Carers of patients with high-grade glioma report high levels of distress, unmet needs, and psychological morbidity during patient chemoradiotherapy

Neuro-oncology Practice
Anne LongAnna K Nowak

Abstract

Few studies have explored the unmet needs of carers of people with high-grade glioma. We aimed to determine carers' levels of distress during treatment, understand their support needs and explore predictors of distress. Carers of people with high-grade glioma undergoing chemoradiotherapy were recruited to this prospective, longitudinal cohort study. Carers completed the validated Supportive Care Needs Survey, Brain Tumour Specific Supportive Care Needs Scale, Distress Thermometer (DT), and General Health Questionnaire (GHQ-12). Questionnaires were administered during patients' chemoradiotherapy and 3 and 6 months later. We recruited 118 carers who were mainly female (72%) and caring for spouse (82%). The mean age was 53 years (SD = 13.6; range, 21-89). Thirty-one percent of carers reported moderate distress (DT score 5-6/10) and 31% reported extreme distress (score 7-10/10) during combined chemoradiotherapy. Carer distress was associated with adverse GHQ scores (r = 0.61, P < .001). Seventy-two percent reported a negative financial impact of caring and 51% of those previously working full-time had taken leave or reduced working hours. The top 5 moderate/high unmet needs were: accessing prognostic information; accessing financia...Continue Reading

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Citations

Nov 15, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Georgia K B HalkettAnna K Nowak
Feb 13, 2017·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Georgia K B HalkettAnna K Nowak
Aug 16, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·G K B HalkettA K Nowak
Sep 27, 2018·European Journal of Cancer Care·Melissa K HydeSuzanne K Chambers
Mar 13, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Xiomara Skrabal RossIan Olver
Feb 6, 2021·Psycho-oncology·Rhys WeaverRichard Carey Smith

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