Cited by 4Cancer survivorship and careNursing care and researchFamily Caregiving in Mental Illness

Mental health status and associated factors of caregivers of patients with malignant brain tumors

Open access
Sakurada, Kaori, Sato, Iori, Ikeda, Mari, Narita, Yoshitaka·2025·Journal of Neuro-Oncology

Abstract

PURPOSE: Caregivers of patients with brain tumors play an essential role in treatment and symptom relief; however, this responsibility often results in a substantial and prolonged burden, negatively impacting caregivers' health and quality of life. This study aimed to evaluate the mental health status of caregivers of patients with malignant brain tumors and identify factors influencing mental health outcomes. METHODS: We analyzed data from the National Survey on the Needs and Support of Brain Tumor Patients and Caregivers, conducted by the research group on the Needs and Support of Brain Tumor Patients and their Caregivers in 2023. The study protocol was approved by the Research Ethics Review Committee of the National Cancer Center (approval No.: 2022 - 430). A total of 115 caregivers (36 male and 79 female) participated in the study. Depression risk was assessed using the Distress and Impact Thermometer. RESULTS: Fifty caregivers (43.4%) were classified into the suspected depression group. Factors significantly associated with an increased risk of depression after multivariate adjustment included "being tired of caring for others" and "being diagnosed with a brain tumor within 2 years." CONCLUSION: Caregivers of patients with brain tumors face considerable mental health challenges, with a notable proportion at risk of depression. Targeted interventions, particularly for those recently assuming caregiving roles and experiencing fatigue, are essential for improving their mental health and overall quality of life.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1007/s11060-025-04963-9

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Consistent caregiver burden might contribute to reduction in caregiver health-related quality of life, increased anxiety and depressive symptoms, sleep disruption, and reduced participation in employment and social activities.

    “Consistent caregiver burden might contribute to reduction in caregiver health-related quality of life (QoL), increased anxiety and depressive symptoms, sleep disruption, and reduced participation in employment and social activities.”

    From Caregiver burden, quality of life, and psychosocial outcomes among informal caregivers of patients with glioma: A systematic review and meta-analysis (2026) · cites this paper as [8]

    The Introduction says caregiving demands can affect caregivers’ quality of life and identifies caregiver burden as associated with depression and anxiety. The Discussion likewise links burden with depression and reports lower social functioning among caregivers. The paper does not establish that burden causes sleep disruption or reduced participation in employment and social activities; it mentions sleep quality as a factor related to depression, not as an outcome of burden. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Empirical studies in patients with glioma suggest that caregiver burden is common and clinically meaningful.

    “Empirical studies in patients with glioma suggest that caregiver burden is common and clinically meaningful.6, 7, 8, 9, 10”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The citation lists haven’t been fetched yet

