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J Palliat Med. 2017 Apr;20(4):366-371. doi: 10.1089/jpm.2016.0372. Epub 2016 Dec 2.

The Prevalence and Risks for Depression and Anxiety in Hospice Caregivers.

Author information

1
1 Department of Family and Community Medicine, University of Missouri , Columbia, Missouri.
2
2 University of Missouri School of Medicine , Columbia, Missouri.
3
3 Biobehavioral Nursing and Health Systems, School of Nursing & Biomedical and Health Informatics, School of Medicine, University of Washington , Seattle, Washington.

Abstract

BACKGROUND:

Depression and anxiety are common concerns for hospice caregivers.

OBJECTIVE:

This study looked at the prevalence and variables associated with hospice caregiver depression and anxiety, as well as the relationship between the two conditions.

SUBJECTS:

We did a secondary analysis of preexisting data.

MEASUREMENTS:

Measures included the PHQ-9 and GAD-7.

RESULTS:

Nearly one-quarter of caregivers were moderately to severely depressed, and nearly one-third reported moderate to severe symptoms of anxiety. Risk factors for both depression and anxiety included younger age and poorer self-rated global health. Depression-specific risk factors included being married and caring for a patient with a diagnosis other than cancer. The sole anxiety-specific risk factor identified was geographic location, as caregivers living in the Southeast were found to have greater anxiety than those in the Midwest.

CONCLUSION:

Hospice providers' recognition of family caregivers as both coproviders and corecipients of care underscores the need to more fully assess and respond to depression and anxiety among caregivers.

KEYWORDS:

anxiety; caregivers; depression; hospice

PMID:
27912042
PMCID:
PMC5385442
DOI:
10.1089/jpm.2016.0372
[Indexed for MEDLINE]
Free PMC Article

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