Evidence map›Paper›PMID 42539350›Full record

ArticlePalliative medicine reports

Prevalence and Associated Factors of Depressive Symptoms in Bereaved Family Members of Terminally Ill Cancer Patients Receiving Home Care.

Ryo Yamamoto, Tatsuya Morita, Kotaro Hashimoto, Asumi Nakamura, Taketoshi Ozawa, Tomoyuki Koga, Kazuhiro Hisajima, Masahiro Goshima, Keijiro Miyake, Takamichi Matsuki and 13 more

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Article in Palliative medicine reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

23 authors.

Ryo YamamotoSaku Central Hospital Advanced Care Center, Nagano, Japan.ORCID https://orcid.org/0000-0002-5612-5406
Tatsuya MoritaDepartment of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan. Research Association for Community Health, Hamamatsu, Japan.
Kotaro HashimotoFukushima Home Palliative Care Clinic, Gounome-aza, Japan.
Asumi NakamuraHimawari Clinic, Yachiyo, Japan.
Taketoshi OzawaMegumi Zaitaku Clinic, Yokohama, Japan.
Tomoyuki KogaNozominohana Clinic, Kashiwa, Japan.
Kazuhiro HisajimaDr. GON Kamakura Clinic, Kamakura, Japan.
Masahiro GoshimaHome care clinic Kobe, Kobe, Japan.
Keijiro MiyakeKeijiro Clinic, Takamatsu, Japan.
Takamichi MatsukiFujisawa-Zengyo Family Clinic, Fujisawa, Japan.
Nobuyuki MiyataMiyata Clinic, Chikusei, Japan.
Yasuhiro SaitoGP Clinic Jiyugaoka, Setagaya, Japan.
Masakatsu ShimizuShimizu Medical Clinic, Akashi, Japan.
Yousuke KimuraYamato Clinic, Sakuragawa, Japan.
Yoshiyuki KamiyamaOkinawa Chubu Hospital, Uruma-shi, Japan.
Hideki ShishidoShishido Internal Medicine Clinic, Sakura, Japan.
Kazushi NakanoNakano Zaitakuiryou Clinic, Kagoshima, Japan.
Yasunori MuraokaMuraoka Home Clinic, Fukuoka, Japan.
Manabu TamuraOsaka Home Healthcare Clinic, Osaka, Japan.
Maiko KodamaOrange Home-Care Clinic, Fukui-city, Japan.
Sen OtomoSeimeikan Clinic, Chuou-ku, Japan.
Takuya ShinjoShinjo Clinic, Kobe, Japan.
Jun HamanoDivision of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bereavement is a known risk factor for depression; however, the prevalence of depression and its associated factors among family members who provided home care for terminally ill cancer patients remains unclear. Objectives: This study aimed to investigate the prevalence of probable depression and associated factors among bereaved family members of cancer patients who died at home in Japan. Design: A multicenter cross-sectional study within a prospective cohort using a self-administered questionnaire survey of bereaved family members. Setting/Subjects: Twenty facilities across Japan participated. Bereaved family members of adult cancer patients who died at home were surveyed. Measurements: Depression was assessed using the Japanese version of the Patient Health Questionnaire-9, with probable depression defined as a total score of ≥ 10. Results: Among 195 bereaved family members, 23 (11.8%; 95% CI: 7.3-16.3%) screened positive for probable depression. Factors significantly associated with depression included unpreparedness for death (OR 11.0; 95% CI 2.8-43.8), caregiver's poor physical condition while providing care (OR 7.4; 95% CI 1.4-39.2), patient dyspnea within one week before death (OR 4.5; 95% CI 1.3-15.6), and use of antipsychotics at the start of home care (OR 6.3; 95% CI 1.2-32.2). Conclusions: A substantial minority of bereaved family members screened positive for probable depression after providing home care. In addition to effective symptom management, especially for dyspnea and addressing neuropsychiatric instability (as indicated by the need for antipsychotics), during home care, ensuring that family members are adequately informed about the patient's condition and addressing their physical well-being may help reduce the risk of depression in bereaved family members.

Indexed as

bereaved familydepressionhome carepreparedness

Identifiers

PMID42539350
PMCPMC13422737

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