Distress and psychological morbidity do not reduce over time in carers of patients with high-grade glioma
MetadataShow full item record
Purpose: This study aimed to determine how carer distress and psychological morbidity change over time following a patient’s diagnosis of high-grade glioma (HGG) and identify factors associated with changes in carers’ psychological status. Methods: Carers of patients with HGG planned for chemoradiotherapy were recruited to this longitudinal cohort study. Carers completed questionnaires during patients’ chemoradiotherapy and 3 and 6 months later including the following: the Distress Thermometer (DT); General Health Questionnaire-12 (GHQ-12); and three single-item questions about understanding of information presented by health professionals, confidence to care and preparedness to care for their relative/friend. Linear latent growth models were applied. Results: The time 1 questionnaire was completed by 118 carers, of these 70 carers provided responses to the third time point. Carer distress and psychological morbidity were most prominent proximal to diagnosis, but remained high over time. Sixty-two percent of participants had moderate or high distress on the DT at time 1, 61% at time 2 and 58% at time 3. Scores on the DT and the GHQ-12 correlated significantly at all time points as did changes in scores over time (p < .001). However, for individual carers, the DT or GHQ-12 scores at one time point did not strongly predict scores at subsequent time points. Conclusion: In carers of patients with HGG, distress levels are consistently high and cannot be predicted at any time point. Carers should be monitored over time to identify evolving psychological morbidity. The single-item DT correlates highly with GHQ-12 scores and is a suitable tool for rapid repeated screening.
Showing items related by title, author, creator and subject.
Carers of patients with high-grade glioma report high levels of distress, unmet needs, and psychological morbidity during patient chemo radiotherapyLong, A.; Halkett, Georgia; Lobb, E.; Shaw, T.; Hovey, E.; Nowak, A. (2015)Background: Few studies have explored the unmet needs of carers of people with high-grade glioma. We aimed to determine carers' levels of distress during treatment, understand their support needs and explore predictors ...
Joshua, Isaac B. (2003)Malaria is more prevalent today and the death toll is on the increase annually. It is one of the leading causes of morbidity and mortality worldwide and most of these deaths are in the poorest regions of the world. About ...
Halkett, Georgia; Lobb, E.; Rogers, M.; Shaw, T.; Long, A.; Wheeler, H.; Nowak, A. (2015)Objective: To determine High Grade Glioma (HGG) patients’ levels of distress and QOL during combined chemoradiotherapy, explore predictors of distress and QOL and prioritize patients’ supportive care needs. Methods: ...