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The online version of this article (https://doi.org/10.1007/s11136-018-2024-z) contains supplementary material, which is available to authorized users.
We aimed to assess the influence of anxiety and depression on the physical and mental quality of life (QoL) in patient with chronic obstructive pulmonary disease (COPD) and caregiver dyads, detect the simultaneous effect of anxiety and depression of each partner on the other’s QoL and determine the dyadic patterns.
A cross-sectional descriptive design was used. The actor–partner interdependence model estimated by structural equation modeling was used for the dyadic analysis. Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and 12-Item Short-Form Health Survey (SF-12) were used to measure depression, anxiety and QoL, respectively.
Eighty COPD dyads were enrolled in the study. Patients presented higher depression symptoms and poorer physical and mental QoL than their caregivers, whereas comparable levels of anxiety were found in patients and caregivers. The model exploring the effects of depression and anxiety on mental QoL found that patients’ depressive symptoms negatively influence their mental QoL, and caregivers’ anxiety and depression symptoms negatively impact their mental QoL. The model exploring the effects of anxiety and depression on physical QoL detected one statistically significant actor effect with patients’ depressive symptoms negatively influencing their physical QoL, and two partner effects with caregivers’ anxiety worsening patients’ physical QoL and caregivers’ depression improving patients’ physical QoL.
The results suggest that caregivers’ psychological distress influences caregivers’ mental QoL and patients’ physical QoL. Therefore, health-care professionals should assess and treat anxiety and depression in both members of the COPD dyad to improve their QoL.
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GOLD-Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2017). Resource document. Accessed September 26, 2017, from http://goldcopd.org/wp-content/uploads/2016/12/wms-GOLD-2017-Pocket-Guide.
Disler, R. T., Gallagher, R. D., & Davidson, P. M. (2012). Factors influencing self-management in chronic obstructive pulmonary disease: An integrative review. International Journal of Nursing Studies, 49(2), 230–242.
Zhang, M. W., Ho, R. C., Cheung, M. W., Fu, E., & Mak, A. (2011). Prevalence of depressive symptoms in patients with chronic obstructive pulmonary disease: A systematic review, meta-analysis and meta-regression. General Hospital Psychiatry, 33(3), 217–223.
Hammonds, T. (2015). The influence of the caregiver on healthcare outcomes in patients with chronic obstructive pulmonary disease (COPD). Kent State University. ProQuest Dissertations Publishing, 2015. 3688322. Accessed March 3, 2018, from https://search.proquest.com/openview/c333a6542933959681e128db5fbf48b6/1?pq-origsite=gscholar&cbl=18750&diss=y.
Yohannes, A. M., Willgoss, T. G., Baldwin, R. C., & Connolly, M. J. (2010). Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: Prevalence, relevance, clinical implications and management principles. International Journal of Geriatric Psychiatry, 25(12), 1209–1221.
Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., & Hanania, N. A. (2008). Anxiety and depression in COPD: Current understanding, unanswered questions, and research needs. Chest Journal, 134(4 suppl), 43S–56S. https://doi.org/10.1378/chest.08-0342.
Ng, T. P., Niti, M., Tan, W. C., Cao, Z., Ong, K. C., & Eng, P. (2007). Depressive symptoms and chronic obstructive pulmonary disease: Effect on mortality, hospital readmission, symptom burden, functional status, and quality of life. Archives of Internal Medicine, 167(1), 60–67. https://doi.org/10.1001/archinte.167.1.60.
Atlantis, E., Fahey, P., Cochrane, B., & Smith, S. (2013). Bidirectional associations between clinically relevant depression or anxiety and chronic obstructive pulmonary disease (COPD): A systematic review and meta-analysis. Chest, 144(3), 766–777.
Di Marco, F., Verga, M., Reggente, M., Casanova, F. M., Santus, P., Blasi, F., … Centanni, S. (2006). Anxiety and depression in COPD patients: The roles of gender and disease severity. Respiratory Medicine, 100(10), 1767–1774.
Blakemore, A., Dickens, C., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C., & Coventry, P. A. (2014). Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: Systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 9, 501–512.
