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Family caregivers' perceptions of depression in patients with advanced cancer: A qualitative study

Published online by Cambridge University Press:  13 February 2014

Wadih Rhondali Open the ORCID record for Wadih Rhondali [Opens in a new window] ,
Anne Chirac ,
Angélique Laurent ,
Jean-Louis Terra  and
Marilène Filbet
Wadih Rhondali*
Affiliation:
Centre de soins palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas Laboratoire EA 4129, Santé-Individu-Société, Université Lyon 1, Lyon, France
Anne Chirac
Affiliation:
Centre de soins palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France Institut de Psychologie, Université Lyon 2, Bron, France
Angélique Laurent
Affiliation:
Institut de Psychologie, Université Lyon 2, Bron, France
Jean-Louis Terra
Affiliation:
Institut de Psychologie, Université Lyon 2, Bron, France Centre Hospitalier du Vinatier, Bron, France
Marilène Filbet
Affiliation:
Centre de soins palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France
*
Address correspondence and reprint requests to: Wadih Rhondali, Department of Palliative Care, Centre Hospitalier Lyon-Sud, Hospices civils de Lyon. 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. E-mail: wadihrhondali@gmail.com
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Abstract

Objective:

Depression is a serious issue for cancer patients, resulting in impaired quality of life and probably shorter survival. However, many cancer patients with depression are not treated because of the difficulties in identifying depression within this population. Our study aimed to examine caregivers' perceptions of depression among advanced cancer patients.

Method:

This qualitative study employed semistructured interviews, and we analyzed data using grounded theory and qualitative methods. We recruited caregivers from our palliative care unit (PCU) at an academic medical center.

Results:

We interviewed a total of 15 caregivers. Cancer patients' caregivers had a good theoretical knowledge of depression but also acknowledged that, in the context of cancer and because of their relationship with the patient, identification of depressive symptoms could be challenging. They considered themselves as partners in the patient's care with a supportive role. However, by assuming the role of partner in patient care, caregivers exposed themselves to emotional difficulties and an increased need for support and information.

Significance of Results:

Our results suggest a significant impact of depression in advanced cancer caregivers, and it is therefore crucial that healthcare professionals develop educational programs targeting cancer patients' families as well as specific interventions to minimize the impact of the burden of patient care on caregivers.

Keywords

DepressionAdvanced cancerCaregiversQualitative study
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 3 , June 2015 , pp. 443 - 450
Copyright
Copyright © Cambridge University Press 2014 

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Footnotes

*

Both authors contributed equally to this paper.

