Depression and anxiety in pet owners after a diagnosis of cancer in their pets: a cross-sectional study in Japan.

Nakano, Yuko; Matsushima, Masato; Nakamori, Azusa; Hiroma, Junshiro; Matsuo, Eiji; Wakabayashi, Hidetaka; Yoshida, Shuhei; Ichikawa, Hiroko et al. · BMJ Open · 2019

cross_sectional · Level IV

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Abstract

To determine the presence and predictors of depression and anxiety in pet owners after a diagnosis of cancer in their pets. Cross-sectional study. A veterinary medical centre specialised in oncology for dogs and cats and two primary veterinary clinics in Japan. The participants for analysis were 99 owners of a pet with cancer diagnosis received in the past 1-3 weeks and 94 owners of a healthy pet. Self-reported questionnaires were used to assess depression and anxiety. Depression was assessed using the Center of Epidemiologic Studies Depression Scale, and anxiety was measured by using the State-Trait Anxiety Inventory-Form JYZ. Depression scores were significantly higher in owners of a pet with cancer than owners of a healthy pet, even after adjustment for potential confounders (p<0.001). Within the owners of a pet with cancer, depression was significantly more common in those who were employed than those who were unemployed (p=0.048). State anxiety scores were significantly higher in owners of a pet with cancer than owners of a healthy pet, even after adjustment for potential confounders, including trait-anxiety scores (p<0.001). Furthermore, in owners of a pet with cancer, state anxiety was higher in owners with high trait anxiety (p<0.001) and in owners whose pets had a poor prognosis (p=0.027). The results indicate that some owners tended to become depressed and anxious after their pets had received a diagnosis of cancer. Employment may be a predictor of depression. High trait anxiety and a pet with a poor prognosis may increase owners' state anxiety. Including the pet in a family genogram and attention to the pet's health condition may be important considerations for family practice.

Medical subject headings