ArticleFrontiers in medicine2026
Longitudinal investigation of psychological adaptation and its determinants in primary caregivers following thyroid cancer surgery.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aimed to explore the psychological adaptation status of primary caregivers of postoperative thyroid cancer patients and its influencing factors, and to analyze the relationships among caregiver burden, caregiving competence, and psychological adaptation. Methods: A 6-month longitudinal survey was conducted with 398 patient-caregiver dyads across four time points: T0 (1 day before discharge), T1 (1 month postoperatively), T2 (3 months postoperatively), and T3 (6 months postoperatively). Psychological adaptation was measured using the Psychological Adaptation Scale (PAS), caregiver burden with the Zarit Burden Interview (ZBI), and caregiving competence with the Family Caregiver Task Inventory (FCTI). Statistical analyses included repeated-measures ANOVA, Pearson correlation, and Generalized Estimating Equations (GEE). Results: A total of 398 questionnaires were distributed, of which 387 were valid, yielding a response rate of 97.23%. The psychological adaptation scores of caregivers increased significantly from T0 to T3 ( Conclusion: The psychological adjustment levels of primary carers of patients who have undergone thyroid cancer surgery showed a significant upward trend in the 6 months following the operation, whilst their caregiving capacity and caregiving burden showed a significant downward trend over the same period. Caregivers who have less capacity to care and who are under more of a burden tend to have a poorer psychological adjustment.
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