References

REFERENCES

Ahmedzai, S.H., Costa, A., Blengini, C., et al. (2004). A new international framework for palliative care. European Journal of Cancer, 40(15), 2192–2200.Google Scholar
Alexander, P. (2004). An investigation of inpatient referrals to a clinical psychologist in a hospice. European Journal of Cancer Care (England), 13(1), 36–44.Google Scholar
Breitbart, W. (1995). Identifying patients at risk for, and treatment of, major psychiatric complications of cancer. Supportive Care in Cancer, 3, 45–60.10.1007/BF00343921Google Scholar
Brenne, E., Loge, J.H., Kaasa, S., et al. (2013). Depressed patients with incurable cancer: Which depressive symptoms do they experience? Palliative & Supportive Care, 7, 1–11.Google Scholar
Bruera, E. & Hui, D. (2010). Integrating supportive and palliative care in the trajectory of cancer: Establishing goals and models of care. Journal of Clinical Oncology, 28(25), 4013–4017.Google Scholar
Chesebro, J.W. & Borisoff, D.J. (2007). What makes qualitative research qualitative? Qualitative Research Reports in Communication, 8(1), 3–14.Google Scholar
Clayton, P. (1974). Mourning and depression: Their similarities and differences. Canadian Journal of Psychiatry, 1, 309–312.Google Scholar
Cohen, S., O'Leary, K.D. & Foran, H. (2010). A randomized clinical trial of a brief, problem-focused couple therapy for depression. Behavioral Therapy, 41(4), 433–446.Google Scholar
Delgado-Guay, M., Parsons, H.A., Li, Z., et al. (2009). Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting. Supportive Care in Cancer, 17(5), 573–579.Google Scholar
Epiphaniou, E., Hamilton, D., Bridger, S., et al. (2012). Adjusting to the caregiving role: The importance of coping and support. International Journal of Palliative Nursing, 18(11), 541–545.Google Scholar
Geka, M. & Dargentas, M. (2010). L'apport du logiciel Alceste à l'analyse des représentations sociales: L'exemple de deux études diachroniques. Les cahiers internationaux de psychologie sociale, 1(85), 111–136.10.3917/cips.085.0111Google Scholar
Girgis, A., Lambert, S., Johnson, C., et al. (2013). Physical, psychosocial, relationship, and economic burden of caring for people with cancer: A review. Journal of Oncology Practice, 9(4), 197–202.Google Scholar
Goodwin, L., Lee, W., Price, A., et al. (2012). Predictors of non-remission of depression in a palliative care population. Palliative Medicine, 26(5), 683–695.10.1177/0269216311412230Google Scholar
Libert, Y., Merckaert, I., Slachmuylder, J.L., et al. (2013). The ability of informal primary caregivers to accurately report cancer patients' difficulties. Psycho-Oncology, 22(12), 2840–2847.Google Scholar
Lindlof, T.R. & Taylor, B.C. (2002). Qualitative communication research methods. Thousand Oaks, CA: Sage.Google Scholar
Lloyd-Williams, M. & Friedman, T. (2001). Depression in palliative care patients: A prospective study. European Journal of Cancer Care (England), 10(4), 270–274.Google Scholar
Lloyd-Williams, M., Dennis, M. & Taylor, F. (2004). A prospective study to determine the association between physical symptoms and depression in patients with advanced cancer. Palliative Medicine, 18(6), 558–563.Google Scholar
Lloyd-Williams, M., Shiels, C., Taylor, F., et al. (2009). Depression: An independent predictor of early death in patients with advanced cancer. Journal of Affective Disorders, 113(1–2), 127–132.Google Scholar
Mazzotti, E., Sebastiani, C., Antonini Cappellini, et al. (2013). Predictors of mood disorders in cancer patients' caregivers. Supportive Care in Cancer, 21(2), 643–647.10.1007/s00520-012-1663-9Google Scholar
Mellor, D., McCabe, M.P., Davison, T.E., et al. (2013). Barriers to the detection and management of depression by palliative care professional carers among their patients: Perspectives from professional carers and patients' family members. American Journal of Hospice & Palliative Care, 30(1), 12–20.10.1177/1049909112438705Google Scholar
Meyer, H.A., Sinnott, C. & Seed, P.T. (2003). Depressive symptoms in advanced cancer, part 1. Assessing depression: The Mood Evaluation Questionnaire. Palliative Medicine, 17(7), 596–603.10.1191/0269216303pm812oaGoogle Scholar
Mitchell, A.J., Chan, M., Bhatti, H., et al. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. The Lancet Oncology, 12(2), 160–174.10.1016/S1470-2045(11)70002-XGoogle Scholar
Newell, S., Sanson-Fisher, R.W., Girgis, A., et al. (1998). How well do medical oncologists' perceptions reflect their patients' reported physical and psychosocial problems? Data from a survey of five oncologists. Cancer, 83(8), 1640–1651.10.1002/(SICI)1097-0142(19981015)83:8<1640::AID-CNCR21>3.0.CO;2-#3.0.CO;2-#>Google Scholar
Newell, S.A., Sanson-Fisher, R.W. & Savolainen, N.J. (2002). Systematic review of psychological therapies for cancer patients: Overview and recommendations for future research. Journal of the National Cancer Institute, 94(8), 558–584.Google Scholar
Noorani, N.H. & Montagnini, M. (2007). Recognizing depression in palliative care patients. Journal of Palliative Medicine, 10(2), 458–464.Google Scholar
O'Connor, M. & Payne, S. (2006). Discourse analysis: Examining the potential for research in palliative care. Palliative Medicine, 20(8), 829–834.Google Scholar
Pascoe, S., Edelman, S. & Kidman, A. (2000). Prevalence of psychological distress and use of support services by cancer patients at Sydney hospitals. The Australian and New Zealand Journal of Psychiatry, 34(5), 785–791.Google Scholar
Rayner, L., Loge, J.H., Wasteson, E., et al. (2009). The detection of depression in palliative care. Current Opinions in Supportive and Palliative Care, 3(1), 55–60.Google Scholar
Rayner, L., Price, A., Evans, A., et al. (2011). Antidepressants for the treatment of depression in palliative care: systematic review and meta-analysis. Palliative Medicine, 25(1), 36–51.Google Scholar
Reinert, M. (1983). Une méthode de classification descendante hiérarchique: Application à l'analyse lexicale par contexte. Cahiers de l'analyse des données, 8(2), 187–198.Google Scholar
Rhondali, W., Perceau, E., Berthiller, J., et al. (2012). Frequency of depression among oncology outpatients and association with other symptoms. Supportive Care in Cancer, 20(11), 2795–2802.10.1007/s00520-012-1401-3Google Scholar
Rodin, G., Lloyd, N., Katz, M., et al. (2007). The treatment of depression in cancer patients: A systematic review. Supportive Care in Cancer, 15(2), 123–136.Google Scholar
Satin, J.R., Linden, W. & Phillips, M.J. (2009). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer, 115(22), 5349–5361.Google Scholar
Skalla, K.A., Smith, E.M., Li, Z., et al. (2013). Multidimensional needs of caregivers for patients with cancer. Clinical Journal of Oncology Nursing, 17(5), 500–506.Google Scholar
Strong, V., Waters, R., Hibberd, C., et al. (2008). Management of depression for people with cancer (SMaRT oncology 1): A randomised trial. The Lancet, 372(9632), 40–48.Google Scholar
Teschendorf, B., Schwartz, C., Ferrans, et al. (2007). Caregiver role stress: When families become providers. Cancer Control, 14(2), 183–189.Google Scholar
Thomas, C., Morris, S.M. & Harman, J.C. (2002). Companions through cancer: The care given by informal carers in cancer contexts. Social Science & Medicine, 54(4), 529–544.Google Scholar
Tong, A., Sainsbury, P. & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357.10.1093/intqhc/mzm042Google Scholar
Uitterhoeve, R.J., Vernooy, M., Litjens, M., et al. (2004). Psychosocial interventions for patients with advanced cancer: A systematic review of the literature. British Journal of Cancer, 91(6), 1050–1062.Google Scholar