Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi

Background: Caregivers play important role in the management of palliative cancer patients at the terminal stage of illness. Various studies have shown that this group was at risk to develop mental health problems, due to various factors related to caregiving. This study intended to investigate the...

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Main Author:	Nor Hadi, Noor Melissa
Format:	Thesis
Language:	English
Published:	2018
Subjects:	Anxiety
Online Access:	https://ir.uitm.edu.my/id/eprint/63346/1/63346.pdf
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spelling	my-uitm-ir.633462022-07-04T03:36:00Z Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi 2018-11 Nor Hadi, Noor Melissa Anxiety Medical personnel and the public. Physician and the public Depression. Affective disorders Background: Caregivers play important role in the management of palliative cancer patients at the terminal stage of illness. Various studies have shown that this group was at risk to develop mental health problems, due to various factors related to caregiving. This study intended to investigate the factors associated with depression and anxiety among this group of caregivers. Method: This was a cross-sectional study to determine the presence of depression and anxiety among palliative cancer patients’ caregivers in Hospital Sultanah Bahiyah, Alor Setar, Kedah. The participants were screened for anxiety and depression using Depression, Anxiety and Stress Scale-21 (DASS-21) and subsequently assessed with Mini International Neuropsychiatric Inventory (MINI) if their DASS-21 results were positive. The study examined possible contributing factors including caregivers’ sociodemographic factors, caregiving factors, coping mechanism, perceived social support, and the care-recipients’ factor. Results: 6.1 % were diagnosed with depressive disorder and 3.1 % anxiety disorder. Factors found to be associated with depressive disorder were the patient’s age (p-value 0.033), coping by behavioural disengagement (p-value 0.010), positive reframing (pvalue 0.003), religious (p-value 0.025) and self-blame (p-value 0.034), total perceived social support (p-value 0.034). Factors found to be associated with anxiety disorder were the patient’s age (p-value 0.033), the number of patient’s physical symptoms (pvalue 0.039) and coping by positive reframing (p-value 0.029) and self-blame (OR 0.375, p-value 0.001). Removal of confounding factors by logistic regression found that coping by behavioural disengagement (OR 1.838, p-value 0.040) and positive reframing (OR 0.375, p-value 0.034) were significantly associated with depressive disorder, while coping by self-blame (OR 3.527, p-value 0.027) was significantly associated with anxiety disorder. Conclusion: Coping mechanism had been found to be significantly associated with depression and anxiety among caregivers of palliatie cancer patients in this study. Focus on teaching useful and adaptive coping mechanism should be integrated in clinical practive to help caregivers to face the challenges of caregiving. 2018-11 Thesis https://ir.uitm.edu.my/id/eprint/63346/ https://ir.uitm.edu.my/id/eprint/63346/1/63346.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Razali, Salmi Hashim, Nurul Azreen
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Razali, Salmi Hashim, Nurul Azreen
topic	Anxiety Anxiety Anxiety
spellingShingle	Anxiety Anxiety Anxiety Nor Hadi, Noor Melissa Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi
description	Background: Caregivers play important role in the management of palliative cancer patients at the terminal stage of illness. Various studies have shown that this group was at risk to develop mental health problems, due to various factors related to caregiving. This study intended to investigate the factors associated with depression and anxiety among this group of caregivers. Method: This was a cross-sectional study to determine the presence of depression and anxiety among palliative cancer patients’ caregivers in Hospital Sultanah Bahiyah, Alor Setar, Kedah. The participants were screened for anxiety and depression using Depression, Anxiety and Stress Scale-21 (DASS-21) and subsequently assessed with Mini International Neuropsychiatric Inventory (MINI) if their DASS-21 results were positive. The study examined possible contributing factors including caregivers’ sociodemographic factors, caregiving factors, coping mechanism, perceived social support, and the care-recipients’ factor. Results: 6.1 % were diagnosed with depressive disorder and 3.1 % anxiety disorder. Factors found to be associated with depressive disorder were the patient’s age (p-value 0.033), coping by behavioural disengagement (p-value 0.010), positive reframing (pvalue 0.003), religious (p-value 0.025) and self-blame (p-value 0.034), total perceived social support (p-value 0.034). Factors found to be associated with anxiety disorder were the patient’s age (p-value 0.033), the number of patient’s physical symptoms (pvalue 0.039) and coping by positive reframing (p-value 0.029) and self-blame (OR 0.375, p-value 0.001). Removal of confounding factors by logistic regression found that coping by behavioural disengagement (OR 1.838, p-value 0.040) and positive reframing (OR 0.375, p-value 0.034) were significantly associated with depressive disorder, while coping by self-blame (OR 3.527, p-value 0.027) was significantly associated with anxiety disorder. Conclusion: Coping mechanism had been found to be significantly associated with depression and anxiety among caregivers of palliatie cancer patients in this study. Focus on teaching useful and adaptive coping mechanism should be integrated in clinical practive to help caregivers to face the challenges of caregiving.
format	Thesis
qualification_level	Master's degree
author	Nor Hadi, Noor Melissa
author_facet	Nor Hadi, Noor Melissa
author_sort	Nor Hadi, Noor Melissa
title	Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi
title_short	Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi
title_full	Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi
title_fullStr	Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi
title_full_unstemmed	Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi
title_sort	depression and anxiety among the caregivers of palliative cancer patients in hospital sultanah bahiyah alor star, kedah / noor melissa nor hadi
granting_institution	Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department	Faculty of Medicine
publishDate	2018
url	https://ir.uitm.edu.my/id/eprint/63346/1/63346.pdf
_version_	1783735318226141184

Depression and anxiety among the caregivers of palliative cancer patients in Hospital Sultanah Bahiyah Alor Star, Kedah / Noor Melissa Nor Hadi

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