- Title
- Dyadic interdependence of psychosocial outcomes among haematological cancer survivors and their support persons
- Creator
- Paul, Christine; Hall, Alix; Oldmeadow, Christopher; Lynagh, Marita; Campbell, Sharon; Bradstock, Ken; Williamson, Anna; Carey, Mariko; Sanson-Fisher, Rob
- Relation
- Supportive Care in Cancer Vol. 25, Issue 11, p. 3339-3346
- Publisher Link
- http://dx.doi.org/10.1007/s00520-017-3751-3
- Publisher
- Springer
- Resource Type
- journal article
- Date
- 2017
- Description
- Purpose: This study aimed to explore the dyadic relationships between unmet need, depression, and anxiety in people diagnosed with haematological cancer and their support persons. Methods: Adult survivors (18 years+) who had been diagnosed with a haematological cancer were recruited to a cross-sectional mailed survey via five state cancer registries in Australia. Participating survivors invited a support person to also complete a survey. Structural equation modelling was used to explore the relationships among survivor and support person self-reported depression, anxiety, and unmet needs. Results: Of the 4299 eligible haematological cancer survivors contacted by the registries, 1511 (35%) returned a completed survey as did 1004 support persons. There were 787 dyads with complete data. After adjusting for age, gender, rurality, cancer type, and whether the support person was a relative, positive correlations were found between survivor and support person scores for depression (p=0.0029) and unmet needs (p<0.001), but not anxiety scores (p=0.075). Survivor unmet needs were significantly related to support person depression (p=0.0036). Support person unmet needs were significantly related to a higher depression score for survivors (p=0.0067). Greater support person unmet needs were significantly related to a higher anxiety score for survivors (p=0.0083). Survivor unmet needs did not have a significant relationship to support person anxiety (p=0.78). Conclusion: Unmet needs may mediate the interdependence of psychosocial experiences for survivors and support persons, although a longitudinal study is required to confirm causality. Addressing unmet needs may be a potential target for improving outcomes for both groups.
- Subject
- dyad; cancer; unmet needs; depression; anxiety; oncology
- Identifier
- http://hdl.handle.net/1959.13/1387148
- Identifier
- uon:32540
- Identifier
- ISSN:0941-4355
- Language
- eng
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