Anxiety and Depressive Symptoms Among Two Seriously Medically Ill Populations and Their Family Caregivers: A Comparison and Clinical Implications.
BACKGROUND
Anxiety and depression are common among patients with acute illness and their families. In oncology, psychosocial services addressing these symptoms are increasingly part of regular practice. Less is known about psychiatric distress among patients with acute neurological injury (ANI) and their family caregivers. To highlight this inequity in psychosocial intervention across medical services, we compared anxiety and depressive symptomatology shortly following diagnosis among patients facing incurable cancer or ANI and their family caregivers.


METHODS
Recruited from the same hospital, participants were patients within 8 weeks of receiving a diagnosis of incurable cancer (N = 350) and their family caregivers (N = 275; total patient/caregiver dyads = 275) and patients hospitalized in the Neuroscience ICU in the past 2 weeks (N = 81) and their family caregivers (N = 95; total dyads = 75). Participants reported anxiety and depressive symptoms using the Hospital Anxiety and Depression Scale. Symptomatology was compared across illnesses using independent samples t-tests and multiple regressions controlling for differences in sample demographics.


RESULTS
Patients with ANI (M = 6.90) reported greater anxiety symptoms than those with cancer (M = 5.31, p < .001), while caregivers for patients with ANI (M = 5.45) reported greater depressive symptoms than caregivers for patients with cancer (M = 3.81, p < .001). Results remained when controlling for demographic differences between samples.


CONCLUSION
This is the first cross-comparison of psychiatric distress in patients and family caregivers affected by two distinct, life-threatening illnesses early in the illness trajectory. Findings support the priority of addressing psychiatric distress among patients with ANI and their family caregivers, as has been emphasized in the psychosocial oncology field.
['Shaffer|Kelly M|KM|', 'Jacobs|Jamie M|JM|', 'Coleman|Jessica N|JN|', 'Temel|Jennifer S|JS|', 'Rosand|Jonathan|J|', 'Greer|Joseph A|JA|', 'Vranceanu|Ana-Maria|AM|']
D000328:Adult D000368:Aged D001007:Anxiety D017028:Caregivers D003863:Depression D005190:Family D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D009369:Neoplasms D010166:Palliative Care D020196:Trauma, Nervous System
Anxiety Depression Family caregiver Psychosocial intervention Incurable cancer Neuroscience ICU