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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
Authors: 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
Keywords: Science::Medicine
Social sciences::Psychology
Issue Date: 2023
Source: 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.
Project: NMRC/CSA-INV/0017/2017 
Journal: International Journal of Behavioral Medicine 
Abstract: 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.
ISSN: 1070-5503
DOI: 10.1007/s12529-023-10154-5
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
School of Social Sciences 
Rights: © International Society of Behavioral Medicine 2023. All rights reserved.
Fulltext Permission: none
Fulltext Availability: No Fulltext
Appears in Collections:LKCMedicine Journal Articles
SSS Journal Articles

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