Skip to main content
Top
Gepubliceerd in: Quality of Life Research 2/2024

16-11-2023

Mood assessments of family caregivers of patients with severe brain injury in China

Auteurs: Yifan Yan, Meiqi Li, Tiantian Cai, Xueying Wang, Yan Dong, Xiaohua Hu, Steven Laureys, Olivia Gosseries, Charlotte Grégoire, Haibo Di

Gepubliceerd in: Quality of Life Research | Uitgave 2/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Long-term care of severe brain injury patients places a significant mental burden on family caregivers, yet few studies have reported the situation in China. We aimed to describe the mood states of family caregivers of patients with severe brain injury and examine the influencing factors that affect caregivers’ moods.

Methods

Cross-sectional survey was used to assess the mood profiles of Chinese family caregivers between February 2019 and February 2020. Demographic data of caregivers and patients, the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder scale (GAD-7) were used to assess the level of depressive and anxiety symptoms. The quality of life score was also assessed by a visual analog scale, and the Coma Recovery Scale-Revised was used to assess the patient’s consciousness.

Result

One hundred and one patients with severe brain injury (57 unresponsive wakefulness syndrome, UWS) between the age of 14 and 70 and their main family caregivers were enrolled in the study. Most caregivers displayed depressive (n = 62) and anxiety symptoms (n = 65), with 17 and 20 of these family caregivers reporting (moderately) severe depressive symptom and severe anxiety symptom, respectively. The caregiver’s depressive symptom level significantly decreased as the patient’s injury lasted longer (r =  – 0.208, P = 0.037). Moreover, the age of the patient negatively related to the levels of depressive (r =  – 0.310, P = 0.002) and anxiety symptoms (r =  – 0.289, P = 0.003) in caregivers. There was a significant positive correlation between anxiety and depressive symptoms scores in family caregivers (r = 0.838, P < 0.001). The higher the level of anxiety (r =  – 0.273, P = 0.006) and depressive symptoms (r =  – 0.265, P = 0.007), the worse the quality of life.

