Failures in Reflective Functioning and Reported Symptoms of Anxiety and Depression in Bereaved Individuals: A Study on a Sample of Family Caregivers of Palliative Care Patients
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedure
2.3. Measures
2.4. Statistical Analysis
3. Results
3.1. Demographic and Loss Characteristics of the Sample
3.2. Descriptive and Correlational Analyses between Anxiety, Depression, and Reflective Functioning
3.3. Regression Analyses for Anxiety
3.4. Regression Analyses for Depression
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | n (%) | M | SD |
---|---|---|---|
Age (in years) | 43.50 | 14.04 | |
Gender | |||
Male | 36 (22.9) | ||
Female | 121 (77.1) | ||
Education | |||
Primary or middle school diploma | 34 (21.7) | ||
High school diploma | 66 (42) | ||
Graduate | 57 (36.3) | ||
Work after loss | |||
Yes | 94 (59.87) | ||
No | 63 (40.13) | ||
Relation with the deceased loved one | |||
Son or daughter | 82 (52.3) | ||
Nephew | 32 (20.4) | ||
Spouse | 15 (9.5) | ||
Other (for example, brother-in-law) | 28 (17.8) | ||
Main caregiver | |||
Yes | 90 (57.3) | ||
No | 67 (42.7) | ||
Time since the loss (years) | 3.59 | 4.92 |
Variable | Min | Max | M | SD | 1. Time since the Loss (Years) | 2. HADS-A | 3. HADS-D | 4. RFQ U |
---|---|---|---|---|---|---|---|---|
1. Time since the loss (years) | 1 | 28 | 3.59 | 4.92 | ||||
2. HADS-A | 0 | 19 | 7.34 | 4.11 | 0.04 | |||
3. HADS-D | 0 | 18 | 6.22 | 3.56 | −0.16 * | 0.61 ** | ||
4. RFQ U | 0 | 2.50 | 0.95 | 0.53 | 0.08 | 0.17 * | 0.11 | |
5. RFQ C | 0 | 2.50 | 0.90 | 0.70 | −0.11 | −0.30 ** | −0.21 ** | −0.32 ** |
Predictor of Anxiety | B | b 95% CI [LL, UL] | β | sr2 | R | Fit | Difference |
---|---|---|---|---|---|---|---|
(Intercept) | 0.84 ** | [0.53, 1.15] | |||||
Age | −0.01 | [−0.01, 0.01] | −0.04 | −0.04 | −0.04 | ||
Gender | 0.44 ** | [0.25, 0.64] | 0.34 | 0.34 | 0.34 | ||
R2 = 0.115 ** | |||||||
(Intercept) | 0.86 ** | [0.34, 1.38] | |||||
Age | −0.01 | [−0.01, 0.01] | −0.05 | −0.04 | −0.04 | ||
Gender | 0.44 ** | [0.24, 0.65] | 0.34 | 0.33 | 0.34 | ||
Years from the loss | −0.01 | [−0.02, 0.02] | −0.14 | −0.01 | 0.01 | ||
Main caregiver | −0.01 | [−0.21, 0.19] | −0.01 | −0.01 | −0.03 | ||
R2 = 0.115 ** | ΔR2 = 0 | ||||||
(Intercept) | 0.89 ** | [0.38, 1.40] | |||||
Age | −8.97 | [−0.01, 0.01] | −0.01 | −0.01 | −0.04 | ||
Gender | 0.48 ** | [0.29, 0.66] | 0.36 | 0.38 | 0.34 | ||
Years from the loss | −0.01 | [−0.02, 0.01] | −0.04 | −0.05 | 0.01 | ||
Main caregiver | −0.02 | [−0.21, 0.17] | −0.02 | −0.02 | −0.03 | ||
RFQ Uncertainty | 0.12 | [−0.04, 0.28] | 0.11 | 0.12 | 0.17 | ||
RFQ Certainty | −0.23 ** | [−0.35, −0.11] | −0.29 | −0.29 | −0.30 | ||
R2 = 0.228 ** | ΔR2 = 0.112 |
Predictor of Depression | B | b 95% CI [LL, UL] | β | sr2 | R | Fit | Difference |
---|---|---|---|---|---|---|---|
(Intercept) | 0.59 ** | [0.29, 0.89] | |||||
Age | 0.01 | [−0.01, 0.01] | 0.05 | 0.05 | 0.05 | ||
Gender | 0.20 * | [0.01, 0.39] | 0.17 | 0.17 | 0.17 | ||
R2 = 0.030 | |||||||
(Intercept) | 1.12 ** | [0.63, 1.62] | |||||
Age | −0.01 | [−0.01, 0.01] | −0.06 | −0.05 | 0.05 | ||
Gender | 0.18 | [−0.01, 0.37] | 0.15 | 0.15 | 0.17 | ||
Years from the loss | −0.01 | [−0.03, 0.01] | −0.07 | −0.07 | −0.12 | ||
Main caregiver | −0.22 * | [−0.41, −0.04] | −0.21 | −0.19 | −0.23 | ||
R2 = 0.078 * | ΔR2 = 0.048 | ||||||
(Intercept) | 1.16 ** | [0.66, 1.66] | |||||
Age | −0.01 | [−0.01, 0.01] | −0.02 | −0.02 | 0.05 | ||
Gender | 0.20 * | [0.01, 0.39] | 0.16 | 0.17 | 0.17 | ||
Years from the loss | −0.01 | [−0.03, 0.01] | −0.09 | −0.09 | −0.12 | ||
Main caregiver | −0.23 * | [−0.41, −0.05] | −0.22 | −0.20 | −0.23 | ||
RFQ Uncertainty | 0.07 | [−0.09, 0.22] | 0.08 | 0.07 | 0.11 | ||
RFQ Certainty | −0.17 ** | [−0.29, −0.05] | 0.06 | −0.22 | −0.21 | ||
R2 = 0.144 ** | ΔR2 = 0.066 |
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Lenzo, V.; Sardella, A.; Musetti, A.; Petralia, M.C.; Grado, I.; Quattropani, M.C. Failures in Reflective Functioning and Reported Symptoms of Anxiety and Depression in Bereaved Individuals: A Study on a Sample of Family Caregivers of Palliative Care Patients. Int. J. Environ. Res. Public Health 2022, 19, 11930. https://doi.org/10.3390/ijerph191911930
Lenzo V, Sardella A, Musetti A, Petralia MC, Grado I, Quattropani MC. Failures in Reflective Functioning and Reported Symptoms of Anxiety and Depression in Bereaved Individuals: A Study on a Sample of Family Caregivers of Palliative Care Patients. International Journal of Environmental Research and Public Health. 2022; 19(19):11930. https://doi.org/10.3390/ijerph191911930
Chicago/Turabian StyleLenzo, Vittorio, Alberto Sardella, Alessandro Musetti, Maria Cristina Petralia, Irene Grado, and Maria C. Quattropani. 2022. "Failures in Reflective Functioning and Reported Symptoms of Anxiety and Depression in Bereaved Individuals: A Study on a Sample of Family Caregivers of Palliative Care Patients" International Journal of Environmental Research and Public Health 19, no. 19: 11930. https://doi.org/10.3390/ijerph191911930