Distress experienced by lung cancer patients and their family caregivers in the first year of their cancer journey.

Autor:	Aubin M; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada.; Research Centre of the Institut de cardiologie et de pneumologie de Québec (IUCPQ), Québec, QC, Canada.; VITAM-Centre de recherche en santé durable, Québec, QC, Canada., Vézina L; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada., Verreault R; VITAM-Centre de recherche en santé durable, Québec, QC, Canada., Simard S; Research Centre of the Institut de cardiologie et de pneumologie de Québec (IUCPQ), Québec, QC, Canada.; Department of Health Sciences, UQAC, Québec, QC, Canada., Hudon É; Department of Family Medicine and Emergency Medicine, Université de Montréal, Montreal, QC, Canada., Desbiens JF; VITAM-Centre de recherche en santé durable, Québec, QC, Canada.; Faculty of Nursing, Université Laval, Québec, QC, Canada., Fillion L; Faculty of Nursing, Université Laval, Québec, QC, Canada.; Research Center of the CHU de Québec, Québec, QC, Canada., Dumont S; VITAM-Centre de recherche en santé durable, Québec, QC, Canada.; Faculty of Social Sciences, Université Laval, Québec, QC, Canada., Tourigny A; VITAM-Centre de recherche en santé durable, Québec, QC, Canada.; Centre of Excellence on Aging, CHU de Québec, Québec, QC, Canada., Daneault S; Department of Family Medicine and Emergency Medicine, Université de Montréal, Montreal, QC, Canada.; Research Center of the CHU de Montreal, Montreal, QC, Canada.
Jazyk:	angličtina
Zdroj:	Palliative & supportive care [Palliat Support Care] 2022 Feb; Vol. 20 (1), pp. 15-21.
DOI:	10.1017/S1478951521000377
Abstrakt:	Objectives: Diagnosis of cancer is emotionally threatening not only for patients but also for their family caregivers (FC) who witness and share much of the illness experience. This study compares distress experienced by lung cancer patients and their FC during the year following the diagnosis. Methods: A prospective cohort study of 206 patients recently diagnosed with inoperable lung cancer (participation rate 79.5%) and 131 FC (participation rate 63.6%) was conducted in an ambulatory oncology clinic in Quebec City (Canada). They completed validated questionnaires regarding their personal and psychological characteristics (Hospital and Anxiety Depression Scale-HADS), in the first months after the diagnosis of lung cancer and after 6 and 12 months. Univariate, bivariate, and linear mixed models were conducted to compare patient and FC distress. Results: At baseline, 7.8% of patients reported distress (HADS total score >15) and their mean distress score was 7.0 ± 4.9 (range 0-42). In contrast, 33.6% of FC presented significant distress and their mean distress score was 12.0 ± 7.2 (P < 0.0001). Proportions of patients and FC with distress remained relatively stable at 6 and 12 months, and at every time point, FC reported higher levels of distress compared to their relative with cancer (P < 0.0001). Comparable trends were found when looking at the mean scores of distress, anxiety, and depression throughout the study. Significance of Results: Being diagnosed with lung cancer and going through its different phases seems to affect more FC than patients. The psychological impact of such diagnosis appears early after the diagnosis and does not significantly change over time. These findings reinforce the importance for oncology teams, to include FC in their systematic distress screening program, in order to help them cope with their own feelings and be able to play their role in patient support and care throughout the cancer journey.
Databáze:	MEDLINE
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