Abstract

AREIA, Neide et al. Prevalence and predictors of psychological morbidity in family relatives of terminally ill cancer patients. Psic., Saúde & Doenças [online]. 2020, vol.21, n.1, pp.169-175. ISSN 1645-0086.  https://doi.org/10.15309/20psd210125.

The terminal phase of cancer is one of the most complex challenges that a family system may face. However, research about the impact of terminal cancer on family is still scarce. Therefore, the present study aims to determine the prevalence and predictors of morbid distress, depression, anxiety, somatization and complicated anticipatory grief on family members of terminally ill cancer patients. Methods: One hundred and twelve family members of terminally ill cancer patients completed a survey that regarded measures of psychological morbidity, anticipatory grief, family needs and family functioning. The prevalence of psychological morbidity was determined by descriptive and frequency statistics. Predictors of psychological morbidity were determined through structural equation modelling. Results: Family members reported high levels of psychological morbidity (66.1% for morbid distress, 68.8% for depression, 72.3% for anxiety, 50.9% for somatization and 25.9% for complicated anticipatory grief). Among other factors, the dissatisfaction with healthcare and the family functioning seem to be important predictors of the development of psychological morbidity. Discussion/Conclusion: The results of this study show a preoccupying prevalence of psychological morbidity in family members of terminally ill cancer patients. For such, it is demonstrated the importance of implementing a family-centred care approach - particularly in end-of-life contexts - with the aim of decreasing the risk of development of family members’ maladjusted responses, both before and after the patient’s death.

Keywords : Terminal Cancer; Family; Psychological Morbidity; Prevalence; Predictors.

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