Determinants of a hopeful attitude among family caregivers in a palliative care setting

General Hospital Psychiatry
Seon-Young KimJin-Sang Yoon

Abstract

This study investigated the determinants of a hopeful attitude among family caregivers involved with palliative care. We investigated a broad range of factors for the patient-family dyad in a palliative care setting using a cross-sectional design. The patients' sociodemographic, clinical and psychological factors were evaluated, as well as caregiver-related sociodemographic and psychological factors, including depressive symptoms, burden, coping style and religiosity. Caregivers were divided into two groups based on a hopeful or nonhopeful attitude and assessed using the abbreviated version of the seven-item Beck Hopelessness Scale (BHS-7). Of 304 analyzed dyads, 210 (69.1%) caregivers showed a hopeful attitude, with a BHS-7 score of 0. The adjusted logistic regression analyses showed that caregivers' hopeful attitude was determined by only their psychological status: less depressive symptoms [odds ratio (OR), 0.86; 95% confidence interval (CI), 0.83-0.90], active coping strategy (OR, 1.12; 95% CI, 1.07-1.18) and lower burden (OR, 0.93; 95% CI, 0.88-0.99). In a subpopulation analysis (n=200), higher religiosity was a significantly associated factor. Healthcare providers need to pay attention to the psychological vulnerability o...Continue Reading

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Citations

Sep 27, 2015·Palliative Medicine·Charlotte T J MichelsMichele Peters
Feb 6, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joseph A GreerVicki A Jackson
Oct 5, 2018·Health and Quality of Life Outcomes·Tone RustøenAnders Kottorp
May 29, 2018·Palliative & Supportive Care·Seon-Young KimJin-Sang Yoon
Nov 21, 2018·International Journal of Palliative Nursing·Chommanard Wannapornsiri
Jan 2, 2021·International Journal of Environmental Research and Public Health·Claudia CarmassiLiliana Dell'Osso
Jun 27, 2021·Medicine, Health Care, and Philosophy·Marta Szabat, Jeanette Bresson Ladegaard Knox
Jun 26, 2021·International Journal of Palliative Nursing·Ana GuedesZaida Charepe

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