Predicting anxiety and depression among family carers of people with Chronic Obstructive Pulmonary Disease
Predicting anxiety and depression among family carers of people with Chronic Obstructive Pulmonary Disease
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DOI：
10.1017/s1041610214000337
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发表时间：
2014-07-01
影响因子：
7
通讯作者：
Marques, Alda
中科院分区：
文献类型：
--
作者：
Jacome, Cristina;Figueiredo, Daniela;Marques, Alda
背景资料：慢性阻塞性肺疾病（COPD）可以高度失能，对家庭成员造成重大负担，然而，对家庭照顾者心理健康的研究有限。因此，本研究探讨了焦虑和抑郁症状的人与COPD及其predictors.Methods的家庭照顾者进行了横断面研究与家庭照顾者和各自的COPD患者。本研究以照顾者困难评估量表，探讨照顾者的照顾状况及负担感受。评估患者COPD严重程度和活动受限情况。医院焦虑和抑郁量表（HADS）被用来评估家庭照顾者和患者的焦虑和抑郁症状。结果：共纳入203名家庭护理者（58.2 ± 14.8岁; 75.4%为女性）和相应的COPD患者（69.2 ± 11.5岁; 36.5%为女性）。有临床意义的焦虑症状（HADS-焦虑>= 8）的家庭照顾者占63.5%（n = 129），抑郁症状（HADS-抑郁>= 8）的家庭照顾者占34%（n = 69），两者均占27.1%（n = 55）。感知负担[比值比（OR）1.04，95%置信区间（CI）= 1.01-1.06; 1.05，95% CI = 1.03-1.07]和患者活动受限（OR 1.32，95%CI = 1.01-1.79; 1.41，95%CI = 1.01-1.96）是焦虑和抑郁症状的显著预测因子。女性对焦虑症状有预测作用（OR 0.33，95%CI = 0.16-0.66），老年对抑郁症状有预测作用（OR 1.03，95%CI = 1.01-1.06）。知觉负担，女性，年龄较大，和病人的活动限制是这些令人痛苦的症状的预测因子。这些研究结果强调有必要解决家庭照顾者的需要，即通过调查支持性干预措施对家庭心理健康的有效性。
Background: Chronic Obstructive Pulmonary Disease (COPD) can be highly incapacitating, imposing a significant burden on family members, however, limited research has been conducted on psychological health of family carers. Thus, this study examined anxiety and depression symptoms in family carers of people with COPD and their predictors.Methods: A cross-sectional study was conducted with family carers and respective patients with COPD. The caregiving situation and the perceived burden, through the Carers' Assessment of Difficulties Index, were collected from family carers. Patients' COPD severity and activities limitation were assessed. The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression symptoms in family carers and patients. Scores >= 8 were considered clinically significant.Results: A total of 203 family carers (58.2 +/- 14.8 years old; 75.4% female) and respective patients with COPD (69.2 +/- 11.5 years old; 36.5% female) were included. Clinically significant anxiety symptoms (HADS-anxiety >= 8) were present in 63.5% (n = 129) of family carers, depression symptoms (HADS-depression >= 8) were in 34% (n = 69) and both were in 27.1% (n = 55). Perceived burden [odds ratio (OR) 1.04, 95% confidence intervals (CI) = 1.01-1.06; 1.05, 95% CI = 1.03-1.07] and patients' activities limitation (OR 1.32, 95% CI = 1.01-1.79; 1.41, 95% CI = 1.01-1.96) were significant predictors of anxiety and depression symptoms. Anxiety symptoms were also predicted by female gender (OR 0.33, 95% CI = 0.16-0.66) and depression symptoms by older age (OR 1.03, 95% CI = 1.01-1.06).Conclusion: Family carers of patients with COPD experience anxiety and depression symptoms. Perceived burden, female gender, older age, and patient's activities limitation were predictors of these distressing symptoms. These findings highlight the need to address family carers' needs, namely by investigating the effectiveness of supportive interventions on family's psychological health.