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Does resilience mediate carer distress after head and neck cancer?


Simpson, GK and Dall'Armi, L and Roydhouse, J and Forstner, D and Daher, M and Simpson, T and White, KJ, Does resilience mediate carer distress after head and neck cancer?, Cancer Nursing, 38, (6) pp. E30-E36. ISSN 0162-220X (2015) [Refereed Article]

Copyright Statement

Copyright 2015 Wolters Kluwer Health, Inc.

DOI: doi:10.1097/NCC.0000000000000229


Background: Caring for patients with head and neck cancer (HNC) can have significant negative psychological and practical impact; however, some carers seem able to cope effectively. Little research has investigated this resilience among carers.

Objective: The objective of this study was to investigate the resilience levels among carers of patients with HNC.

Methods: Carers (n = 51) from 2 cancer services in New South Wales completed the Resilience Scale (RS), the Head and Neck Information Needs Questionnaire, and the Hospital Anxiety and Depression Scale. Hospital Anxiety and Depression Scale cutoff scores (>8) were used to classify carers with clinically significant levels of anxiety or depression.

Results: The majority of carers (67% [34/51]) reported moderately high to high resilience. Rates of anxiety and depression among carers were 27.4% and 9.8%, respectively. Higher resilience scores were significantly correlated with lower anxiety and depression scores, as well as increasing age. Resilience Scale scores were independent of the severity of the HNC. There were no significant correlations between RS scores and Head and Neck Information Needs Questionnaire scores. Finally, increasing RS scores were associated with a decreasing probability of possible anxiety or depression.

Conclusions: These results indicate that higher resilience in carers of HNC patients was associated with lower levels of psychological distress. Further investigation into the relationship between resilience and carer psychological wellbeing is warranted.

Implications for Practice: If further evidence supports the findings of this study, then investigating ways to build resilience will be an important clinical option for reducing carer morbidity associated with anxiety and depression. The RS could be used to assess resilience levels among carers of HNC patients.

Item Details

Item Type:Refereed Article
Keywords:carer, head and neck cancer, resilience
Research Division:Biomedical and Clinical Sciences
Research Group:Oncology and carcinogenesis
Research Field:Solid tumours
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Provision of health and support services not elsewhere classified
UTAS Author:Roydhouse, J (Dr Jessica Roydhouse)
ID Code:137366
Year Published:2015
Web of Science® Times Cited:10
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-02-11
Last Modified:2020-07-27

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