Conclusion

Many family caregivers of patients with severe brain injury experience various levels of anxiety and depressive symptoms in China. Tailor-made psychological help seems imperative. Researchers and doctors can provide information about patient’s conditions to assist family members in discussing rehabilitation options for patients in different states of consciousness will help to ease anxiety of family caregivers.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Wijdicks, E. F. (2001). The diagnosis of brain death. New England Journal of Medicine, 344(16), 1215–1221.CrossRefPubMed Wijdicks, E. F. (2001). The diagnosis of brain death. New England Journal of Medicine, 344(16), 1215–1221.CrossRefPubMed
2.
go back to reference Yang, Y., Wang, K., Zhou, F., Zhang, Y., Xia, X., He, Y., Chen, Y., Ni, X., He, J., Yu, R., An, S., Di, H., & Xie, Q. (2017). Conditions of patients with chronic disorders of consciousness and caregiver’s attitude and pressure in three cities in China. Journal of Clinical Neurosurgery, 14(02), 102–106. Yang, Y., Wang, K., Zhou, F., Zhang, Y., Xia, X., He, Y., Chen, Y., Ni, X., He, J., Yu, R., An, S., Di, H., & Xie, Q. (2017). Conditions of patients with chronic disorders of consciousness and caregiver’s attitude and pressure in three cities in China. Journal of Clinical Neurosurgery, 14(02), 102–106.
3.
4.
go back to reference Laureys, S., Celesia, G. G., Cohadon, F., Lavrijsen, J., Leon-Carrion, J., Sannita, W. G., Sazbon, L., Schmutzhard, E., von Wild, K. R., Zeman, A., Dolce, G., European Task Force on Disorders of C. (2010). Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome. BMC Medicine, 8(1), 68.CrossRefPubMedPubMedCentral Laureys, S., Celesia, G. G., Cohadon, F., Lavrijsen, J., Leon-Carrion, J., Sannita, W. G., Sazbon, L., Schmutzhard, E., von Wild, K. R., Zeman, A., Dolce, G., European Task Force on Disorders of C. (2010). Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome. BMC Medicine, 8(1), 68.CrossRefPubMedPubMedCentral
5.
go back to reference Giacino, J. T., Ashwal, S., Childs, N., Cranford, R., Jennett, B., Katz, D. I., Kelly, J. P., Rosenberg, J. H., Whyte, J., Zafonte, R. D., & Zasler, N. D. (2002). The minimally conscious state: definition and diagnostic criteria. Neurology, 58(3), 349–353.CrossRefPubMed Giacino, J. T., Ashwal, S., Childs, N., Cranford, R., Jennett, B., Katz, D. I., Kelly, J. P., Rosenberg, J. H., Whyte, J., Zafonte, R. D., & Zasler, N. D. (2002). The minimally conscious state: definition and diagnostic criteria. Neurology, 58(3), 349–353.CrossRefPubMed
6.
go back to reference Nakase-Richardson, R., Yablon, S. A., Sherer, M., Nick, T. G., & Evans, C. C. (2009). Emergence from minimally conscious state: Insights from evaluation of posttraumatic confusion. Neurology, 73(14), 1120–1126.CrossRefPubMed Nakase-Richardson, R., Yablon, S. A., Sherer, M., Nick, T. G., & Evans, C. C. (2009). Emergence from minimally conscious state: Insights from evaluation of posttraumatic confusion. Neurology, 73(14), 1120–1126.CrossRefPubMed
7.
go back to reference Estraneo, A., Moretta, P., Loreto, V., Lanzillo, B., Santoro, L., & Trojano, L. (2010). Late recovery after traumatic, anoxic, or hemorrhagic long-lasting vegetative state. Neurology, 75(3), 239–245.CrossRefPubMed Estraneo, A., Moretta, P., Loreto, V., Lanzillo, B., Santoro, L., & Trojano, L. (2010). Late recovery after traumatic, anoxic, or hemorrhagic long-lasting vegetative state. Neurology, 75(3), 239–245.CrossRefPubMed
8.
go back to reference Luauté, J., Maucort-Boulch, D., Tell, L., Quelard, F., Sarraf, T., Iwaz, J., Boisson, D., & Fischer, C. (2010). Long-term outcomes of chronic minimally conscious and vegetative states. Neurology, 75(3), 246–252.CrossRefPubMed Luauté, J., Maucort-Boulch, D., Tell, L., Quelard, F., Sarraf, T., Iwaz, J., Boisson, D., & Fischer, C. (2010). Long-term outcomes of chronic minimally conscious and vegetative states. Neurology, 75(3), 246–252.CrossRefPubMed
