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Table 2 Results on depressive and anxiety symptoms, family caregiver satisfaction, palliative care outcome and utilization of psychosocial support services for the whole sample (N = 232) and separated for gender (N = 229)

From: Psychological burden in family caregivers of patients with advanced cancer at initiation of specialist inpatient palliative care

 

Whole sample (N = 232)

Family caregiver’s gender (N = 229)

Male

(n = 79)

Female

(n = 150)

p

Distress (DT)

 Total score (M, SD, Range)

7.9 (1.8); 0–10

7.7 (1.8); 3–10

8.0 (1.8); 2–10

.402 a

 Clinically relevant distress (n, %)

  Cut off < 5

11 (4.7)

5 (6.3)

6 (4.0)

.519 b

  Cut-off ≥ 5

221 (95.3)

74 (93.7)

144 (96.0)

  “Severe distress” (n, %)

  Cut off < 8

79 (34.1)

26 (32.9)

52 (34.7)

  Cut-off ≥ 8

153 (65.9)

53 (67.1)

98 (65.3)

Anxiety symptoms (GAD-7)

 Total score (M, SD, Range)

9.4 (5.1); 0–21

8.1 (4.9); 0–20

10.0 (5.2); 0–21

.008 a

 Symptom severity (n, %)

  None

48 (21.4)

22 (28.6)

26 (18.1)

.032 c

  Mild

70 (31.3)

29 (37.7)

40 (27.8)

  Moderate

65 (29.0)

17 (22.1)

46 (31.9)

  Severe

41 (18.3)

9 (11.7)

32 (22.2)

Depressive symptoms (PHQ-9)

 Total score (M, SD, Range)

9.0 (5.7); 0–27

7.4 (5.2); 0–23

9.9 (5.8); 0–27

.001 a

 Symptom severity (n, %)

  None

49 (21.7)

24 (30.4)

25 (17.4)

.008 c

  Mild

90 (39.8)

36 (45.6)

52 (36.1)

  Moderate

46 (20.4)

10 (12.7)

36 (25.0)

  Severe

41 (18.1)

9 (11.4)

31 (21.5)

Family caregiver satisfaction (FAMCARE-2)

 Total score (M, SD, Range)

73.7 (9.6); 44–85

73.5 (9.9); 44–85

73.7 (9.5); 49–85

.919 a

 Subscales (M, SD, Range)

  Symptom relief

22.3 (2.9); 12–25

22.4 (2.9); 13–25

22.2 (2.9); 12–25

.658 a

  Information

16.5 (3.0); 7–20

16.5 (3.0); 7–20

16.5 (3.1); 10–20

.867 a

  Family caregiver support

17.0 (2.8); 8–20

16.9 (2.9); 8–20

17.0 (2.7); 10–20

.813 a

  Patient’s psychosocial care

17.9 (2.3); 10–20

17.7 (2.5); 10–20

17.9 (2.2); 11–20

.627 a

Palliative care outcome (IPOS)

 Total score (M, SD, Range)

37.9 (7.7); 12–58

38.3 (6.9): 16–55

37.7 (8.3); 12–58

.595 a

 Subscales (M, SD, Range)

  Physical symptoms

22.2 (5.4); 6–36

22.5 (5.2); 6–36

22.1 (5.6); 7–36

.638 a

  Emotional symptoms

11.2 (2.9); 2–16

11.4 (2.6); 6–16

11.1 (2.0); 2–16

.424 a

  Communication/practical needs

4.1 (2.4); 0–11

4.1 (2.6); 0–11

4.1 (2.4): 0–11

.934 a

Utilization of psychosocial support services

 Utilization of at least one source of information or support prior admission to the SIPC ward (n, %)

  Yes

58 (25.0)

14 (17.7)

43 (28.7)

.069 c

  No

174 (75.0)

65 (82.3)

107 (71.3)

 Barriers for service utilization (multiple answers possible) (n, % yes)

  Sufficient informal support (N = 196)

159 (81.1)

54 (79.4)

104 (81.9)

.674 c

  Missing subjective need (N = 189)

119 (63.0)

44 (64.7)

75 (62.0)

.710 c

  Missing time capacities (N = 181)

75 (41.4)

25 (36.8)

49 (43.8)

.356 c

  Preferring support by treating physicians (N = 181)

76 (42.0)

34 (52.3)

41 (35.7)

.029 c

  No expectation of subjective benefit (N = 177)

62 (35.0)

27 (40.3)

34 (31.2)

.218 c

  No knowledge on psychosocial services (N = 188)

59 (31.4)

22 (32.4)

36 (30.3)

.765 c

  Services too far away (N = 177)

33 (18.6)

9 (13.4)

24 (21.8)

.165 c

  Potential burden to family/partnership (N = 182)

7 (3.8)

4 (6.0)

3 (2.6)

.426 b

 Attitudes towards psychosocial support services (n, %)

  Mainly/very positive

90 (38.8)

22 (27.8)

68 (45.3)

.073 b

  Rather positive

48 (20.7)

19 (24.1)

28 (18.7)

  Undecided

50 (21.6)

20 (25.3)

30 (20.0)

  Rather negative

12 (5.2)

7 (8.9)

5 (3.3)

  Very/mainly negative

16 (6.9)

7 (8.9)

8 (5.3)

  1. Significant group differences are marked in bold
  2. Abbreviations: M Mean, SD Standard deviation, p probability of type I error, DT Distress Thermometer, FAMCARE-2 Family Carer Satisfaction with Palliative Care scale, GAD-7 Generalized Anxiety Disorder 7-item scale, IPOS Integrated Palliative Care Outcome Scale, PHQ-9 Patient Health Questionnaire depression module 9-item scale, SIPC Specialist inpatient palliative care
  3. at-test, two-tailed
  4. bFisher’s exact test
  5. cchi-square-test