Carer distress: A prospective, population-based study
Carer distress: A prospective, population-based study
复制标题
DOI：
10.1016/j.socscimed.2005.01.001
复制
发表时间：
2005-08-01
影响因子：
5.4
通讯作者：
Hirst, M
中科院分区：
文献类型：
--
作者：
Hirst, M
本研究调查是否过渡到和退出无偿工作与发病或延迟恢复的心理困扰的风险增加，并跟踪在连续几年的护理活动，并在无偿工作已经停止后的困扰的患病率。该分析基于英国家庭小组调查的数据，涵盖20世纪90年代的3000名潜在护理人员、2900名前护理人员和11，100名非护理人员;他们的心理健康状况每年使用一般健康问卷进行评估。长时间提供护理的护理人员会增加痛苦程度，女性比男性更严重。与没有照顾者相比，随着每周照顾孩子的时间的增加，发生痛苦的风险逐渐增加。严重参与照顾者的心理健康的不利影响是最明显的开始时，他们的护理事件和当结束。持续的护理增加了他们对反复出现的痛苦的敏感性，在他们的尸体事件结束后，对健康的不利影响是显而易见的。与非照料者相比，一些照料者群体经历了心理健康不平等，特别是那些照料配偶或伴侣的人，以及照料生病或残疾儿童的母亲。研究结果强调了有效的照顾者支持和健康促进的重要性，早期识别照顾者，监测高风险群体，选择适当的干预措施，并有针对性地提供资源。(c)2005爱思唯尔有限公司保留所有权利。
This study investigates whether transitions into and out of unpaid caregiving are associated with increased risk for onset of or delayed recovery from psychological distress, and traces the prevalence of distress across successive years of caring activity and after caregiving has ceased. The analysis is based on data from the British Household Panel Survey covering 3000 would-be carers, 2900 former carers, and 11, 100 non-carers during the 1990s; their psychological wellbeing was assessed at annual intervals using the General Health Questionnaire. Carers providing long hours of care over extended spells present raised levels of distress, women more so than men. Compared with non-carers, risk for onset of distress increases progressively with the amount of time devoted to caregiving each week. Adverse effects on the psychological well-being of heavily involved carers are most pronounced around the start of their care episodes and when caregiving ends. Ongoing care increases their susceptibility to recurring distress, and adverse health effects are evident beyond the end of their carcgiving episodes. Several groups of carers experience psychological health inequalities compared with non-carers, especially those looking after a spouse or partner, and mothers caring for a sick or disabled child. The findings underline the importance for effective carer support and health promotion of early identification of carers, monitoring high risk groups, timing appropriate interventions, and targeting resources. (c) 2005 Elsevier Ltd. All rights reserved.