Association between employment status change and depression and anxiety in allogeneic stem cell transplant caregivers.

Autor: Natvig C; Department of Psychiatry, School of Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA. Crystal.Natvig@CUANSCHUTZ.EDU., Mikulich-Gilbertson SK; Department of Psychiatry, School of Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA., Laudenslager ML; Department of Psychiatry, School of Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA., Bradley CJ; Department of Health Systems, Management, and Policy, School of Public Health, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA.
Jazyk: angličtina
Zdroj: Journal of cancer survivorship : research and practice [J Cancer Surviv] 2022 Oct; Vol. 16 (5), pp. 1090-1095. Date of Electronic Publication: 2021 Aug 21.
DOI: 10.1007/s11764-021-01099-3
Abstrakt: Purpose: Allogeneic hematopoietic stem cell transplantation (Allo-HSCT) is a demanding treatment that requires caregiver support during the first 100 days post-transplant. Little is known about the association between caregivers' employment changes and their well-being during this lengthy and challenging time when caregivers may be balancing work with caregiving responsibilities.
Methods: We used data from employed caregivers of Allo-HSCT patients who participated in two randomized clinical trials (N = 187) of an intervention for caregivers. Caregiver depression and anxiety were assessed using the Center for Epidemiologic Studies Depression and the Spielberger State-Trait Anxiety Inventory. ANCOVA was used to measure the associations between reducing work with depression and anxiety. Caregiver's demographics and baseline employment status were controlled in the analysis along with the patient's transplant conditioning intensity.
Results: Approximately 45% of caregivers reduced hours worked following the resumption of their caregiving duties. These caregivers, on average, had 3.49 points higher depression scores than caregivers who did not report a reduction in work (p < 0.01). Similarly, these caregivers also reported, on average, 3.56 higher anxiety scores (p < 0.10).
Conclusions: Caregivers who reduced hours worked while caregiving reported greater distress. The underlying cause of this distress deserves further investigation.
Implications for Cancer Survivors: Caregivers of patients diagnosed with cancer may experience considerable stress related to work discontinuation and caregiving. Interventions are needed to support caregivers who are trying to balance work and caregiving responsibilities.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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