Abstract
Purpose
This cross-sectional study explored the associations between intrapersonal and interpersonal emotional competence (EC) and the unmet supportive care needs (SCN), anxiety, and depression of informal caregivers at the beginning of gastrointestinal or haematological cancer care, i.e. during chemotherapy and within 6 months after diagnosis.
Methods
The participants completed a self-reported questionnaire, comprising the Short Profile of Emotional Competence (S-PEC), the SCN survey for partners and caregivers (SCNS-P&C), and the Hospital Anxiety and Depression Scale (HADS). Multivariate logistic regression models were performed to explore the influence of EC on unmet SCN and the presence of moderate/severe anxiety or depression.
Results
Most of the 203 caregivers were women (n = 141, 69.80%) and the partners of patients (n = 148, 73.27%) suffering from gastrointestinal (n = 112, 55.17%) and haematological (n = 91, 44.83%) cancer. Only intrapersonal EC showed a significant influence out of all the dimensions of unmet SCN related to healthcare services and information (odds ratio (OR) = 0.35 [95%CI 0.19; 0.65]), emotional and psychological needs (OR = 0.43 [95%CI 0.25; 0.74]), work and social security (OR = 0.57 [95%CI 0.37; 0.88]), and communication and family support (OR = 0.61 [95%CI 0.39; 0.95]). A one-unit increase in the intrapersonal EC score significantly reduced the probability of anxiety (OR = 0.42, [95%CI 0.26; 0.68]) and depression (OR = 0.34, [95%CI 0.21; 0.55]).
Conclusion
Intrapersonal EC of caregivers is crucial to reduce the risk of unmet SCN, anxiety, and depression from the beginning of care. Identifying caregivers with lower intrapersonal EC may be necessary to increase vigilance from healthcare professionals and psychologists.
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Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
The present study was supported by the Ligue Contre le Cancer. The SCALab Laboratory is part of the ONCOLille Institute, and the study received a grant from the Contrat de Plan Etat-Région CPER Cancer 2015–2020. We thank all the participants of the CEMA-D study, all the investigators (especially Amorym Sandy, Barbieux Sarah, Barrascout Eduardo, Bourgeois Emmanuelle, Cambier Nathalie, Carpentier Benjamin, Cornea Claudiu, Demarquette Hélène, Desplechin Arnaud, Fruchart Christophe, Garnotel Marie, Peugniez Charlotte), and the Clinical Research Associates (especially Antoine Lydie, Brzyski Dorothee, Dhalluin Quentin, Delannay Justine, Deraed Sandy, Druelle Katarina, Dumortier Mandy, Fressin Elise, Gonda Benoite, Ouanoughi Sabrina, Petri Marion, Vambre Julie, Fahima Yahi-Zidat). We also thank Chiron Juliette, Dreux Malicia, Duhamel Amandine, Foure Maureen, Giovagnoli Sophie, Mahieuxe Magali, Van De Casteele Tom, for their help with inclusions, as well as Cooke-Martageix Emilie for English proofreading. Finally, we thank the Northwest Data Center (CTD-CNO), supported by grants from the French National League Against Cancer (LNC), and the French National Cancer Institute (INCa) for managing the data.
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Conception and design: A.S.B., A.A., and V.C. Investigation: A.S.B., B.H., A.C., T.C., S.D., and C.A.M. Data analysis and interpretation: A.S.B., A.A., M.D., E.C., and V.C. Manuscript writing: A.S.B., A.A., M.D., E.C., and V.C. All authors reviewed the manuscript.
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Baudry, AS., Delpuech, M., Charton, E. et al. Association between emotional competence and risk of unmet supportive care needs in caregivers of cancer patients at the beginning of care. Support Care Cancer 32, 302 (2024). https://doi.org/10.1007/s00520-024-08510-6
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DOI: https://doi.org/10.1007/s00520-024-08510-6