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Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study

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机构： [1]Xiangya School of Nursing, Central South University, Changsha, China. [2]The Fifth Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China. [3]Yeahcome Health Industry Group Co., Ltd, Changsha, China. [4]Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Hepatobiliary Pancreatic Oncology Center, Chongqing University Cancer Hospital, Chongqing, China. [5]Department of Nursing, Xiangtan Central Hospital, Xiangtan, China. [6]First Oncology Department, Xiangtan Central Hospital, Xiangtan, China. [7]Second Oncology Department, Xiangtan Central Hospital, Xiangtan, China. [8]Department of Nursing, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China. [9]Department of Geriatrics, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. [10]Neurological Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, China. [11]Department of Cardiothoracic Surgery, Xiangtan Central Hospital, Xiangtan, China. [12]Department of Respiratory and Critical Care Medicine, Xiangtan Central Hospital, Xiangtan, China. [13]Department of Nursing, Huaihua Cancer Hospital, Huaihua, China. [14]Department of Emergency and Critical Care Medicine, Xinzheng People's Hospital, Xinzheng, China. [15]School of Nursing, Hunan University of Traditional Chinese Medicine, Changsha, China. [16]Xiangya School of Nursing, Central South University, Changsha, China.

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关键词： Lung cancer patients Caregivers Psychological stress Prevalence Influencing factors Anxiety Depression

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A lung cancer diagnosis has a huge impact on the psychological well-being of both patients and family caregivers. However, the current psychological stress status among dyads remains unclear. We aimed to determine the prevalence of anxiety and depression and identify the factors that influence patients with lung cancer and their caregivers.We conducted a cross-sectional study of 254 dyads of lung cancer patients and family caregivers from four tertiary hospitals in Hunan Province, China from January 2021 to June 2021. Besides, we used several instruments to collect data on depression, anxiety, illness perception, mindfulness, self-compassion, and dyadic coping. The independent samples t-test, analysis of one-way variance, Spearman's correlation analysis, and multiple linear regression analysis were employed.Results showed that 21.3% of patients and 29.5% of caregivers experienced depression, while 22.0% of patients and 33.5% of caregivers reported anxiety. For lung cancer patients, patients' illness perception positively predicted their depression scores and patients' level of mindfulness and level of self-compassion negatively predicted their depression scores; patients' illness perception positively predicted their anxiety scores, and only living with children, patients' mindfulness and self-compassion levels were negatively predicted their anxiety scores. For caregivers, caregivers' level of illness perception and the number of other caregivers positively predicted their depression and anxiety scores, and caregiver's dyadic coping level, residence (county or town, and city), and caregiver's self-compassion level, were negatively predicted their depression and anxiety scores.The prevalence of psychological stress response of lung cancer patients and caregivers was high and influenced by family living situation, number of persons assisting in care, place of residence, patient-caregiver relationship, levels of illness perception, mindfulness, self-compassion, and dyadic coping.ClinicalTrial.gov NCT06746948.© 2025. The Author(s).

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大类 | 2 区医学

小类 | 1 区护理

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第一作者机构： [1]Xiangya School of Nursing, Central South University, Changsha, China.

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Prevalence and influencing factors of the dyadic psychological stress among patients with lung cancer and their family caregivers: a cross-sectional study

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