Anxiety disorders in family caregivers of breast cancer patients receiving oncologic treatment in Malaysia

Siti Hazrah Selamat Din, Nik Ruzyanei Nik Jaafar, Hazli Zakaria, Suriati Mohamed Saini, Siti Nor Aizah Ahmad, Marhani Midin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Anxiety is recognized as a normal psychological reaction of those caring for cancer patients. However, anxiety disorders in caregivers may interfere with their care-giving role and require further clinical attention. Objectives: To determine the prevalence and associated factors of anxiety disorders among caregivers of breast cancer patients receiving oncologic treatment in Kuala Lumpur Hospital. Methodology: A cross-sectional study was conducted on 130 caregiver-patient dyads, recruited by non-random sampling at Kuala Lumpur Hospital. Data were collected in 2 stages: 1) the caregivers were screened for psychological distress using the Depression, Anxiety, Stress, Scale (DASS-21) while other related factors for the patients and their caregivers were obtained; 2) the identified distressed caregivers (n = 64) were then administered the Mini International Neuropsychiatric Interview (MINI) to diagnose anxiety disorders. Results: A total of 11.5% (n = 15) of the caregivers reported suffering from anxiety disorders. Bivariate analysis found duration of caregiving (OR = 3.31; CI = 2.21-11.93), shared caregiving (OR = 4.07; CI = 1.34-12.36), and patients' treatment type (OR = 3.42; CI = 1.92-12.76) were significantly associated with anxiety disorders (p value < 0.05), with shared caregiving and patient's treatment type remaining significant using logistic regression (p value < 0.05, R2 = 0.255). Conclusions: Every one in ten of the caregivers in this study had a diagnosable anxiety disorder, associated with certain care-giving factors and patients' treatment. This should alert clinicians to such risk and indicates psychological support needs for family caregivers.

Original languageEnglish
Pages (from-to)465-471
Number of pages7
JournalAsian Pacific Journal of Cancer Prevention
Volume18
Issue number2
DOIs
Publication statusPublished - 1 Feb 2017

Fingerprint

Malaysia
Anxiety Disorders
Caregivers
Breast Neoplasms
Therapeutics
Psychology
Anxiety
Cross-Sectional Studies
Logistic Models
Interviews
Depression

Keywords

  • Anxiety disorders
  • Cancer
  • Family caregivers
  • Psycho oncology

ASJC Scopus subject areas

  • Epidemiology
  • Oncology
  • Public Health, Environmental and Occupational Health
  • Cancer Research

Cite this

@article{a3f7558153d845a0bc115084b48e00b8,
title = "Anxiety disorders in family caregivers of breast cancer patients receiving oncologic treatment in Malaysia",
abstract = "Background: Anxiety is recognized as a normal psychological reaction of those caring for cancer patients. However, anxiety disorders in caregivers may interfere with their care-giving role and require further clinical attention. Objectives: To determine the prevalence and associated factors of anxiety disorders among caregivers of breast cancer patients receiving oncologic treatment in Kuala Lumpur Hospital. Methodology: A cross-sectional study was conducted on 130 caregiver-patient dyads, recruited by non-random sampling at Kuala Lumpur Hospital. Data were collected in 2 stages: 1) the caregivers were screened for psychological distress using the Depression, Anxiety, Stress, Scale (DASS-21) while other related factors for the patients and their caregivers were obtained; 2) the identified distressed caregivers (n = 64) were then administered the Mini International Neuropsychiatric Interview (MINI) to diagnose anxiety disorders. Results: A total of 11.5{\%} (n = 15) of the caregivers reported suffering from anxiety disorders. Bivariate analysis found duration of caregiving (OR = 3.31; CI = 2.21-11.93), shared caregiving (OR = 4.07; CI = 1.34-12.36), and patients' treatment type (OR = 3.42; CI = 1.92-12.76) were significantly associated with anxiety disorders (p value < 0.05), with shared caregiving and patient's treatment type remaining significant using logistic regression (p value < 0.05, R2 = 0.255). Conclusions: Every one in ten of the caregivers in this study had a diagnosable anxiety disorder, associated with certain care-giving factors and patients' treatment. This should alert clinicians to such risk and indicates psychological support needs for family caregivers.",
keywords = "Anxiety disorders, Cancer, Family caregivers, Psycho oncology",
author = "Din, {Siti Hazrah Selamat} and {Nik Jaafar}, {Nik Ruzyanei} and Hazli Zakaria and {Mohamed Saini}, Suriati and Ahmad, {Siti Nor Aizah} and Marhani Midin",
year = "2017",
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TY - JOUR

