Depressive Symptoms and Caregiving Intensity Before and After Onset of Dementia in Partners: A Retrospective, Observational Study.
Depressive Symptoms and Caregiving Intensity Before and After Onset of Dementia in Partners: A Retrospective, Observational Study.
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DOI：
10.1097/mlr.0000000000001771
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发表时间：
2022-11-01
期刊：
影响因子：
3
通讯作者：
Hoffman, Geoffrey J.
中科院分区：
文献类型：
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作者：
Harris, Melissa L.;Errickson, Josh;Ha, Jinkyung;Hoffman, Geoffrey J.
照顾患有痴呆症的伴侣会带来巨大的情感负担和很高的护理要求，但痴呆症发作前后的影响变化尚不清楚。检查抑郁症状的变化以及护理人员在其伴侣认知能力下降过程中提供的护理时间的变化。使用 2000 年至 2016 年健康与退休研究和计数模型的家庭调查数据和计数模型进行回顾性观察研究，以评估老年人（年龄≥51 岁）的抑郁症状（使用简化的流行病学研究中心抑郁量表进行测量）以及其伴侣痴呆发作前后十年内的每周护理情况（通过电话访谈认知状态筛查进行识别）。对关系进行了总体检查，并按性别和种族进行了检查。我们对 1,836 名老年护理人员（其伴侣患有痴呆症）进行了 8,298 项观察。从伴侣痴呆发生之前到之后，护理人员的平均抑郁症状从 1.4 (1.9) 增加到 1.9 (2.1) (p<0.001)，每周护理时间从 4.4 (19.7) 增加到 20.8 (44.1) (p<0.001) 小时。与男性相比，女性的抑郁症状和护理时间更长。与白人相比，黑人的抑郁症状更高，而白人的护理时间更长。在伴侣痴呆症发作之前，护理人员抑郁症状和护理时间的预期数量增加了 3% (p<0.001) 和 9% (p=0.001)，在伴侣痴呆症发作后分别减少了 2% (p<0.001) 和 1% (p=0.63)。没有观察到性别或种族差异。在伴侣患痴呆症之前，照顾者的抑郁症状和工具负担会大幅增加。尽早转诊至专业服务至关重要。
Caring for a partner with dementia poses significant emotional burden and high care demands, but changes in impacts before and after dementia onset is unclear. Examine changes in depressive symptoms and hours of care provided by caregivers through the course of their partners’ cognitive decline. Retrospective, observational study using household survey data from 2000–2016 Health and Retirement Study and count models to evaluate older individuals’ (ages ≥51 years) depressive symptoms (measured using the shortened Center for Epidemiologic Studies Depression Scale) and weekly caregiving in the ten years before and after their partners’ dementia onset (identified using Telephone Interview Cognitive Status screening). Relationships were examined overall and by sex and race. We identified 8,298 observations for 1,836 older caregivers whose partners developed dementia. From before to after partners’ dementia onset, caregivers’ mean (SD) depressive symptoms increased from 1.4 (1.9) to 1.9 (2.1) (p<0.001) and weekly caregiving increased from 4.4 (19.7) to 20.8 (44.1) (p<0.001) hours. Depressive symptoms and caregiving hours were higher for women compared to men. Depressive symptoms were higher for Blacks compared to Whites, while caregiving hours were higher for Whites. The expected count of caregivers’ depressive symptoms and caregiving hours increased by 3% (p<0.001) and 9% (p=0.001) prior to partners’ dementia onset and decreased by 2% (p<0.001) and 1% (p=0.63) following partners’ dementia onset. No differences observed by sex or race. Depressive symptoms and instrumental burdens for caregivers increase substantially before onset of dementia in partners. Early referral to specialty services is critical.
DOI：
10.3390/ijerph7010009
发表时间：
2010-01
影响因子：
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作者：
Hidayat B;Pokhrel S
通讯作者：
Pokhrel S