Predictors of postbereavement depressive symptomatology among family caregivers of cancer patients.
Predictors of postbereavement depressive symptomatology among family caregivers of cancer patients.
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癌症患者家庭护理人员丧亲后抑郁症状的预测因素。
DOI：
10.1007/bf01681962
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Given,B
中科院分区：
文献类型：
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作者：
Kurtz,ME;Kurtz,JC;Given,CW;Given,B
本研究调查了癌症患者死亡后家庭照顾者最近丧亲的后遗症的两个方面：(1)根据患者死亡前几个月的抑郁症状水平、他们的身体健康状况、患者死亡的背景、患者的年龄、照顾者的性别、血缘关系、经济压力、家人和朋友在临终阶段来自家人和朋友的社会支持、照顾者活动对照顾者日常安排的影响、照顾者的乐观情绪、归因于照看的感知尊重、以及死亡和丧亲评估之间的时间；以及(2)这些相同的解释变量能否成功地区分那些在丧亲后前3个月心理健康状况有所改善的失去亲人的照顾者和那些没有改善的人。对114名癌症患者的家庭照顾者的样本进行了调查，调查时间为患者死亡前约3个月和死亡后约3个月。使用回归方法进行多变量方差分析，以确定丧亲后抑郁症状的主要预测因素。此外，Logistic回归分析被用来试图预测那些在丧亲后期间抑郁症状将会改善的照顾者。决定丧亲后抑郁症状水平的关键因素是照顾者的乐观情绪、丧亲前抑郁症状和朋友的社会支持水平。照顾者的乐观情绪和丧亲前的抑郁症状在预测照顾者的抑郁症状是否会改善方面很重要。医生必须意识到，如果患者的社会史显示，他/她预计或最近经历了他们作为主要照顾者的家庭成员的丧失，这些信息可能是确定患者表现出的疾病行为是否有医学或心理社会根源的关键。
The present study investigated two aspects of the sequelae of recent bereavement among family caregivers following the death of their cancer patient: (1) the extent to which depressive symptomatology among family caregivers measured following the death of their patient could be predicted by their levels of depressive symptomatology in the months prior to death, their physical health, the setting in which the patient's death occurred, patient age, gender of the caregiver, consanguinity, financial stress, social support from family and friends during the terminal stage, impact of caregiving activities on caregiver's daily schedule, caregiver optimism, perceived esteem attributed to caregiving, the time between the prebereavement assessment and death, and the time between death and the postbereavement assessment; and (2) whether these same explanatory variables could successfully differentiate those bereaved caregivers whose psychological health improved during the first 3 months following bereavement from those who did not improve. A sample of 114 family caregivers of cancer patients were surveyed for approximately 3 months before and 3 months after the death of their patient. A multivariate analysis of variance using the regression approach was undertaken to determine the primary predictors of postbereavement depressive symptomatology. In addition, a logistic regression analysis was used to attempt to predict those caregivers whose depressive symptomatology would improve during the postbereavement period. Critical factors in determining levels of postbereavement depressive symptomatology were caregiver optimism, prebereavement depressive symptomatology, and levels of social support from friends. Caregiver optimism and prebereavement depressive symptomatology were important in predicting whether caregivers' depressive symptomatology would improve or not. Physicians must be aware that if the social history of a patient reveals that he/she is anticipating or has recently experienced the loss of a family member for whom they were the primary caregiver, this information may be critical in determining whether the illness behavior exhibited by the patient has medical or psychosocial origins.