Blood Res 2019; 54(2): 137-143  https://doi.org/10.5045/br.2019.54.2.137
Comparison of quality of life and depression between hematopoietic stem cell transplantation survivors and their spouse caregivers
Silvia Park1,2, Eun-kyung Choi4, Im-Ryung Kim4, Juhee Cho4,5,6, Jun Ho Jang3 
1Department of Hematology, Catholic Hematology Hospital, Seoul St. Mary’s Hospital, 2Leukemia Research Institute, College of Medicine, The Catholic University of Korea, 3Division of Hematology-Oncology, Department of Medicine, 4Cancer Education Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, 5Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Korea, 6Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Correspondence to: Jun Ho Jang, M.D., Ph.D., Juhee Cho, Ph.D.
Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea (J.H.J.)
Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea (J.C.)
E-mail: J.H.J., jh21.jang@samsung.com, J.C., jcho@skku.edu
Received: October 30, 2018; Revised: March 30, 2019; Accepted: April 1, 2019; Published online: June 30, 2019.
© The Korean Journal of Hematology. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background
Hematopoietic stem cell transplantation (HSCT) is an exhausting process that impacts both the patient and caregiver.
Methods
This was a cross-sectional, HSCT survivor-spouse caregiver matching study to determine quality of life (QoL) and depression among HSCT survivors and their caregivers. QoL and depression were measured with the World Health Organization Quality of Life: Brief Version (26 items) and the 9-item Patient Health Questionnaire, respectively. Data from 97 married couples were analyzed.
Results
There were no significant differences in overall QoL and psychological, social, and environmental health between survivors and spouse caregivers (P=0.345, 0.424, 0.415, and 0.253); however, physical QoL was better in the spouse caregiver group (P=0.011). There was no difference in mean depression scale scores (5.3 vs. 5.1, P=0.812) or proportion of severe depression (15.6% vs. 13.7%, P=0.270) between the two groups. We found that family income had a significant impact on overall QoL and environmental health among spouse caregivers (P=0.013 and 0.023), and female gender, co-morbidities, and family income were the important factors associated with depression among spouse caregivers (P=0.007, 0.017 and 0.049).
Conclusion
This study found that there were no significant differences in QoL or level of depression between HSCT survivors and their spouse caregivers. Family income, gender, and co-morbidities showed significant association with spouse caregiver distress.
Keywords: Hematopoietic stem cell transplantation, Survivor, Caregiver, Quality of life, Depression


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