Miravitlles, M., Peña-Longobardo, L. M., Oliva-Moreno, J., & Hidalgo-Vega, Á. (2015). Caregivers’ burden in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 10, 347–356.
Boyle, A. H. (2009). Living with a spouse with chronic obstructive pulmonary disease: The meaning of wives’ experiences. Journal of Nursing and Healthcare of Chronic Illness, 1(4), 273–282.
Grant, M., Cavanagh, A., & Yorke, J. (2012). The impact of caring for those with chronic obstructive pulmonary disease (COPD) on carers’ psychological well-being: A narrative review. International Journal of Nursing Studies, 49(11), 1459–1471.
Cruz, J., Marques, A., & Figueiredo, D. (2017). Impacts of COPD on family carers and supportive interventions: A narrative review. Health & Social Care in the Community, 25(1), 11–25.
Mi, E., Mi, E., Ewing, G., Mahadeva, R., Gardener, A. C., Butcher, H. H., … Farquhar, M. (2017). Associations between the psychological health of patients and carers in advanced COPD. International Journal of Chronic Obstructive Pulmonary Disease, 12, 2813–2821.
Jácome, C., Figueiredo, D., Gabriel, R., Cruz, J., & Marques, A. (2014). Predicting anxiety and depression among family carers of people with chronic obstructive pulmonary disease. International Psychogeriatrics, 26(7), 1191–1199.
Kühl, K., Schürmann, W., & Rief, W. (2008). Mental disorders and quality of life in COPD patients and their spouses. International Journal of Chronic Obstructive Pulmonary Disease, 3(4), 727–736.
Al-Gamal, E. (2014). Quality of life, anxiety and depression among patients with chronic obstructive pulmonary disease and their spouses. Issues in Mental Health Nursing, 35(10), 761–767.
Badr, H., Federman, A. D., Wolf, M., Revenson, T. A., & Wisnivesky, J. P. (2017). Depression in individuals with chronic obstructive pulmonary disease and their informal caregivers. Aging & Mental Health, 21(9), 975–982.
Kelley, H. H., & Thibaut, J. W. (1978). Interpersonal relations: A theory of interdependence. New York: Wiley.
Cook, W. L., & Kenny, D. A. (2005). The actor–partner interdependence model: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29(2), 101–109.
Marguerite, S., Laurent, B., Marine, A., Tanguy, L., Karine, B., Pascal, A., & Xavier, Z. (2017). Actor-partner interdependence analysis in depressed patient-caregiver dyads: Influence of emotional intelligence and coping strategies on anxiety and depression. Psychiatry Research, 258, 396–401.
Vaske, I., Thöne, M. F., Kühl, K., Keil, D. C., Schürmann, W., Rief, W., & Stenzel, N. M. (2015). For better or for worse: A longitudinal study on dyadic coping and quality of life among couples with a partner suffering from COPD. Journal of Behavioral Medicine, 38(6), 851–862.
Chung, M. L., Moser, D. K., Lennie, T. A., & Rayens, M. K. (2009). The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor–Partner Interdependence Model. Journal of Psychosomatic Research, 67(1), 29–35.
Wan-Fei, K., Hassan, S. T. S., Sann, L. M., Ismail, S. I. F., Raman, R. A., & Ibrahim, F. (2017). Depression, anxiety and quality of life in stroke survivors and their family caregivers: A pilot study using an actor/partner interdependence model. Electronic Physician, 9(8), 4924–4933. https://doi.org/10.19082/4924. ( eCollection 2017 Aug).
Kim, Y., Kashy, D. A., Wellisch, D. K., Spillers, R. L., Kaw, C. K., & Smith, T. G. (2008). Quality of life of couples dealing with cancer: Dyadic and individual adjustment among breast and prostate cancer survivors and their spousal caregivers. Annals of Behavioral Medicine, 35(2), 230–238.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613.
Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2010). The patient health questionnaire somatic, anxiety, and depressive symptom scales: A systematic review. General Hospital Psychiatry, 32(4), 345–359.
Rizzo, R., Piccinelli, M., Mazzi, M. A., Bellantuono, C., & Tansella, M. (2000). The Personal Health Questionnaire: A new screening instrument for detection of ICD-10 depressive disorders in primary care. Psychological Medicine, 30(4), 831–840.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.
