The Psychological Impact of COVID-19 Pandemic and Lockdown on Caregivers of People With Dementia.
The Psychological Impact of COVID-19 Pandemic and Lockdown on Caregivers of People With Dementia.
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DOI：
10.1016/j.jagp.2020.10.009
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Santangelo G
中科院分区：
文献类型：
--
作者：
Altieri M;Santangelo G
本研究主要解决的问题是什么？-我们进行了一项研究，以测量意大利痴呆症患者护理人员在COVID-19隔离或自我隔离期间心理症状的变化，并调查复原力水平是否与样本中的心理变化相关。 这项研究的主要发现是什么？痴呆症患者的照顾者在隔离期间比之前表现出更高的抑郁水平。虽然高弹性的照顾者在基线时表现出较低的焦虑和抑郁评分，但他们在锁定期间显着增加了他们的焦虑水平，而低弹性的照顾者则没有。 这一发现的意义是什么？2019冠状病毒病大流行和封锁对痴呆症患者的照顾者产生了心理影响;令人惊讶的是，高水平的复原力对封锁期间的焦虑水平产生了负面影响。痴呆症患者的照顾者（痴呆症）有抑郁、焦虑和负担的风险。2019冠状病毒病大流行和政府实施的封锁作为预防措施可能会增加照顾者的心理症状。作者进行了一项研究，以测量在COVID-19隔离或自我隔离期间，意大利照顾者中的心理症状的变化，并调查弹性是否与样本中的心理变化有关。84名护理人员完成了一项在线调查，包括问卷评估抑郁症和焦虑之前和期间的封锁，照顾者的负担和弹性水平。多变量方差分析结果显示，时间因素（禁闭前和禁闭期间）对抑郁评分有影响;时间因素和复原力因素对焦虑评分有显著的交互作用，高复原力照顾者在禁闭期间的焦虑水平显著高于低复原力照顾者。此外，回归分析显示，照顾者负担与弹性得分呈负相关，与较高的功能依赖呈正相关。2019冠状病毒病大流行和封锁对糖尿病患者的照顾者产生了心理影响，抑郁程度增加。此外，高弹性对焦虑水平有负面影响，对封锁期间的抑郁情绪没有影响;此外，它与较低水平的照顾者负担有关。所有照顾者，即使是那些具有高复原力的人，都应该接受心理干预，以减少抑郁、焦虑和照顾者负担。
What is the primary question addressed by this study?—We performed a study to measure the change of psychological symptoms during quarantine or self-isolation for COVID-19 in a sample of Italian caregivers of people with dementia, and to investigate whether resilience levels are associated with psychological changes in the sample. What is the main finding of this study?—Caregivers of people with dementia showed higher depression levels during the quarantine then before. Although caregivers with high resilience showed lower anxiety and depression scores at baseline, they significantly increased their anxiety levels during lockdown, while caregivers with low resilience did not. What is the meaning of the finding?—COVID-19 pandemic and lockdown produced psychological consequences in caregivers of people with dementia; surprisingly, high levels of resilience had a negative effect on anxiety levels during the lockdown. Caregivers of people with dementia (pwD) are at risk of depression, anxiety, and burden. COVID-19 pandemic and government-imposed lockdown as a preventive measure might increase psychological symptoms in caregivers. The authors performed a study to measure the change of psychological symptoms during quarantine or self-isolation for COVID-19 in a sample of Italian caregivers of pwD, and to investigate if the resilience is associated with psychological changes in the sample. Eighty-four caregivers of pwD completed an online survey including questionnaires assessing depressive symptomatology and anxiety before and during the lockdown, caregiver burden and levels of resilience. The multivariate analysis of variance revealed an effect of time (before and during the lockdown) in the whole group on depression scores; a significant interaction between time and resilience was found on anxiety scores, revealing that caregivers with high resilience showed a more significant increase of anxiety levels during lockdown than caregivers with low resilience. Moreover, the regression analysis revealed that caregiver burden was associated negatively with resilience scores, and positively with higher functional dependence. COVID-19 pandemic and the lockdown produced psychological consequences in caregivers of pwD, with an increase of levels of depression. Moreover, high resilience had a negative effect on anxiety levels and no effect on depressive symptomatology during the lockdown; moreover, it was associated with lower levels of caregiver burden. All caregivers, even those with high resilience levels, should be addressed to psychological interventions to reduce levels of depression, anxiety and caregiver burden.
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