References 22 · Cited by 4

Research works printed but not linked: 22

  1. [1]Yang X, Hao Y, George SM, Wang L (2012) Factors associated with health-related quality of life among Chinese caregivers of the older adults living in the community: a cross-sectional study. Health Qual Life Outcomes 10:143. 10.1186/1477-7525-10-143 23186128 PMC3541082 · DOI
  2. [2]Petruzzi A, Finocchiaro CY, Lamperti E, Salmaggi A (2013) Living with a brain tumor: reaction profiles in patients and their caregivers. Support Care Cancer 21:1105–1111. 10.1007/s00520-012-1632-3 23104453 · DOI
  3. [3]Geng HM, Chuang DM, Yang F, Yang Y, Liu WM, Liu LH, Tian HM (2018) Prevalence and determinants of depression in caregivers of cancer patients: a systematic review and meta-analysis. Med (Baltim) 97:e11863. 10.1097/MD.0000000000011863 PMC6181540 30278483 · DOI · Paper page
  4. [4]Akizuki N, Yamawaki S, Akechi T, Nakano T, Uchitomi Y (2005) Development of an Impact Thermometer for use in combination with the Distress Thermometer as a brief screening tool for adjustment disorders and/or major depression in cancer patients. J Pain Symptom Manag 29:91–99. 10.1016/j.jpainsymman.2004.04.016 15652442 · DOI
  5. [5]Asai M, Matsumoto Y, Miura T, Hasuo H, Maeda I, Ogawa A, Morita T, Uchitomi Y, Kinoshita H (2022) Psychological distress among caregivers for patients who die of cancer: a preliminary study in Japan. J Nippon Med Sch 89:428–435. 10.1272/jnms.JNMS.2022_89-410 36031356 · DOI
  6. [6]Forst DA, Podgurski AF, Quain KM et al (2022) Factors associated with psychological distress in caregivers of patients with malignant gliomas. Support Care Cancer 30:5811–5820. 10.1007/s00520-022-06989-5 35353218 · DOI · Paper page
  7. [7]Russell B, Collins A, Dowling A, Dally M, Gold M, Murphy M, Burchell J, Philip J (2016) Predicting distress among people who care for patients living longer with high-grade malignant glioma. Support Care Cancer 24:43–51. 10.1007/s00520-015-2739-0 25910750 · DOI
  8. [8]Shiroiwa T, Ikeda S, Noto S, Igarashi A, Fukuda T, Saito S, Shimozuma K (2016) Comparison of value set based on DCE and/or TTO data: scoring for EQ-5D-5L Health states in Japan. Value Health 19:648–654. 10.1016/j.jval.2016.03.1834 27565282 · DOI
  9. [9]Effendy C, Vernooij-Dassen M, Setiyarini S, Kristanti MS, Tejawinata S, Vissers K, Engels Y (2015) Family caregivers’ involvement in caring for a hospitalized patient with cancer and their quality of life in a country with strong family bonds. Psychooncol 24:585–591. 10.1002/pon.3701 25288447 · DOI
  10. [10]Kim Y, Baker F, Spillers RL (2007) Cancer caregivers’ quality of life: effects of gender, relationship, and appraisal. J Pain Symptom Manag 34:294–304. 10.1016/j.jpainsymman.2006.11.012 17572056 · DOI
  11. [11]Saito T, Kondo N, Shiba K, Murata C, Kondo K (2018) Income-based inequalities in caregiving time and depressive symptoms among older family caregivers under the Japanese long-term care insurance system: a cross-sectional analysis. PLoS ONE 13:e0194919. 10.1371/journal.pone.0194919 29590211 PMC5874058 · DOI
  12. [12]Ochoa CY, Buchanan Lunsford N, Lee Smith J (2020) Impact of informal cancer caregiving across the cancer experience: a systematic literature review of quality of life. Palliat Support Care 18:220–240. 10.1017/S1478951519000622 31588882 PMC8678891 · DOI · Paper page
  13. [13]Tallant J, Pakzad-Shahabi L, Lambert SD, Williams M, Wells M (2023) Quality of life in caregivers of patients with brain tumours: a systematic review and thematic analysis. Eur J Cancer Care 2023:1–12. 10.1155/2023/2882837 · DOI
  14. [14]Finocchiaro CY, Petruzzi A, Lamperti E, Botturi A, Gaviani P, Silvani A, Sarno L, Salmaggi A (2012) The burden of brain tumor: a single-institution study on psychological patterns in caregivers. J Neurooncol 107:175–181. 10.1007/s11060-011-0726-y 21968946 · DOI
  15. [15]Zhang H, Liu B, Gu W et al (2023) A head-to-head comparison of the measurement properties of EQ-5D-3L and EQ-5D-5L in Chinese family caregivers of cancer patients. Support Care Cancer 32:14. 10.1007/s00520-023-08231-2 38060009 · DOI
  16. [16]Litzelman K (2019) Caregiver well-being and the quality of cancer care. Semin Oncol Nurs 35:348–353. 10.1016/j.soncn.2019.06.006 31229346 PMC6728914 · DOI
  17. [17]Ownsworth T, Henderson L, Chambers SK (2010) Social support buffers the impact of functional impairments on caregiver psychological well-being in the context of brain tumor and other cancers. Psychooncol 19:1116–1122. 10.1002/pon.1663 20014160 · DOI
  18. [18]Halkett GK, Lobb EA, Shaw T, Sinclair MM, Miller L, Hovey E, Nowak AK (2017) Distress and psychological morbidity do not reduce over time in carers of patients with high-grade glioma. Support Care Cancer 25:887–893. 10.1007/s00520-016-3478-6 27841006 · DOI
  19. [19]Philip J, Collins A, Panozzo S, Staker J, Murphy M (2020) Mapping the nature of distress raised by patients with high-grade glioma and their family caregivers: a descriptive longitudinal study. Neurooncol Pract 7:103–110. 10.1093/nop/npz032 32257289 PMC7104884 · DOI
  20. [20]Webb K, Sharpe L, Butow P, Dhillon H, Zachariae R, Tauber NM, O’Toole MS, Shaw J (2023) Caregiver fear of cancer recurrence: a systematic review and meta-analysis of quantitative studies. Psychooncol 32:1173–1191. 10.1002/pon.6176 37303263 · DOI
  21. [21]Vivar CG, Canga N, Canga AD, Arantzamendi M (2009) The psychosocial impact of recurrence on cancer survivors and family members: a narrative review. J Adv Nurs 65:724–736. 10.1111/j.1365-2648.2008.04939.x 19228235 · DOI
  22. [22]Janda M, Steginga S, Langbecker D, Dunn J, Walker D, Eakin E (2007) Quality of life among patients with a brain tumor and their carers. J Psychosom Res 63:617–623. 10.1016/j.jpsychores.2007.06.018 18061752 · DOI

Authors
Sakurada, K., Sato, I., Ikeda, M., & Narita, Y.
Affiliations
  • Yamagata University (JP)
  • The University of Tokyo (JP)
  • National Cancer Center Hospital (JP)
Corresponding author
Sakurada, Kaori
Venue
Journal of Neuro-Oncology
Published
2025-02-07
Volume
173
Issue
1
Pages
71-82
ISSN
  • 0167-594X (ISSN-L)
  • 1573-7373
OpenAlex
W4407260521
Cited by
4
References
22
Citations by year
2026: 4
FWCI
1.66
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuro-Oncology (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
Keywords
caregiver mental health, caregiver depression, malignant brain tumors, caregiver burden, caregiver fatigue, brain tumor patients, quality of life, risk factors for depression, newly diagnosed brain tumors
MeSH terms
Adult, Aged, Brain Neoplasms, Depression, Female, Humans, Male, Mental Health, Middle Aged, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Caregivers

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review