Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study
Abstract Background A lung cancer diagnosis has a huge impact on the psychological well-being of both patients and family caregivers. However, the current psychological stress status among dyads remains unclear. We aimed to determine the prevalence of anxiety and depression and identify the factors...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12912-024-02635-z |
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| author | Juan Li Chan Li Jie Zou Fang-Qun Cheng Li Peng Li-Hong Deng Pei-Pei Wu Sai-Yu Gao Zhi-Yao Xiong Ying Zuo Yan Luo Xiao-Hua Rao Bo Yuan Ou-Ying Chen Jing-Ping Zhang |
| author_facet | Juan Li Chan Li Jie Zou Fang-Qun Cheng Li Peng Li-Hong Deng Pei-Pei Wu Sai-Yu Gao Zhi-Yao Xiong Ying Zuo Yan Luo Xiao-Hua Rao Bo Yuan Ou-Ying Chen Jing-Ping Zhang |
| author_sort | Juan Li |
| collection | DOAJ |
| description | Abstract Background A lung cancer diagnosis has a huge impact on the psychological well-being of both patients and family caregivers. However, the current psychological stress status among dyads remains unclear. We aimed to determine the prevalence of anxiety and depression and identify the factors that influence patients with lung cancer and their caregivers. Methods We conducted a cross-sectional study of 254 dyads of lung cancer patients and family caregivers from four tertiary hospitals in Hunan Province, China from January 2021 to June 2021. Besides, we used several instruments to collect data on depression, anxiety, illness perception, mindfulness, self-compassion, and dyadic coping. The independent samples t-test, analysis of one-way variance, Spearman’s correlation analysis, and multiple linear regression analysis were employed. Results Results showed that 21.3% of patients and 29.5% of caregivers experienced depression, while 22.0% of patients and 33.5% of caregivers reported anxiety. For lung cancer patients, patients’ illness perception positively predicted their depression scores and patients’ level of mindfulness and level of self-compassion negatively predicted their depression scores; patients’ illness perception positively predicted their anxiety scores, and only living with children, patients’ mindfulness and self-compassion levels were negatively predicted their anxiety scores. For caregivers, caregivers’ level of illness perception and the number of other caregivers positively predicted their depression and anxiety scores, and caregiver’s dyadic coping level, residence (county or town, and city), and caregiver’s self-compassion level, were negatively predicted their depression and anxiety scores. Conclusion The prevalence of psychological stress response of lung cancer patients and caregivers was high and influenced by family living situation, number of persons assisting in care, place of residence, patient-caregiver relationship, levels of illness perception, mindfulness, self-compassion, and dyadic coping. Trial registration ClinicalTrial.gov NCT06746948. |
| format | Article |
| id | doaj-art-e960cdfa3a864bba8b3f87527dd84be9 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-e960cdfa3a864bba8b3f87527dd84be92025-01-12T12:13:39ZengBMCBMC Nursing1472-69552025-01-0124111810.1186/s12912-024-02635-zPrevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional studyJuan Li0Chan Li1Jie Zou2Fang-Qun Cheng3Li Peng4Li-Hong Deng5Pei-Pei Wu6Sai-Yu Gao7Zhi-Yao Xiong8Ying Zuo9Yan Luo10Xiao-Hua Rao11Bo Yuan12Ou-Ying Chen13Jing-Ping Zhang14Xiangya School of Nursing, Central South UniversityThe Fifth Clinical Medical College, Guangzhou University of Chinese MedicineChongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Hepatobiliary Pancreatic Oncology Center, Chongqing University Cancer HospitalDepartment of Nursing, Xiangtan Central HospitalFirst Oncology Department, Xiangtan Central HospitalSecond Oncology Department, Xiangtan Central HospitalDepartment of Nursing, Tianjin Medical University Cancer Institute and HospitalDepartment of Geriatrics, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South UniversityNeurological Intensive Care Unit, West China Hospital, Sichuan UniversityDepartment of Cardiothoracic Surgery, Xiangtan Central HospitalDepartment of Respiratory and Critical Care Medicine, Xiangtan Central HospitalDepartment of Nursing, Huaihua Cancer HospitalDepartment of Emergency and Critical Care Medicine, Xinzheng People’s HospitalSchool of Nursing, Hunan University of Traditional Chinese MedicineXiangya School of Nursing, Central South UniversityAbstract Background A lung cancer diagnosis has a huge impact on the psychological well-being of both patients and family caregivers. However, the current psychological stress status among dyads remains unclear. We aimed to determine the prevalence of anxiety and depression and identify the factors that influence patients with lung cancer and their caregivers. Methods We conducted a cross-sectional study of 254 dyads of lung cancer patients and family caregivers from four tertiary hospitals in Hunan Province, China from January 2021 to June 2021. Besides, we used several instruments to collect data on depression, anxiety, illness perception, mindfulness, self-compassion, and dyadic coping. The independent samples t-test, analysis of one-way variance, Spearman’s correlation analysis, and multiple linear regression analysis were employed. Results Results showed that 21.3% of patients and 29.5% of caregivers experienced depression, while 22.0% of patients and 33.5% of caregivers reported anxiety. For lung cancer patients, patients’ illness perception positively predicted their depression scores and patients’ level of mindfulness and level of self-compassion negatively predicted their depression scores; patients’ illness perception positively predicted their anxiety scores, and only living with children, patients’ mindfulness and self-compassion levels were negatively predicted their anxiety scores. For caregivers, caregivers’ level of illness perception and the number of other caregivers positively predicted their depression and anxiety scores, and caregiver’s dyadic coping level, residence (county or town, and city), and caregiver’s self-compassion level, were negatively predicted their depression and anxiety scores. Conclusion The prevalence of psychological stress response of lung cancer patients and caregivers was high and influenced by family living situation, number of persons assisting in care, place of residence, patient-caregiver relationship, levels of illness perception, mindfulness, self-compassion, and dyadic coping. Trial registration ClinicalTrial.gov NCT06746948.https://doi.org/10.1186/s12912-024-02635-zLung cancer patientsCaregiversPsychological stressPrevalenceInfluencing factorsAnxiety |
| spellingShingle | Juan Li Chan Li Jie Zou Fang-Qun Cheng Li Peng Li-Hong Deng Pei-Pei Wu Sai-Yu Gao Zhi-Yao Xiong Ying Zuo Yan Luo Xiao-Hua Rao Bo Yuan Ou-Ying Chen Jing-Ping Zhang Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study BMC Nursing Lung cancer patients Caregivers Psychological stress Prevalence Influencing factors Anxiety |
| title | Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study |
| title_full | Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study |
| title_fullStr | Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study |
| title_full_unstemmed | Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study |
| title_short | Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study |
| title_sort | prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers a cross sectional study |
| topic | Lung cancer patients Caregivers Psychological stress Prevalence Influencing factors Anxiety |
| url | https://doi.org/10.1186/s12912-024-02635-z |
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