As shown in Figure 4, all eight trajectories for morning fatigue decreased over time. FCs with the highest levels of morning fatigue reported higher levels of trait anxiety, lower levels of family support, and cared for patients with higher levels of morning fatigue at the time of the simulation visit. The morning fatigue scores reported by these FCs (M = 4.63) were above the cutpoint for clinically significant levels of morning fatigue (i.e., ≥ 3.2 on the LFS; Fletcher et al., 2008). In only one other study was a positive association between anxiety and fatigue found in FCs of oncology patients (Gaston-Johansson et al., 2004).