Stoop, C. H., Nefs, G., Pommer, A. M., Pop, V. J. M., & Pouwer, F. (2015). Effectiveness of a stepped care intervention for anxiety and depression in people with diabetes, asthma or COPD in primary care: A randomized controlled trial. Journal of Affective Disorders, 184, 269–276.
Ware, J. E. Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.
Resnick, B., & Nahm, E. S. (2001). Reliability and validity testing of the revised 12-item Short-Form Health Survey in older adults. Journal of Nursing Measurement, 9, 151–161.
Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., … Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. Journal of Clinical Epidemiology, 51(11), 1171–1178.
Menn, P., Weber, N., & Holle, R. (2010). Health-related quality of life in patients with severe COPD hospitalized for exacerbations-comparing EQ-5D, SF-12 and SGRQ. Health and Quality of Life Outcomes, 8(1), 39.
Currow, D. C., Dal Grande, E., Ferreira, D., Johnson, M. J., McCaffrey, N., & Ekström, M. (2017). Chronic breathlessness associated with poorer physical and mental health-related quality of life (SF-12) across all adult age groups. Thorax, 72(12), 1151–1153.
Bestall, J. C., Paul, E. A., Garnham, R., Jones, P. W., Wedzicha J. A. (1999). Usefulness of the Medical Research Council (MRC) dyspnea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax , 54(7), 581–586.
Jones, P. W., Harding, G., Berry, P., Wiklund, I., Chen, W. H., & Leidy, N. K. (2009). Development and first validation of the COPD Assessment Test. European Respiratory Journal, 34(3), 648–654.
Jones, P. W., Tabberer, M., & Chen, W. H. (2011). Creating scenarios of the impact of COPD and their relationship to COPD Assessment Test (CAT™) scores. BMC Pulmonary Medicine, 11(1), 42.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.
Kenny, D. A., & Ledermann, T. (2010). Detecting, measuring, and testing dyadic patterns in the actor–partner interdependence model. Journal of Family Psychology, 24(3), 359–366.
Fitzpatrick, J., Gareau, A., Lafontaine, M. F., & Gaudreau, P. (2016). How to use the actor-partner interdependence model (APIM) to estimate different dyadic patterns in Mplus: A step-by-step tutorial. The Quantitative Methods for Psychology, 12, 74–86.
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: Guilford.
Ledermann, T., & Kenny, D. A. (2017). Analyzing dyadic data with multilevel modeling versus structural equation modeling: A tale of two methods. Journal of Family Psychology, 31, 442–452.
Stas, L., Kenny, D. A., Mayer, A., & Loeys, T. (2018). Giving dyadic data analysis away: A user-friendly app for actor-partner interdependence models. Personal Relationships, 25(1), 103–119.
World Medical Association. (2018). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Accessed March 19, 2018, from, https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/.
Mirowsky, J., & Ross, C. E. (2002). Measurement for a human science. Journal of Health and Social Behavior, 152–170.
Hynninen, K. M. J., Breitve, M. H., Wiborg, A. B., Pallesen, S., & Nordhus, I. H. (2005). Psychological characteristics of patients with chronic obstructive pulmonary disease: A review. Journal of Psychosomatic Research, 59(6), 429–443.
Kim, Y., Ryn, M., Jensen, R. E., Griffin, J. M., Potosky, A., & Rowland, J. (2015). Effects of gender and depressive symptoms on quality of life among colorectal and lung cancer patients and their family caregivers. Psycho-Oncology, 24(1), 95–105.
Segrin, C., Badger, T. A., & Harrington, J. (2012). Interdependent psychological quality of life in dyads adjusting to prostate cancer. Health Psychology, 31(1), 70–79.
Ackerman, R. A., & Kenny, D. A. (2016). APIMPowerR: An interactive tool for actor-partner interdependence model power analysis [computer software]. Accessed June 1, 2016, https://robert-a-ackerman.shinyapps.io/APIMPowerRdis/.
- Anxiety, depression and quality of life in chronic obstructive pulmonary disease patients and caregivers: an actor–partner interdependence model analysis
Maria Grazia De Marinis
- Springer International Publishing