9.
go back to reference Imani-Goghary, Z., & Ghaljeh, M. (2020). The experience of family caregivers caring for a patient with chronic disorders of consciousness: A qualitative content analysis. International Journal of Palliative Nursing, 26(6), 301–309.CrossRefPubMed Imani-Goghary, Z., & Ghaljeh, M. (2020). The experience of family caregivers caring for a patient with chronic disorders of consciousness: A qualitative content analysis. International Journal of Palliative Nursing, 26(6), 301–309.CrossRefPubMed
10.
go back to reference Goudarzi, F., Abedi, H., Zarea, K., & Ahmadi, F. (2015). Multiple victims: the result of caring patients in vegetative state. Iranian Red Crescent Medical Journal, 17(6), e23571.CrossRefPubMedPubMedCentral Goudarzi, F., Abedi, H., Zarea, K., & Ahmadi, F. (2015). Multiple victims: the result of caring patients in vegetative state. Iranian Red Crescent Medical Journal, 17(6), e23571.CrossRefPubMedPubMedCentral
11.
go back to reference Gosseries, O., Schnakers, C., Vanhaudenhuyse, A., Martial, C., Aubinet, C., Charland-Verville, V., Thibaut, A., Annen, J., Ledoux, D., Laureys, S., & Gregoire, C. (2023). Needs and quality of life of caregivers of patients with prolonged disorders of consciousness. Brain Sciences, 13(2), 308.CrossRefPubMedPubMedCentral Gosseries, O., Schnakers, C., Vanhaudenhuyse, A., Martial, C., Aubinet, C., Charland-Verville, V., Thibaut, A., Annen, J., Ledoux, D., Laureys, S., & Gregoire, C. (2023). Needs and quality of life of caregivers of patients with prolonged disorders of consciousness. Brain Sciences, 13(2), 308.CrossRefPubMedPubMedCentral
12.
go back to reference Magnani, F. G., Leonardi, M., & Sattin, D. (2020). Caregivers of people with disorders of consciousness: which burden predictors? Neurological Sciences, 41(10), 2773–2779.CrossRefPubMed Magnani, F. G., Leonardi, M., & Sattin, D. (2020). Caregivers of people with disorders of consciousness: which burden predictors? Neurological Sciences, 41(10), 2773–2779.CrossRefPubMed
13.
go back to reference Steppacher, I., & Kissler, J. (2018). A problem shared is a problem halved? Comparing burdens arising for family caregivers of patients with disorders of consciousness in institutionalized versus at home care. BMC Psychology, 6(1), 58.CrossRefPubMedPubMedCentral Steppacher, I., & Kissler, J. (2018). A problem shared is a problem halved? Comparing burdens arising for family caregivers of patients with disorders of consciousness in institutionalized versus at home care. BMC Psychology, 6(1), 58.CrossRefPubMedPubMedCentral
14.
go back to reference Chinner, A., Pauli, R., & Cruse, D. (2022). The impact of prolonged disorders of consciousness on family caregivers’ quality of life - A scoping review. Neuropsychological Rehabilitation, 32(7), 1643–1666.CrossRefPubMed Chinner, A., Pauli, R., & Cruse, D. (2022). The impact of prolonged disorders of consciousness on family caregivers’ quality of life - A scoping review. Neuropsychological Rehabilitation, 32(7), 1643–1666.CrossRefPubMed
15.
go back to reference Corallo, F., Pria, D., Di Blasi, A., Bonanno, L., De Cola, M. C., Di Cara, M., Rifici, C., De Salvo, S., Bramanti, P., Marino, S., & Buono, V. L. (2021). The effects of caregiver’s burden on dynamic structure in disorder of consciousness families: An observational study. Brain and Behaviour, 11(8), e2305.CrossRef Corallo, F., Pria, D., Di Blasi, A., Bonanno, L., De Cola, M. C., Di Cara, M., Rifici, C., De Salvo, S., Bramanti, P., Marino, S., & Buono, V. L. (2021). The effects of caregiver’s burden on dynamic structure in disorder of consciousness families: An observational study. Brain and Behaviour, 11(8), e2305.CrossRef
16.
