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Erschienen in:

16.11.2023

Mood assessments of family caregivers of patients with severe brain injury in China

verfasst von: Yifan Yan, Meiqi Li, Tiantian Cai, Xueying Wang, Yan Dong, Xiaohua Hu, Steven Laureys, Olivia Gosseries, Charlotte Grégoire, Haibo Di

Erschienen in: Quality of Life Research | Ausgabe 2/2024

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Abstract

Objectives

Long-term care of severe brain injury patients places a significant mental burden on family caregivers, yet few studies have reported the situation in China. We aimed to describe the mood states of family caregivers of patients with severe brain injury and examine the influencing factors that affect caregivers’ moods.

Methods

Cross-sectional survey was used to assess the mood profiles of Chinese family caregivers between February 2019 and February 2020. Demographic data of caregivers and patients, the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder scale (GAD-7) were used to assess the level of depressive and anxiety symptoms. The quality of life score was also assessed by a visual analog scale, and the Coma Recovery Scale-Revised was used to assess the patient’s consciousness.

Result

One hundred and one patients with severe brain injury (57 unresponsive wakefulness syndrome, UWS) between the age of 14 and 70 and their main family caregivers were enrolled in the study. Most caregivers displayed depressive (n = 62) and anxiety symptoms (n = 65), with 17 and 20 of these family caregivers reporting (moderately) severe depressive symptom and severe anxiety symptom, respectively. The caregiver’s depressive symptom level significantly decreased as the patient’s injury lasted longer (r = – 0.208, P = 0.037). Moreover, the age of the patient negatively related to the levels of depressive (r = – 0.310, P = 0.002) and anxiety symptoms (r = – 0.289, P = 0.003) in caregivers. There was a significant positive correlation between anxiety and depressive symptoms scores in family caregivers (r = 0.838, P < 0.001). The higher the level of anxiety (r = – 0.273, P = 0.006) and depressive symptoms (r = – 0.265, P = 0.007), the worse the quality of life.

Conclusion

Many family caregivers of patients with severe brain injury experience various levels of anxiety and depressive symptoms in China. Tailor-made psychological help seems imperative. Researchers and doctors can provide information about patient’s conditions to assist family members in discussing rehabilitation options for patients in different states of consciousness will help to ease anxiety of family caregivers.

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Titel: Mood assessments of family caregivers of patients with severe brain injury in China
verfasst von: Yifan Yan
Meiqi Li
Tiantian Cai
Xueying Wang
Yan Dong
Xiaohua Hu
Steven Laureys
Olivia Gosseries
Charlotte Grégoire
Haibo Di
Publikationsdatum: 16.11.2023
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 2/2024
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-023-03539-2

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Abstract

Objectives

Methods

Result

Conclusion

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