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Prevalence and risk factors of depressive disorder in caregivers of patients with head and neck cancer
Author(s) -
Lee Yu,
Lin PaoYen,
Chien ChihYen,
Fang FuMin
Publication year - 2015
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.3619
Subject(s) - medicine , major depressive disorder , depression (economics) , logistic regression , odds ratio , head and neck cancer , psychiatry , cancer , cognition , economics , macroeconomics
Objective The purpose of this study is to examine the prevalence and risk factors of depressive disorder in caregivers of patients with head and neck cancer. Methods Study subjects were recruited from a multidisciplinary outpatient clinic for head and neck cancer in a medical center from February to July 2012. Caregivers of patients with head and neck cancer were enrolled and assessed using the Structured Clinical Interview for the DSM‐IV, Clinician Version, the Short Form 36 Health Survey, and the Family APGAR index. The main aim of the study was to examine the difference in demographic data and clinical characteristics between the caregivers with and without depressive disorders. In addition, a stepwise forward model of logistic regression was used to test the possible risk factors. Results One hundred and forty‐three caregivers were included in the study. The most prevalent psychiatric disorder was depressive disorder (14.7%), followed by adjustment disorder (13.3%). Nearly one‐third of the caregivers had a psychiatric diagnosis. By using logistic regression analysis, it was found that unemployment (odds ratio (OR) = 3.16; 95% CI, 1.04–9.68), lower social functioning (OR = 1.43; 95% CI, 1.18–1.72), and lower educational level (OR = 1.16; 95% CI, 1.01–1.34) were significant risk factors for the depressive disorder. Conclusions The clinical implication of our results is the value of using the standardized structured interview for early diagnosis of depressive disorder in caregivers of head and neck cancer patients. Early screening and management of depression in these caregivers will raise their quality of life and capability to care patients. Copyright © 2014 John Wiley & Sons, Ltd.