T1 - Anxiety disorders in family caregivers of breast cancer patients receiving oncologic treatment in Malaysia

AU - Din, Siti Hazrah Selamat

AU - Nik Jaafar, Nik Ruzyanei

AU - Zakaria, Hazli

AU - Mohamed Saini, Suriati

AU - Ahmad, Siti Nor Aizah

AU - Midin, Marhani

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Background: Anxiety is recognized as a normal psychological reaction of those caring for cancer patients. However, anxiety disorders in caregivers may interfere with their care-giving role and require further clinical attention. Objectives: To determine the prevalence and associated factors of anxiety disorders among caregivers of breast cancer patients receiving oncologic treatment in Kuala Lumpur Hospital. Methodology: A cross-sectional study was conducted on 130 caregiver-patient dyads, recruited by non-random sampling at Kuala Lumpur Hospital. Data were collected in 2 stages: 1) the caregivers were screened for psychological distress using the Depression, Anxiety, Stress, Scale (DASS-21) while other related factors for the patients and their caregivers were obtained; 2) the identified distressed caregivers (n = 64) were then administered the Mini International Neuropsychiatric Interview (MINI) to diagnose anxiety disorders. Results: A total of 11.5% (n = 15) of the caregivers reported suffering from anxiety disorders. Bivariate analysis found duration of caregiving (OR = 3.31; CI = 2.21-11.93), shared caregiving (OR = 4.07; CI = 1.34-12.36), and patients' treatment type (OR = 3.42; CI = 1.92-12.76) were significantly associated with anxiety disorders (p value < 0.05), with shared caregiving and patient's treatment type remaining significant using logistic regression (p value < 0.05, R2 = 0.255). Conclusions: Every one in ten of the caregivers in this study had a diagnosable anxiety disorder, associated with certain care-giving factors and patients' treatment. This should alert clinicians to such risk and indicates psychological support needs for family caregivers.

AB - Background: Anxiety is recognized as a normal psychological reaction of those caring for cancer patients. However, anxiety disorders in caregivers may interfere with their care-giving role and require further clinical attention. Objectives: To determine the prevalence and associated factors of anxiety disorders among caregivers of breast cancer patients receiving oncologic treatment in Kuala Lumpur Hospital. Methodology: A cross-sectional study was conducted on 130 caregiver-patient dyads, recruited by non-random sampling at Kuala Lumpur Hospital. Data were collected in 2 stages: 1) the caregivers were screened for psychological distress using the Depression, Anxiety, Stress, Scale (DASS-21) while other related factors for the patients and their caregivers were obtained; 2) the identified distressed caregivers (n = 64) were then administered the Mini International Neuropsychiatric Interview (MINI) to diagnose anxiety disorders. Results: A total of 11.5% (n = 15) of the caregivers reported suffering from anxiety disorders. Bivariate analysis found duration of caregiving (OR = 3.31; CI = 2.21-11.93), shared caregiving (OR = 4.07; CI = 1.34-12.36), and patients' treatment type (OR = 3.42; CI = 1.92-12.76) were significantly associated with anxiety disorders (p value < 0.05), with shared caregiving and patient's treatment type remaining significant using logistic regression (p value < 0.05, R2 = 0.255). Conclusions: Every one in ten of the caregivers in this study had a diagnosable anxiety disorder, associated with certain care-giving factors and patients' treatment. This should alert clinicians to such risk and indicates psychological support needs for family caregivers.

KW - Anxiety disorders

KW - Cancer

KW - Family caregivers

KW - Psycho oncology

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U2 - 10.22034/APJCP.2017.18.2.465

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JF - Asian Pacific Journal of Cancer Prevention

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