of Terminally Ill Patients. J Hosp Palliat Nurs. 2021;23(3):271-276. https://doi.org/10.1097/NJH.0000000000000754
Rojas-Garcia C, Vargas-Escobar LM, Giraldo-Castro M. Palliative Care Needs of Families of Adults With Advanced Cancer. J Hosp Palliat Nurs. 2023;25(4):197-203. https://doi.org/10.1097/NJH.0000000000000954
Chakraborty R, Jana A, Vibhute VM. Caregiving: a risk factor of poor health and depression among informal caregivers in India- A comparative analysis. BMC Public Health. 2023;23(1):42. https://doi.org/10.1186/s12889-022-14880-5
Fauziah W, Kato M, Shogenji M, Tsujiguchi H, Taniguchi Y. Factors Associated With Depression Among Family Caregivers of Patients With Stroke in Indonesia: A Cross-Sectional Study. J Nurs Res. 2022;30(5):e231. https://doi.org/10.1097/jnr.0000000000000515
Guerrero-Gaviria D, Carreño-Moreno S, Chaparro-Díaz L. Sobrecarga del cuidador familiar en Colombia: revisión sistemática exploratoria. Rev Colomb Enferm. 2023;22(1):e053. https://doi.org/10.18270/rce.v22i1.3754
Lee J, Cha C. Unmet Needs and Caregiver Burden Among Family Caregivers of Hospice Patients in South Korea. J Hosp Palliat Nurs. 2017;19(4):323-331. https://doi.org/10.1097/NJH.0000000000000350
Washington KT, Benson JJ, Chakurian DE, Popejoy LL, Demiris G, Rolbiecki AJ, et al. Comfort Needs of Cancer Family Caregivers in Outpatient Palliative Care. J Hosp Palliat Nurs. 2021;23(3):221-228. https://doi.org/10.1097/NJH.0000000000000744
Li Y, Li J, Zhang Y, Ding Y, Hu X. The effectiveness of e-Health interventions on caregiver burden, depression, and quality of life in informal caregivers of patients with cancer: A systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud. 2022;127:104179. https://doi.org/10.1016/j.ijnurstu.2022.104179
Darley A, Coughlan B, Furlong E. People with cancer and their family caregivers' personal experience of using supportive eHealth technology: A narrative review. Eur J Oncol Nurs. 2021;54:102030. https://doi.org/10.1016/j.ejon.2021.102030
Molassiotis A, Wang M. Understanding and Supporting Informal Cancer Caregivers. Curr Treat Options Oncol. 2022;23(4):494-513. https://doi.org/10.1007/s11864-022-00955-3
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