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Supportive Care in Cancer

, Volume 25, Issue 11, pp 3339–3346 | Cite as

Dyadic interdependence of psychosocial outcomes among haematological cancer survivors and their support persons

  • Christine PaulEmail author
  • Alix Hall
  • Christopher Oldmeadow
  • Marita Lynagh
  • Sharon Campbell
  • Ken Bradstock
  • Anna Williamson
  • Mariko Carey
  • Rob Sanson-Fisher
Original Article

Abstract

Purpose

This study aimed to explore the dyadic relationships between unmet need, depression, and anxiety in people diagnosed with haematological cancer and their support persons.

Methods

Adult survivors (18 years+) who had been diagnosed with a haematological cancer were recruited to a cross-sectional mailed survey via five state cancer registries in Australia. Participating survivors invited a support person to also complete a survey. Structural equation modelling was used to explore the relationships among survivor and support person self-reported depression, anxiety, and unmet needs.

Results

Of the 4299 eligible haematological cancer survivors contacted by the registries, 1511 (35%) returned a completed survey as did 1004 support persons. There were 787 dyads with complete data. After adjusting for age, gender, rurality, cancer type, and whether the support person was a relative, positive correlations were found between survivor and support person scores for depression (p = 0.0029) and unmet needs (p < 0.001), but not anxiety scores (p = 0.075). Survivor unmet needs were significantly related to support person depression (p = 0.0036). Support person unmet needs were significantly related to a higher depression score for survivors (p = 0.0067). Greater support person unmet needs were significantly related to a higher anxiety score for survivors (p = 0.0083). Survivor unmet needs did not have a significant relationship to support person anxiety (p = 0.78).

Conclusion

Unmet needs may mediate the interdependence of psychosocial experiences for survivors and support persons, although a longitudinal study is required to confirm causality. Addressing unmet needs may be a potential target for improving outcomes for both groups.

Keywords

Dyad Cancer Unmet needs Depression Anxiety Oncology 

Abbreviations

SUNS

Survivor Unmet Needs Survey

SPUNS

Support Person Unmet Needs Survey

DASS-21

21-item Depression and Anxiety and Stress Scale

ARIA+

Accessibility and Remoteness Index of Australia

SEM

structural equation models

Notes

Acknowledgements

The authors are grateful for all the hard work and assistance of Mrs. Sally Whittaker, Ms. Della Roach, and the registry staff; Ms. Sandra Dowley and Ms. Clara Davis for data entry; Ms. Ally Logatchova, Dr. Emilie Cameron, Ms. Hannah Small, Ms. Lara Ryan, Mr. Scott Stronach, and Ms. Natalie Dodd for assistance with data cleaning. The authors would also like to acknowledge the time and effort provided by the survivors and support persons who took part in this research; the authors greatly appreciate their involvement, as without their assistance this research would not be possible.

Compliance with ethical standards

Conflict of interest statement

The authors declare that there are no conflicts of interest. The authors have full control of all primary data and agree to allow the journal to review the data if requested.

Sources of funding

This grant no. 569290 was awarded through the Priority-driven Collaborative Cancer Research Scheme and co-funded by beyondblue and the Australian Government through Cancer Australia. It also received funding support from a Strategic Research Partnership Grant (CSR 11-02) from Cancer Council NSW to the Newcastle Cancer Control Collaborative (New-3C), and infrastructure funding from the University of Newcastle and Hunter Medical Research Institute. Christine Paul is supported by an NHMRC Career Development Fellowship (1061335). Mariko Cary is supported by an NHMRC Translating Research into Practice (TRIP) Fellowship.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Christine Paul
    • 1
    • 2
    Email author
  • Alix Hall
    • 1
    • 2
  • Christopher Oldmeadow
    • 3
  • Marita Lynagh
    • 1
    • 2
  • Sharon Campbell
    • 4
  • Ken Bradstock
    • 5
  • Anna Williamson
    • 6
  • Mariko Carey
    • 1
    • 2
  • Rob Sanson-Fisher
    • 1
    • 2
  1. 1.School of Medicine and Public HealthUniversity of NewcastleCallaghanAustralia
  2. 2.Priority Research Centre for Health BehaviourHunter Medical Research InstituteNew Lambton HeightsAustralia
  3. 3.Clinical Research Design Information Technology and Statistical SupportHunter Medical Research InstituteNew Lambton HeightsAustralia
  4. 4.School of Public Health and Health Systems, Faculty of Applied Health SciencesUniversity of WaterlooWaterlooCanada
  5. 5.Westmead Clinical School & The Westmead Institute for Medical Research, Sydney Medical SchoolUniversity of SydneyWestmeadAustralia
  6. 6.The Leukaemia FoundationWindsorAustralia

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