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Title: Cancer caregivers unmet needs and emotional states across cancer treatment phases
Authors: Yang, Winson Fu Zun
Lee, Rachael Zhi Yi 
Kuparasundram, Sangita
Tan, Terina
Chan, Yiong Huak 
Griva, Konstadina
Mahendran, Rathi 
Issue Date: 11-Aug-2021
Publisher: Public Library of Science
Citation: Yang, Winson Fu Zun, Lee, Rachael Zhi Yi, Kuparasundram, Sangita, Tan, Terina, Chan, Yiong Huak, Griva, Konstadina, Mahendran, Rathi (2021-08-11). Cancer caregivers unmet needs and emotional states across cancer treatment phases. PLoS ONE 16 (8-Aug) : e0255901. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Study objective To investigate the association between family cancer caregivers' unmet daily needs and emotional states of depression, anxiety and stress across their care recipient's treatment phases. Method A cross-sectional study design and self-report questionnaires were used. Family caregivers (N = 237) of cancer patients in ambulatory cancer clinics were recruited from May to December 2017, and completed a sociodemographic and medical questionnaire, the Depression Anxiety Stress Scale and Needs Assessment of Family Caregivers-Cancer Scale. Hierarchical linear regression was conducted to examine the influence of each predictor (sociodemographic variables, unmet personal care and role management needs, cancer treatment phase) on the Depression Anxiety Stress Scale total score, depression subscale, anxiety subscale, and the stress subscale. Results Family caregivers' unmet daily activity needs, in particular higher unmet personal care needs, during the intermediate phase (6-9 months), were significantly associated (ps<0.05) with overall distress (b = 4.93) and stress (b = 2.26). In the chronic treatment phase (>9 months), the significant association of unmet personal care needs was with overall distress (b = 5.91), anxiety (b = 1.97) and stress (b = 2.53). After completing treatment, unmet role management needs were only significantly associated with stress (b = -1.59). Caregivers' higher depression was also associated with greater unmet role management needs, regardless of treatment phases. Conclusions Intermediate and chronic cancer treatment phases were identified as having greatest effect on caregivers' unmet daily activity needs and emotions. Unmet personal care needs played the major effect on overall negative emotional states in the intermediate treatment phase and stress in the chronic treatment phase. Close attention to caregivers needs in intermediate and chronic treatment phases, would be highly beneficial in alleviating negative emotional disturbances. © 2021 Yang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Source Title: PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0255901
Rights: Attribution 4.0 International
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