go back to reference Li, J. (2015). Investigation on caring burden and management of relatives of patients with disorders of consciousness in neurosurgery. Today Nurse, 10, 22–25. Li, J. (2015). Investigation on caring burden and management of relatives of patients with disorders of consciousness in neurosurgery. Today Nurse, 10, 22–25.
17.
go back to reference Disorders of Consciousness and Wakefulness Promotion Group, N. S. C., Chinese Medical Association. (2020). Chinese expert consensus on the diagnosis and treatment of chronic disorders of consciousness. Chinese Journal of Neuromedicine, 19(10), 977–982. Disorders of Consciousness and Wakefulness Promotion Group, N. S. C., Chinese Medical Association. (2020). Chinese expert consensus on the diagnosis and treatment of chronic disorders of consciousness. Chinese Journal of Neuromedicine, 19(10), 977–982.
18.
go back to reference Zhang, Y., Wang, J., Schnakers, C., He, M., Luo, H., Cheng, L., Wang, F., Nie, Y., Huang, W., Hu, X., Laureys, S., & Di, H. (2019). Validation of the Chinese version of the Coma Recovery Scale-Revised (CRS-R). Brain Injury, 33(4), 529–533.CrossRefPubMed Zhang, Y., Wang, J., Schnakers, C., He, M., Luo, H., Cheng, L., Wang, F., Nie, Y., Huang, W., Hu, X., Laureys, S., & Di, H. (2019). Validation of the Chinese version of the Coma Recovery Scale-Revised (CRS-R). Brain Injury, 33(4), 529–533.CrossRefPubMed
19.
go back to reference Giacino, J. T., Kalmar, K., & Whyte, J. (2004). The JFK coma recovery scale-revised: measurement characteristics and diagnostic utility. Archives of Physical Medicine and Rehabilitation, 85(12), 2020–2029.CrossRefPubMed Giacino, J. T., Kalmar, K., & Whyte, J. (2004). The JFK coma recovery scale-revised: measurement characteristics and diagnostic utility. Archives of Physical Medicine and Rehabilitation, 85(12), 2020–2029.CrossRefPubMed
20.
go back to reference Beard, C., Hsu, K., Rifkin, L., Busch, A., & Björgvinsson, T. (2016). Validation of the PHQ-9 in a psychiatric sample. Journal of Affective Disorders, 193, 267–273.CrossRefPubMed Beard, C., Hsu, K., Rifkin, L., Busch, A., & Björgvinsson, T. (2016). Validation of the PHQ-9 in a psychiatric sample. Journal of Affective Disorders, 193, 267–273.CrossRefPubMed
21.
go back to reference Wang, W., Bian, Q., Zhao, Y., Li, X., Wang, W., Du, J., Zhang, G., Zhou, Q., & Zhao, M. (2014). Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. General Hospital Psychiatry, 36(5), 539–544.CrossRefPubMed Wang, W., Bian, Q., Zhao, Y., Li, X., Wang, W., Du, J., Zhang, G., Zhou, Q., & Zhao, M. (2014). Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. General Hospital Psychiatry, 36(5), 539–544.CrossRefPubMed
22.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
23.
go back to reference Shih, Y. C., Chou, C. C., Lu, Y. J., & Yu, H. Y. (2022). Reliability and validity of the traditional Chinese version of the GAD-7 in Taiwanese patients with epilepsy. Journal of the Formosan Medical Association, 121(11), 2324–2330.CrossRefPubMed Shih, Y. C., Chou, C. C., Lu, Y. J., & Yu, H. Y. (2022). Reliability and validity of the traditional Chinese version of the GAD-7 in Taiwanese patients with epilepsy. Journal of the Formosan Medical Association, 121(11), 2324–2330.CrossRefPubMed
24.
go back to reference Kuehlmeyer, K., Racine, E., Palmour, N., Hoster, E., Borasio, G. D., & Jox, R. J. (2012). Diagnostic and ethical challenges in disorders of consciousness and locked-in syndrome: A survey of German neurologists. Journal of Neurology, 259(10), 2076–2089.CrossRefPubMedPubMedCentral Kuehlmeyer, K., Racine, E., Palmour, N., Hoster, E., Borasio, G. D., & Jox, R. J. (2012). Diagnostic and ethical challenges in disorders of consciousness and locked-in syndrome: A survey of German neurologists. Journal of Neurology, 259(10), 2076–2089.CrossRefPubMedPubMedCentral
26.
