# Anxiety, depression, and quality of life of caregivers of palliative care patients with cancer

## TL;DR

This study explores how anxiety and depression affect the quality of life of caregivers for cancer patients receiving palliative care.

## Contribution

The study identifies significant correlations between psychological symptoms and quality of life in caregivers of palliative care cancer patients.

## Key findings

- Anxiety and depression are strongly correlated with lower quality of life in caregivers.
- Caregivers with depression report symptoms like sadness, irritability, and fatigue.
- Psychological support strategies are needed to improve caregiver well-being.

## Abstract

Palliative care has recently gained importance in the context of life-threatening diseases, such as cancer, that affect the mental health of patients and their caregivers. Psychological symptoms, such as anxiety and depression, are the most prevalent in this population.

To determine the association between anxiety, depression, and quality of life of caregivers of palliative care patients with cancer.

A quantitative, descriptive, and correlational design was used. A total of 190 primary caregivers recruited from Colombian hospitals and home care programs participated. The Quality of Life in Life-Threatening Illness-Family Carer (QOLLTI-FT) questionnaire, the Beck Depression Inventory-II (BDI-II), and the Beck Anxiety Inventory (BAI) were used. The analysis was performed with SPSS Statistics 26.0, using descriptive and inferential statistics.

The predominant sex was female, and the level of education was high school. The mean age of the caregivers was 44.15 years, and the mean age of the patients was 64.51 years. The average time as a caregiver was 33.79 ± 64.77 months. The results show correlations between anxiety and caregiver status (p≤0.000), anxiety and Information and Communication Technology (ICT) use (p≤0.006). There were also correlations between anxiety, quality of life, and caregiver status (p≤0.000) and between depression and total quality of life (p≤0.001).

Correlations were also found between depression and quality of life and between hours of daily care and the level of dependency of the cancer patient. This entails the need to manage the psychological symptoms as soon as the family member is diagnosed to prevent alterations in their quality of life that could affect their well-being.

Caregivers with moderate or severe depression were more likely to report symptoms of sadness, punishment feelings, self-dislike, suicidal thoughts or wishes, indecisiveness, irritability, changes in appetite, concentration difficulty, and tiredness or fatigue. Among caregivers with mild depression, loss of interest in sex, agitation, and past failure were identified. Strategies for psycho-emotional counseling, education, and support for caregivers are needed.