Support service use and interest in support services among distressed family caregivers of lung cancer patients

Psycho-Oncology - Tập 22 Số 7 - Trang 1549-1556 - 2013
Catherine E. Mosher1, Victoria L. Champion2, Nasser H. Hanna3, Shadia I. Jalal3, Achilles J. Fakiris4, Thomas J. Birdas5, Ikenna Okereke5, Kenneth A. Kesler5, Lawrence H. Einhorn3, Barbara Given6, Patrick O. Monahan7, Jamie S. Ostroff8
1Department of Psychology Indiana University—Purdue University Indianapolis Indianapolis IN USA
2Indiana University School of Nursing, Indianapolis, IN, USA
3Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
4Department of Radiation Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
5Department of Surgery, Indiana University School of Medicine, Indianapolis IN USA
6College of Nursing, Michigan State University, East Lansing, MI, USA
7Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
8Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA

Tóm tắt

AbstractObjective

This study examined support service use and interest in support services among distressed family caregivers of patients recently entering comprehensive cancer care facilities.

Methods

Primary family caregivers of lung cancer patients (N = 83) were recruited from three medical centers within 12 weeks of the patient's new visit to the oncology clinic. All family caregivers were screened for psychological distress, and those reporting significant anxiety or depressive symptoms were eligible for this study. Caregivers completed a baseline assessment of support service use (i.e., use of mental health services and complementary and alternative medicine [CAM]) and interest in support services. Support service use was also assessed 3 months later.

Results

Although all caregivers reported clinically meaningful distress, only 26% used mental health and 39% used CAM services during the 3‐month study period. Patients' receipt of chemotherapy was positively associated with caregivers' mental health service use, whereas greater education and receiving assistance with caregiving tasks were associated with CAM use. Forty percent of caregivers who did not use CAM at baseline were interested in CAM. In addition, 29% of caregivers who did not receive mental health services at baseline were interested in professional psychosocial support, and 29% of caregivers who did not receive staff assistance with practical needs at baseline were interested in this service.

Conclusions

Findings suggest that distressed family caregivers of lung cancer patients underuse mental health services and that a sizable minority are interested in professional help with psychosocial and practical needs. Copyright © 2012 John Wiley & Sons, Ltd.

Từ khóa


Tài liệu tham khảo

American Cancer Society, 2012, Cancer Facts and Figures‐2012

10.1038/bjc.1995.124

10.1016/j.rmed.2008.04.002

10.1002/pon.545

10.1002/(SICI)1099-1611(199801/02)7:1<3::AID-PON320>3.0.CO;2-5

10.1177/0269216310371412

10.1002/pon.1433

10.1200/JCO.2006.10.0909

Siegel K, 1996, Depressive distress among the spouses of terminally ill cancer patients, Cancer Pract, 4, 25

10.1007/s12160-008-9062-7

10.1176/appi.psy.46.2.123

10.1503/cmaj.1031205

10.1055/s-2008-1076750

10.1097/01.NCC.0000339253.68324.19

Bakas T, 2001, Caregiving tasks among family caregivers of patients with lung cancer, Oncol Nurs Forum, 28, 847

10.1002/pon.996

10.1177/1479972311433577

10.1002/cncr.23449

10.1200/JCO.2011.39.5798

10.1001/archinte.167.1.40

10.1200/JCO.2005.01.370

10.2307/2137284

10.1023/A:1020908430728

10.1348/135910705X53155

10.1001/archpsyc.62.6.629

10.1056/NEJMsa043266

Barnes PM, 2008, Complementary and alternative medicine use among adults and children: United States, 2007, Natl Health Stat Report, 12, 1

10.1176/appi.ps.58.8.1108

10.1023/A:1018736917761

10.1111/j.1600-0447.1983.tb09716.x

10.1016/S0022-3999(01)00296-3

10.1016/S0277-9536(01)00240-4

10.1002/pon.769

10.1111/j.1545-5300.2004.04302005.x

10.1093/her/cyl062