Family members of cancer patients: Needs, quality of life and symptoms of anxiety and depression
Open accessAbstract
BACKGROUND: Family members of cancer patient's have multiple needs, many of which are not adequately met. Unmet needs may affect psychological distress and quality of life (QOL). The purpose of this study was to assess needs and unmet needs, QOL, symptoms of anxiety and depression, and the relationship between those variables in a large sample of family members of cancer patients in different phases of illness. MATERIAL AND METHODS: Of 332 family members invited to participate, 330 accepted and 223 (67%) completed a cross-sectional, descriptive study. Data was collected with the Family Inventory of Needs (FIN), Quality of Life Scale (QOLS) and the Hospital Anxiety and Depression Scale (HADS). RESULTS: Of 20 needs assessed the mean (SD) number of important needs and unmet needs was 16.4 ± 4.3 and 6.2 ± 5.6, respectively. Twelve important needs were unmet in 40-56% of the sample. The mean number of unmet needs was significantly higher among women than men, other relatives than spouses, younger family members, those currently working and those of patients with metastatic cancer. QOL was similar to what has been reported for healthy populations and cancer caregivers in advanced stages. The prevalence of symptoms of anxiety and depression was high (20-40%). Anxiety scores were higher among women than men and both anxiety and depression scores were highest during years 1-5 compared to the first year and more than five years post diagnosis. There was a positive relationship between number of important needs and QOL, and between needs met and QOL. Additionally, there was a significant relationship between anxiety and unmet needs. Finally, there was a significant relationship between QOL and symptoms of anxiety and depression. CONCLUSION: The results support the importance of screening needs and psychological distress among family members of cancer patients in all phases of illness.
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The prevalence estimate of anxiety is substantially greater in relation to dementia than in family carers of people with other conditions such as cancer and stroke.
“Furthermore, the prevalence estimate of anxiety is substantially greater in relation to dementia, than family carers of people with other conditions such as cancer (Friðriksdóttir et al., 2011) and stroke (Loh, Tan, Zhang, & Ho, 2017).”
From Exploring the impact of carer stressors and psychological inflexibility on depression and anxiety in family carers of people with dementia (2020) · cites this paper as Friðriksdóttir et al., 2011
The Symptoms of anxiety and depression section reports possible anxiety symptoms or anxiety symptoms in 20% of the sampled family members of cancer patients. That supports the cancer-carer estimate, but the paper does not compare it with dementia carers or establish that the dementia estimate is substantially greater. (LLM, conf=0.86)
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- Authors
- Friðriksdóttir, N., Sævarsdóttir, Þ., Halfdánardóttir, S. Í., Jónsdóttir, A., Magnúsdóttir, H., Ólafsdóttir, K. L., Guðmundsdóttir, G., & Gunnarsdóttir, S.
- Affiliations
- National University Hospital of Iceland (IS)
- University of Iceland (IS)
- Venue
- Acta Oncologica
- Published
- 2011-01-13
- Volume
- 50
- Issue
- 2
- Pages
- 252-258
- ISSN
- 0284-186X (ISSN-L)
- 1651-226X
- OpenAlex
- W2028993037
- Cited by
- 196
- References
- 23
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 16 · 2023: 10 · 2022: 21 · 2021: 18 · 2020: 21 · 2019: 12 · 2018: 16 · 2017: 11 · 2016: 13 · 2015: 15 · 2014: 10 · 2013: 10 · 2012: 11
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Acta Oncologica (publishedVersion)
- PubMed (publishedVersion)
- Hirsla (Landspítali University Hospital) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- family caregivers, relatives of cancer patients, unmet needs, quality of life, anxiety, depression, psychological distress, metastatic cancer, gender differences, spousal caregivers, disease duration
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Depression, Family, Female, Health Services Needs and Demand, Humans, Male, Middle Aged, Neoplasms, Quality of Life, Surveys and Questionnaires, Caregivers
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