Psychological Distress Is Prevalent and Interdependent Among Patients With Decompensated Cirrhosis and Their Caregivers.

TitlePsychological Distress Is Prevalent and Interdependent Among Patients With Decompensated Cirrhosis and Their Caregivers.
Publication TypeJournal Article
Year of Publication2025
AuthorsUfere NN, Zeng C, Donlan J, Shalev D, Kaplan A, Noll A, Liu A, Pintro K, Horick N, Indriolo T, Li L, Zhu E, Armstrong ME, Mason N, Engel KG, Rowland M, O'Brien K, Kenimer S, Diop MS, Jackson V, Lai JC, Chung RT, Jacobs JM, Edelen MO, El-Jawahri A
JournalAm J Gastroenterol
Volume120
Issue4
Pagination909-913
Date Published2025 Apr 01
ISSN1572-0241
KeywordsAdult, Aged, Anxiety, Caregivers, Cross-Sectional Studies, Depression, Female, Humans, Liver Cirrhosis, Male, Middle Aged, Prevalence, Psychological Distress, Stress, Psychological
Abstract

INTRODUCTION: Little is known about the interdependence of psychological distress among patients with decompensated cirrhosis and their caregivers.

METHODS: In this cross-sectional study, we examined the interdependence of psychological distress (Hospital Anxiety and Depression Scale) among 127 patient-caregiver dyads using Actor-Partner Interdependence Modeling.

RESULTS: Among dyads, 26% had both partners reporting clinically significant anxiety and 18% reporting clinically significant depression. Caregiver anxiety significantly predicted patient depression (standardized β = 0.18, P = 0.03).

DISCUSSION: Psychological distress was prevalent and interdependent among dyads. These results underscore the need to develop interventions to reduce psychological distress in both patients with decompensated cirrhosis and their caregivers.

DOI10.14309/ajg.0000000000003158
Alternate JournalAm J Gastroenterol
PubMed ID39450861
Grant ListClinical, Translational and Outcomes Research Award / / American Association for the Study of Liver Diseases /
Sojourns Scholar Leadership Program Award / / Cambia Health Foundation /