go back to reference Giovannetti, A. M., Covelli, V., Sattin, D., & Leonardi, M. (2015). Caregivers of patients with disorder of consciousness: Burden, quality of life and social support. Acta Neurologica Scandinavica, 132(4), 259–269.CrossRefPubMed Giovannetti, A. M., Covelli, V., Sattin, D., & Leonardi, M. (2015). Caregivers of patients with disorder of consciousness: Burden, quality of life and social support. Acta Neurologica Scandinavica, 132(4), 259–269.CrossRefPubMed
27.
go back to reference Harrison, J. E., Weber, S., Jakob, R., & Chute, C. G. (2021). ICD-11: An international classification of diseases for the twenty-first century. BMC Medical Informatics and Decision Making, 21(Suppl 6), 206.CrossRefPubMedPubMedCentral Harrison, J. E., Weber, S., Jakob, R., & Chute, C. G. (2021). ICD-11: An international classification of diseases for the twenty-first century. BMC Medical Informatics and Decision Making, 21(Suppl 6), 206.CrossRefPubMedPubMedCentral
28.
go back to reference Choi, Y., Choi, S. H., Yun, J. Y., Lim, J. A., Kwon, Y., Lee, H. Y., & Jang, J. H. (2019). The relationship between levels of self-esteem and the development of depression in young adults with mild depressive symptoms. Medicine (Baltimore), 98(42), e17518.CrossRefPubMed Choi, Y., Choi, S. H., Yun, J. Y., Lim, J. A., Kwon, Y., Lee, H. Y., & Jang, J. H. (2019). The relationship between levels of self-esteem and the development of depression in young adults with mild depressive symptoms. Medicine (Baltimore), 98(42), e17518.CrossRefPubMed
29.
go back to reference Pagani, M., Giovannetti, A. M., Covelli, V., Sattin, D., Raggi, A., & Leonardi, M. (2014). Physical and mental health, anxiety and depressive symptoms in caregivers of patients in vegetative state and minimally conscious state. Clinical Psychology & Psychotherapy, 21(5), 420–426.CrossRef Pagani, M., Giovannetti, A. M., Covelli, V., Sattin, D., Raggi, A., & Leonardi, M. (2014). Physical and mental health, anxiety and depressive symptoms in caregivers of patients in vegetative state and minimally conscious state. Clinical Psychology & Psychotherapy, 21(5), 420–426.CrossRef
30.
go back to reference Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P. Y., Cooper, J. L., Eaton, J., Herrman, H., Herzallah, M. M., Huang, Y., Jordans, M. J. D., Kleinman, A., Medina-Mora, M. E., Morgan, E., Niaz, U., Omigbodun, O., … UnÜtzer, J. (2018). The Lancet Commission on global mental health and sustainable development. Lancet, 392(10157), 1553–1598.CrossRefPubMed Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P. Y., Cooper, J. L., Eaton, J., Herrman, H., Herzallah, M. M., Huang, Y., Jordans, M. J. D., Kleinman, A., Medina-Mora, M. E., Morgan, E., Niaz, U., Omigbodun, O., … UnÜtzer, J. (2018). The Lancet Commission on global mental health and sustainable development. Lancet, 392(10157), 1553–1598.CrossRefPubMed
31.
go back to reference Corallo, F., Bonanno, L., Lo Buono, V., De Salvo, S., Allone, C., Palmeri, R., La Gattuta, E., Rifici, C., Alagna, A., Todaro, A., Bramanti, P., & Marino, S. (2017). Evolution of psychological condition in caregivers of patients with disorders of consciousness: A longitudinal study. Neurological Sciences, 38(7), 1249–1253.CrossRefPubMed Corallo, F., Bonanno, L., Lo Buono, V., De Salvo, S., Allone, C., Palmeri, R., La Gattuta, E., Rifici, C., Alagna, A., Todaro, A., Bramanti, P., & Marino, S. (2017). Evolution of psychological condition in caregivers of patients with disorders of consciousness: A longitudinal study. Neurological Sciences, 38(7), 1249–1253.CrossRefPubMed
32.
