OBJECTIVES Little is known about the interdependence of psychological distress among patients with decompensated cirrhosis (DC) 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 (β=0.20, p=0.02). CONCLUSIONS Psychological distress was prevalent and interdependent among dyads. These results underscore the need to develop interventions to reduce psychological distress in both patients with DC and their caregivers.

中文翻译：

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心理困扰在失代偿期肝硬化患者及其护理人员中普遍存在且相互依存。


目的 关于失代偿性肝硬化 （DC） 患者及其护理人员之间心理困扰的相互依存性知之甚少。方法 在这项横断面研究中，我们使用演员-伴侣相互依赖模型检查了 127 个患者-护理人员二元组的心理困扰（医院焦虑和抑郁量表）的相互依赖性。结果在二人组中，26% 的伴侣双方都报告了临床上显着的焦虑，18% 的人报告了临床上显着的抑郁。照顾者焦虑显著预测患者抑郁 （β=0.20，p=0.02）。结论 心理困扰在二人组中普遍存在且相互依赖。这些结果强调了制定干预措施以减少 DC 患者及其护理人员的心理困扰的必要性。