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

BMJ Open. 2019 Feb 19;9(2):e024512. doi: 10.1136/bmjopen-2018-024512.

Abstract

Objective: To determine the presence and predictors of depression and anxiety in pet owners after a diagnosis of cancer in their pets.

Design: Cross-sectional study.

Setting: A veterinary medical centre specialised in oncology for dogs and cats and two primary veterinary clinics in Japan.

Participants: 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.

Main outcome measures: 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.

Results: 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).

Conclusion: 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.

Keywords: anxiety; depression; family genogram; family practice; pet cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Animals
  • Anxiety / epidemiology*
  • Case-Control Studies
  • Cats
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Dogs
  • Employment / statistics & numerical data
  • Female
  • Human-Animal Bond
  • Humans
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Neoplasms / veterinary*
  • Ownership
  • Pets*
  • Surveys and Questionnaires
  • Young Adult