go back to reference Moretta, P., Estraneo, A., De Lucia, L., Cardinale, V., Loreto, V., & Trojano, L. (2014). A study of the psychological distress in family caregivers of patients with prolonged disorders of consciousness during in-hospital rehabilitation. Clinical Rehabilitation, 28(7), 717–725.CrossRefPubMed Moretta, P., Estraneo, A., De Lucia, L., Cardinale, V., Loreto, V., & Trojano, L. (2014). A study of the psychological distress in family caregivers of patients with prolonged disorders of consciousness during in-hospital rehabilitation. Clinical Rehabilitation, 28(7), 717–725.CrossRefPubMed
33.
go back to reference Shilan, T., & Yansui, X. K. L. L. Q. T. Y. (2023). Advances in rehabilitation outcomes and care in patients with prolonged disorders of consciousness. Chinese General Practice, 3, 1–8.ADS Shilan, T., & Yansui, X. K. L. L. Q. T. Y. (2023). Advances in rehabilitation outcomes and care in patients with prolonged disorders of consciousness. Chinese General Practice, 3, 1–8.ADS
35.
go back to reference Giovannetti, A. M., Pagani, M., Sattin, D., Covelli, V., Raggi, A., Strazzer, S., Castelli, E., Trabacca, A., Martinuzzi, A., & Leonardi, M. (2012). Children in vegetative state and minimally conscious state: Patients’ condition and caregivers’ burden. Scientific World Journal, 2012, 232149.CrossRefPubMedPubMedCentral Giovannetti, A. M., Pagani, M., Sattin, D., Covelli, V., Raggi, A., Strazzer, S., Castelli, E., Trabacca, A., Martinuzzi, A., & Leonardi, M. (2012). Children in vegetative state and minimally conscious state: Patients’ condition and caregivers’ burden. Scientific World Journal, 2012, 232149.CrossRefPubMedPubMedCentral
36.
go back to reference Wiener, L., McConnell, D. G., Latella, L., & Ludi, E. (2013). Cultural and religious considerations in pediatric palliative care. Palliative & Supportive Care, 11(1), 47–67.CrossRef Wiener, L., McConnell, D. G., Latella, L., & Ludi, E. (2013). Cultural and religious considerations in pediatric palliative care. Palliative & Supportive Care, 11(1), 47–67.CrossRef
37.
go back to reference Yan, Y., Demertzi, A., Xia, Y., Wang, J., Hu, N., Zhang, Z., Di, H., & Laureys, S. (2020). Ethics of life-sustaining treatment in locked-in syndrome: A Chinese survey. Annals of Physical and Rehabilitation Medicine, 63(6), 483–487.CrossRefPubMed Yan, Y., Demertzi, A., Xia, Y., Wang, J., Hu, N., Zhang, Z., Di, H., & Laureys, S. (2020). Ethics of life-sustaining treatment in locked-in syndrome: A Chinese survey. Annals of Physical and Rehabilitation Medicine, 63(6), 483–487.CrossRefPubMed
38.
go back to reference Yi, Y., Kai, W., Feng, Z., Ying, Z., Xiao, Y., Yan, H.,Yan, C., Xiao, X., Jiang, H., Rong, Y., Sheng, L., Di, H., & Qiu, Y. (2017). Conditions of patients with chronic disorders of consciousness and caregiver’s attitude and pressure in three cities in China. Journal of Clinical Neurosurgery, 14(2), 102–106+111. Yi, Y., Kai, W., Feng, Z., Ying, Z., Xiao, Y., Yan, H.,Yan, C., Xiao, X., Jiang, H., Rong, Y., Sheng, L., Di, H., & Qiu, Y. (2017). Conditions of patients with chronic disorders of consciousness and caregiver’s attitude and pressure in three cities in China. Journal of Clinical Neurosurgery, 14(2), 102–106+111.
39.
go back to reference Corallo, F., Bonanno, L., Buono, V. L., Salvo, S. D., Rifici, C., Bramanti, P., & Marino, S. (2015). Psychological distress of family members of vegetative and minimally conscious state patients. Acta Medica Mediterranea, 31, 297–302. Corallo, F., Bonanno, L., Buono, V. L., Salvo, S. D., Rifici, C., Bramanti, P., & Marino, S. (2015). Psychological distress of family members of vegetative and minimally conscious state patients. Acta Medica Mediterranea, 31, 297–302.
Metagegevens
Titel
Mood assessments of family caregivers of patients with severe brain injury in China
Auteurs
Yifan Yan
Meiqi Li
Tiantian Cai
Xueying Wang
Yan Dong
Xiaohua Hu
Steven Laureys
Olivia Gosseries
Charlotte Grégoire
Haibo Di
Publicatiedatum
16-11-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03539-2

Andere artikelen Uitgave 2/2024

Quality of Life Research 2/2024 Naar de uitgave