2014, Number 3
<< Back Next >>
Rev Enferm IMSS 2014; 22 (3)
Level of depression in the main caregiver of patients with cancer
Carreón-Nieto CH, Negrón-Mata EP, Olague-Urincho VE
Language: Spanish
References: 19
Page: 131-134
PDF size: 176.60 Kb.
ABSTRACT
Introduction: Cancer is one of the leading causes of death worldwide and frequently generates
situati ons of dependency and care for others; the impact on the patient’s primary caregiver has
been barely studied.
Objective: To determine the level of depression in the patient’s primary caregiver with cancer in
a service of oncology of the Instituto Mexicano del Seguro Social.
Methodology: It was carried out a survey with 108 caregivers of patients with cancer and 108 relatives (of these patients) through the Zung Self-Rating Depression Scale. For the statistical analysis
we used the Windows package SSPS, version 18. Descriptive statistics were used to estimate the
frequency of cases with and without depression. To analyze the difference between groups, we
used X
2 and the relative risk (RR) associated to depression was calculated when the caregiver was
relative of a cancer patient.
Results: In the group of caregivers of patients with cancer 13.3 % had mild depression; in the
control group, 18.6 % had mild depression and 0.9 % moderate depression. We did not found a
diff erence between groups (
p = 0.519). The RR was 0.6 (95 % C : 0.125-2.87).
Conclusions: In both groups we found a higher frequency than the prevalence of depression
(of 9.2 %) in Mexico. The frequency of depressive symptoms was higher in the control group,
probably because family members of cancer patients manage to find something positive in the
act of caregiving.
REFERENCES
Organización Mundial de la Salud. Estadísticas sanitarias mundiales 2012. [En línea] http://www.who.int/gho/publications/world_ health_statistics/ES_WHS2012_Full.pdf [Consultado 10/12/2012].
Secretaría de Salud (México). Subsecretaría de Prevención y Promoción de la Salud. Dirección General de Epidemiología. Panorama Epidemiológico y Estadístico de la Mortalidad en México 2010. [En línea] http://www.epidemiologia.salud.gob.mx/ doctos/infoepid/publicaciones/2012/A_Morta_%202010_FINAL_ Junio%202012.pdf [Consultado 10/12/2012].
Wagner FA, González-Forteza C, Sánchez-García S, García-Peña C, Gallo JJ. Enfocando la depresión como problema de salud pública en México. Salud Ment. 2012;35(1):3-11. [En línea] http://www.scielo. org.mx/pdf/sm/v35n1/v35n1a2.pdf [Consultado 12/12/2012].
Cameron JI, Shin JL, Williams D, Stewart DE. A brief problemsolving intervention for family caregivers to individuals with advanced cancer. J Psychosom Res. 2004;57(2):137-43.
Dwyek JW, Lee GR, Jankowski TB. Reciprocity, elder satisfaction, and caregiver stress and burden: The exchange of aid in the family caregiving. J Marriage Fam. 1994;56(1):35-43.
Weitzner MA, Jacobsen PB, Wagner H Jr, Friedland J, Cox C. The Caregiver Quality of Life Index-Cancer (CQOLC) scale: development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Qual Life Res. 1999;8(1-2):55-63.
Payne S, Smith P, Dean S. Identifying the concerns of informal carers in palliative care. Palliat Med. 1999;13(1):37-44.
Given B, Given CW. Patient and family caregiver reaction to new and recurrent breast cancer. J Am Med Womens Assoc. 1992;47(5):201-6.
Northouse LL, Laten D, Reddy P. Adjustment of women and their husbands to recurrent breast cancer. Res Nurs Health. 1995;18(6):515-24.
Toseland RW, Blanchard CG, McCallion P. A problem solving intervention for caregivers of cancer patients. Soc Sci Med. 1995;40(4):517-28.
Molina Linde JM, Romero Cotelo J, Romero Rodríguez Y, Rodríguez Sañudo RM, Gálvez Mateos R. Alteraciones emocionales en el cuidador del enfermo oncológico terminal. Med Paliat. 2005;12(2):83-87. Referencias
Rodríguez Vega B, Ortiz Villalobos A, Palao Tarrero A, Avedillo C, Sánchez Cabezudo A, Chinchilla C. Síntomas de ansiedad y depresión en un grupo de pacientes oncológicos y en sus cuidadores. Eur J Psychiat. 2002;16(1):27-38. [En línea] http://scielo.isciii.es/pdf/ ejp/v16n1/original3.pdf [Consultado 20/12/2012].
Font A, Buscemi V, Viladricht C. Focus on relationship between the caregivers unmet needs and other caregiving outcomes in cancer palliative care. Psicooncología. 2010;7(1):109-125. [En línea] http://revistas.ucm.es/index.php/PSIC/article/view/ PSIC1010120109A/15101 [Consultado 19/12/2012].
Fuentelsaz Gallego C. Cálculo del tamaño de la muestra. Matronas Prof. 2004;5(18):5-13. [En línea] http://www.federacion-matronas.org/ resourceserver/339/d112d6ad-54ec-438b-9358-4483f9e98868/0e7/ rglan [Consultado 19/12/2012].
Morales Vallejo P. Estadística aplicada a las Ciencias Sociales. Tamaño necesario de la muestra: ¿Cuántos sujetos necesitamos? [En línea] http://www.upcomillas.es/personal/peter/investigacion/ Tama%F1oMuestra.pdf [Consultado 11/12/2012].
Zung WW, A self-rating depression scale. Arch Gen Psychiatry. 1965;12:63-70. [En línea] http://healthnet.umassmed.edu/mhealth/ ZungSelfRatedDepressionScale.pdf [Consultado 11/12/2012].
Medina Mora ME, Borges G, Lara C, Benjet C, Blanco J, Fleiz C, et al. Prevalence, service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: results from the Mexican Nati onal Comorbidity Survey. Psychol Med. 2005;35(12):1773-83.
Frankl VE. El hombre en busca del sentido último: el análisis existencial y la conciencia espiritual del ser humano. Barcelona: Paidós Ibérica; 1999.
López J, Rodríguez MI. La posibilidad de encontrar sentido en el cuidado de un ser querido con cáncer. Psicooncología.