ORIGINAL PAPER
Anxiety, depression and quality of life: a longitudinal study involving cancer
patient-caregiver dyads
1
Department of Psychology, University of Cordoba, Cordoba, Spain
2
IMIBIC Health Research Institute, Cordoba, Spain
3
Reina Sofía University Hospital of Cordoba, Cordoba, Spain
4
Institute of Psychology, Faculty of Philosophy, Jesuit University Ignatianum in Krakow, Krakow, Poland
5
Department of Social Health Sciences, Radiology and Physical Medicine, University of Cordoba, Cordoba, Spain
6
Medical Oncology Department, Reina Sofía University Hospital of Cordoba, Cordoba, Spain
Submission date: 2021-07-04
Final revision date: 2021-10-06
Acceptance date: 2021-11-07
Online publication date: 2021-12-02
Health Psychology Report 2022;10(1):37–46
KEYWORDS
TOPICS
psychological aspects of illnesscouple and family relationships in healthquality of life and well being
ABSTRACT
Background:
The objective of this study was to analyse the relationships between anxiety, depression and quality of life in cancer patient-caregiver dyads during the first 6 months after the diagnosis using the actor-partner interdependence model (APIM).
Participants and procedure:
Sixty-seven cancer patient-caregiver dyads completed the following questionnaires in a prospective longitudinal design, with two assessment points at a 6month interval, T1 (45-60) and T2 (180-200 days after diagnosis): the Hospital Anxiety and Depression Scale (HADS) and the Short Form Health Survey Questionnaire (SF-36). Descriptive statistics, t-test and bivari-ate correlations were applied. The APIM was used to analyse the influence of anxiety and depression (T1) on own (actor effect) and partner (partner effect) quality of life in T2.
Results:
The results did not reveal any differences between T1 and T2 in anxiety and depression in caregivers and patients. Assessing the differences between T1 and T2 with respect to quality of life, the caregiver results showed an improvement in physical functioning and bodily pain, but lower social functioning and mental health scores. For patients, significantly lower scores were observed in general health and vitality scores. Dyadic analysis showed an actor effect of anxiety and depression on most of the quality of life domains and a partner effect in caregiver depression (T1) and general health in patients (T2).
Conclusions:
The early assessment of anxiety and depression may help to prevent declines in quality of life in the first few months follow-ing a diagnosis of cancer in patient-caregiver dyads.
The objective of this study was to analyse the relationships between anxiety, depression and quality of life in cancer patient-caregiver dyads during the first 6 months after the diagnosis using the actor-partner interdependence model (APIM).
Participants and procedure:
Sixty-seven cancer patient-caregiver dyads completed the following questionnaires in a prospective longitudinal design, with two assessment points at a 6month interval, T1 (45-60) and T2 (180-200 days after diagnosis): the Hospital Anxiety and Depression Scale (HADS) and the Short Form Health Survey Questionnaire (SF-36). Descriptive statistics, t-test and bivari-ate correlations were applied. The APIM was used to analyse the influence of anxiety and depression (T1) on own (actor effect) and partner (partner effect) quality of life in T2.
Results:
The results did not reveal any differences between T1 and T2 in anxiety and depression in caregivers and patients. Assessing the differences between T1 and T2 with respect to quality of life, the caregiver results showed an improvement in physical functioning and bodily pain, but lower social functioning and mental health scores. For patients, significantly lower scores were observed in general health and vitality scores. Dyadic analysis showed an actor effect of anxiety and depression on most of the quality of life domains and a partner effect in caregiver depression (T1) and general health in patients (T2).
Conclusions:
The early assessment of anxiety and depression may help to prevent declines in quality of life in the first few months follow-ing a diagnosis of cancer in patient-caregiver dyads.
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