Longitudinal investigation of psychological adaptation and its determinants in primary caregivers following thyroid cancer surgery
By
Juhua Li
Qian Zhou
May 29, 2026
Clinical Scorecard: A Longitudinal Study on Psychological Adjustment and Influencing Factors in Primary Caregivers of Thyroid Cancer Surgery Patients
At a Glance
Category Detail
Condition Thyroid Cancer Postoperative Care
Key Mechanisms Psychological adaptation, caregiver burden, caregiving competence
Target Population Primary caregivers of thyroid cancer surgery patients
Care Setting Postoperative care in a hospital setting
Key Highlights
Psychological adaptation scores of caregivers increased significantly over 6 months post-surgery. Caregiver burden and caregiving competence showed significant downward trends during the same period. Having one caregiver and higher monthly income positively predicted psychological adaptation. Caregiver burden (ZBI) and caregiving competence (FCTI) negatively predicted psychological adaptation.
Guideline-Based Recommendations
Diagnosis
Utilize the Psychological Adaptation Scale (PAS) for assessing psychological adaptation.
Management
Monitor caregiver burden using the Zarit Burden Interview (ZBI). Evaluate caregiving competence with the Family Caregiver Task Inventory (FCTI).
Monitoring & Follow-up
Conduct repeated assessments at multiple time points (T0, T1, T2, T3) to track changes.
Risks
High caregiver burden is a stable risk factor for anxiety and depression in caregivers.
Patient & Prescribing Data
Postoperative thyroid cancer patients and their primary caregivers
Caregiver psychological health directly impacts patient recovery and quality of life.
Clinical Best Practices
Provide emotional support to caregivers to mitigate perceived burden. Encourage caregiver education to enhance caregiving competence.
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