Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers
Background: Delineating the compound psychological effect of the pandemic on cancer care, and the interdependency across cancer patient-caregiver dyads have yet to be explored. This study examines the levels of psychological impact of COVID-19 on patient-caregiver dyads anxiety, and the interdepende...
| Main Authors: | , , , , , , , , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
2023
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10356/168991 |
| _version_ | 1811682541689634816 |
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| author | Goh, Zack Zhong Sheng Ho, Ringo Moon-Ho Ng, Kennedy Yao Yi Chia, Jace Ming Xuan Nur Diana Binte Ishak Shwe, Than Than Chua, Zi Yang Ngeow, Joanne Yuen Yie Griva, Konstadina |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Goh, Zack Zhong Sheng Ho, Ringo Moon-Ho Ng, Kennedy Yao Yi Chia, Jace Ming Xuan Nur Diana Binte Ishak Shwe, Than Than Chua, Zi Yang Ngeow, Joanne Yuen Yie Griva, Konstadina |
| author_sort | Goh, Zack Zhong Sheng |
| collection | NTU |
| description | Background: Delineating the compound psychological effect of the pandemic on cancer care, and the interdependency across cancer patient-caregiver dyads have yet to be explored. This study examines the levels of psychological impact of COVID-19 on patient-caregiver dyads anxiety, and the interdependent associations between their COVID-19 and cancer concerns, and risk perceptions. Method: There were 352 patients and caregivers (patient-caregiver dyads, N = 176) included in this study (43.2% spousal dyads). Generalized Anxiety Disorder-7 and questionnaires regarding risk perception, perceived confidence in healthcare system, COVID-19, and cancer-related concerns were administered. Actor-Partner Interdependence Model (APIM) analyses were used to determine the interdependent effects. Indirect effects were tested using mediation pathway analyses. Results: Patients reported significantly higher levels of risk perceptions and anxiety than their caregivers (p < 0.01). Anxiety rates (GAD-7 ≥ 10) were also significantly higher (26.7% vs 18.2%, p < 0.01). Dyads’ anxiety, “general COVID-19 concerns,” “cancer-related concerns,” and risk perceptions were correlated (ps < 0.01). APIM showed only actor effects of general COVID-19 concerns, cancer-related COVID-19 concerns, and risk perceptions on anxiety (βs = 0.19–0.53, ps < 0.01). No partner effects were observed. Similar results were found in the composite APIM. Indirect effects of the patient/caregiver’s variables on their partner’s anxiety were observed in the mediation analyses. Conclusion: Concerns about COVID-19 and cancer care could be indirectly associated in patient-caregiver dyads and need to be proactively addressed. As pandemic evolves into endemicity, engagement with patients and caregivers should strive to be sensitive to their differential needs and messages should be tailored to the informational needs of each. |
| first_indexed | 2024-10-01T03:58:29Z |
| format | Journal Article |
| id | ntu-10356/168991 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T03:58:29Z |
| publishDate | 2023 |
| record_format | dspace |
| spelling | ntu-10356/1689912023-06-26T05:37:19Z Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers Goh, Zack Zhong Sheng Ho, Ringo Moon-Ho Ng, Kennedy Yao Yi Chia, Jace Ming Xuan Nur Diana Binte Ishak Shwe, Than Than Chua, Zi Yang Ngeow, Joanne Yuen Yie Griva, Konstadina Lee Kong Chian School of Medicine (LKCMedicine) School of Social Sciences Science::Medicine Social sciences::Psychology Caregiving Psycho-Oncology Background: Delineating the compound psychological effect of the pandemic on cancer care, and the interdependency across cancer patient-caregiver dyads have yet to be explored. This study examines the levels of psychological impact of COVID-19 on patient-caregiver dyads anxiety, and the interdependent associations between their COVID-19 and cancer concerns, and risk perceptions. Method: There were 352 patients and caregivers (patient-caregiver dyads, N = 176) included in this study (43.2% spousal dyads). Generalized Anxiety Disorder-7 and questionnaires regarding risk perception, perceived confidence in healthcare system, COVID-19, and cancer-related concerns were administered. Actor-Partner Interdependence Model (APIM) analyses were used to determine the interdependent effects. Indirect effects were tested using mediation pathway analyses. Results: Patients reported significantly higher levels of risk perceptions and anxiety than their caregivers (p < 0.01). Anxiety rates (GAD-7 ≥ 10) were also significantly higher (26.7% vs 18.2%, p < 0.01). Dyads’ anxiety, “general COVID-19 concerns,” “cancer-related concerns,” and risk perceptions were correlated (ps < 0.01). APIM showed only actor effects of general COVID-19 concerns, cancer-related COVID-19 concerns, and risk perceptions on anxiety (βs = 0.19–0.53, ps < 0.01). No partner effects were observed. Similar results were found in the composite APIM. Indirect effects of the patient/caregiver’s variables on their partner’s anxiety were observed in the mediation analyses. Conclusion: Concerns about COVID-19 and cancer care could be indirectly associated in patient-caregiver dyads and need to be proactively addressed. As pandemic evolves into endemicity, engagement with patients and caregivers should strive to be sensitive to their differential needs and messages should be tailored to the informational needs of each. Ministry of Health (MOH) National Medical Research Council (NMRC) National Research Foundation (NRF) This study is supported by the National Research Foundation Singapore’s National Medical Research Council Clinician Scientist Award (NMRC/CSA-INV/0017/2017) and administered by the Singapore Ministry of Health’s National Medical Research Council. In addition, this research is supported by the National Cancer Centre Cancer Fund. 2023-06-26T05:37:19Z 2023-06-26T05:37:19Z 2023 Journal Article Goh, Z. Z. S., Ho, R. M., Ng, K. Y. Y., Chia, J. M. X., Nur Diana Binte Ishak, Shwe, T. T., Chua, Z. Y., Ngeow, J. Y. Y. & Griva, K. (2023). Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers. International Journal of Behavioral Medicine. https://dx.doi.org/10.1007/s12529-023-10154-5 1070-5503 https://hdl.handle.net/10356/168991 10.1007/s12529-023-10154-5 36788172 2-s2.0-85148042277 en NMRC/CSA-INV/0017/2017 International Journal of Behavioral Medicine © International Society of Behavioral Medicine 2023. All rights reserved. |
| spellingShingle | Science::Medicine Social sciences::Psychology Caregiving Psycho-Oncology Goh, Zack Zhong Sheng Ho, Ringo Moon-Ho Ng, Kennedy Yao Yi Chia, Jace Ming Xuan Nur Diana Binte Ishak Shwe, Than Than Chua, Zi Yang Ngeow, Joanne Yuen Yie Griva, Konstadina Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers |
| title | Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers |
| title_full | Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers |
| title_fullStr | Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers |
| title_full_unstemmed | Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers |
| title_short | Using the actor-partner interdependence model to explore the psychological impact of COVID-19 on anxiety in dyads of patients with cancer and caregivers |
| title_sort | using the actor partner interdependence model to explore the psychological impact of covid 19 on anxiety in dyads of patients with cancer and caregivers |
| topic | Science::Medicine Social sciences::Psychology Caregiving Psycho-Oncology |
| url | https://hdl.handle.net/10356/168991 |
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