Behavioural disturbances in dementia patients and quality of the marital relationship
Behavioural disturbances in dementia patients and quality of the marital relationship
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DOI：
10.1002/gps.807
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发表时间：
2003-02-01
影响因子：
4
通讯作者：
Verhey, FRJ
中科院分区：
文献类型：
--
作者：
de Vugt, ME;Stevens, F;Verhey, FRJ
目的探讨痴呆患者行为问题与婚姻关系变化的关系。方法对53例痴呆患者配偶照顾者进行调查。问卷调查和访谈被用来检查照顾者对他们关系质量变化的看法。用神经精神量表（NPI）测量患者的行为障碍。结果照顾者与配偶的关系出现恶化，但与此同时，大多数人感到与配偶的关系比过去更亲密。回归分析显示，患者行为问题与患者认知状态或功能障碍无关，与患者和护理者之间关系质量的恶化有关。患者的冷漠而不是抑郁情绪与这种恶化有关。冷漠减少了伴侣之间互动的数量和互惠性。结论对夫妻关系恶化影响最大的是被动行为，而不是过度行为。当痴呆患者出现问题行为，特别是冷漠时，干预方案应针对关系问题。版权所有：John Wiley Sons， Ltd。
Objectives To investigate the relationship between behavioural problems in patients with dementia and changes in the marital relationship.Methods Fifty-three spouse caregivers of patients with dementia participated in the study. Questionnaires and interviews were used to examine caregiver perception of changes in the quality of their relationship. Behavioural disturbances in the patient were measured with the NeuroPsychiatric Inventory (NPI).Results Caregivers experienced a deterioration of their relationship, yet at the same time most felt closer to their spouse now than in the past. Regression analysis revealed that patient behavioural problems were, independent of patient cognitive status or functional impairment, associated with deterioration in the quality of the relationship between patient and caregiver. Patient apathy rather than depressive mood was associated with this deterioration. Apathy diminished the amount and reciprocity of interactions between partners.Conclusions These results show that passive behaviour rather than excessive behaviour has most impact on the deterioration of the marital relationship. Intervention programmes should target relationship problems when problem behaviour, especially apathy, is present in patients with dementia. Copyright (C) 2003 John Wiley Sons, Ltd.