Hermann Faller1,2, André Strahl1, Matthias Richard1, Christiane Niehues3,4, Karin Meng1. 1. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Würzburg, Würzburg, Germany. 2. Comprehensive Cancer Center Mainfranken, University of Würzburg, Würzburg, Germany. 3. Reha-Zentrum Ückeritz, Klinik Ostseeblick, Ückeritz, Germany`. 4. Deutsche Rentenversicherung Bund, Berlin, Germany.
Abstract
OBJECTIVE: Previous research has demonstrated associations between satisfaction with information and reduced emotional distress in cancer patients. However, as most studies were cross-sectional, the direction of this relationship remained unclear. We therefore aimed to test whether information satisfaction predicted subsequent depression and anxiety levels, and, reciprocally, depression and anxiety levels predicted subsequent information satisfaction, thus clarifying the direction of impact. METHODS: We performed a secondary analysis of a prospective cohort study with 436 female breast cancer patients (mean age 51 years). We measured information satisfaction with 2 self-developed items, symptoms of depression with the 2-item Patient Heath Questionnaire and symptoms of anxiety with the 2-item Generalized Anxiety Disorder Scale. We created 2 structural equation models, 1 for depression and 1 for anxiety, that examined the prediction of 1-year depression (or anxiety) levels by baseline information satisfaction and, in the same model, 1-year information satisfaction by baseline depression (or anxiety) levels (cross-lagged panel analysis). RESULTS: Baseline information satisfaction predicted 1-year levels of both depression (beta = -0.17, P < .01) and anxiety (beta = -0.13, P < .01), adjusting for the baseline scores of the outcome variables. Conversely, baseline levels of depression (beta = -0.12, P < .05) and anxiety (beta = -0.16, P < .01) predicted 1-year information satisfaction, adjusting for its baseline score. CONCLUSION: Our results suggest a bidirectional relationship between information satisfaction and symptoms of depression and anxiety. Thus, provision of information may reduce subsequent depression and anxiety, while reducing depression and anxiety levels may increase satisfaction with received information. Combining the provision of information with emotional support may be particularly beneficial.
OBJECTIVE: Previous research has demonstrated associations between satisfaction with information and reduced emotional distress in cancerpatients. However, as most studies were cross-sectional, the direction of this relationship remained unclear. We therefore aimed to test whether information satisfaction predicted subsequent depression and anxiety levels, and, reciprocally, depression and anxiety levels predicted subsequent information satisfaction, thus clarifying the direction of impact. METHODS: We performed a secondary analysis of a prospective cohort study with 436 female breast cancerpatients (mean age 51 years). We measured information satisfaction with 2 self-developed items, symptoms of depression with the 2-item Patient Heath Questionnaire and symptoms of anxiety with the 2-item Generalized Anxiety Disorder Scale. We created 2 structural equation models, 1 for depression and 1 for anxiety, that examined the prediction of 1-year depression (or anxiety) levels by baseline information satisfaction and, in the same model, 1-year information satisfaction by baseline depression (or anxiety) levels (cross-lagged panel analysis). RESULTS: Baseline information satisfaction predicted 1-year levels of both depression (beta = -0.17, P < .01) and anxiety (beta = -0.13, P < .01), adjusting for the baseline scores of the outcome variables. Conversely, baseline levels of depression (beta = -0.12, P < .05) and anxiety (beta = -0.16, P < .01) predicted 1-year information satisfaction, adjusting for its baseline score. CONCLUSION: Our results suggest a bidirectional relationship between information satisfaction and symptoms of depression and anxiety. Thus, provision of information may reduce subsequent depression and anxiety, while reducing depression and anxiety levels may increase satisfaction with received information. Combining the provision of information with emotional support may be particularly beneficial.
Authors: L D de Hosson; G Bouma; J Stelwagen; H van Essen; G H de Bock; D J A de Groot; E G E de Vries; A M E Walenkamp Journal: Orphanet J Rare Dis Date: 2019-02-28 Impact factor: 4.123
Authors: Simone Oerlemans; Lindy Paulina Johanna Arts; Jacobien M Kieffer; Judith Prins; Mels Hoogendoorn; Marjolein van der Poel; Ad Koster; Chantal Lensen; Wendy Bernadina Catharina Stevens; Djamila Issa; Johannes F M Pruijt; Margriet Oosterveld; René van der Griend; Marten Nijziel; Lidwine Tick; Eduardus F M Posthuma; Lonneke V van de Poll-Franse Journal: J Med Internet Res Date: 2021-12-14 Impact factor: 5.428