Group-based trajectory modeling of caregiver psychological distress over time.
Group-based trajectory modeling of caregiver psychological distress over time.
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DOI：
10.1007/s12160-012-9371-8
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发表时间：
2012-08
影响因子：
3.8
通讯作者：
Sherwood, Paula R.
中科院分区：
文献类型：
--
作者：
Choi, Chien-Wen J.;Stone, Roslyn A.;Kim, Kevin H.;Ren, Dianxu;Schulz, Richard;Given, Charles W.;Given, Barbara A.;Sherwood, Paula R.
关键词：
相互竞争的适应理论和磨损理论描述了家庭照顾者的心理困扰模式。本研究旨在描述家庭护理人员的心理困扰模式并确定预测因素。 103 名患有原发性恶性脑肿瘤的护理接受者的护理人员在诊断后 1、4、8 和 12 个月内就心理困扰接受了采访；就临床/功能特征对护理接受者进行了访谈。基于组的轨迹模型确定了纵向遇险模式，加权逻辑/多项回归模型确定了遇险轨迹的预测因素。基于群体的轨迹模型确定了高减少（51.1 % 的照顾者）和持续低（48.9 %）的抑郁症状轨迹，高减少（75.5 %）和低减少（24.5 %）的焦虑轨迹，以及高（37.5 %）、中度（40.9 %）和低减少（21.6 %）的照顾者负担轨迹。高度抑郁症状与焦虑和负担的高轨迹、较低的照顾者年龄、收入和社会支持以及较低的照顾者功能相关。我们的数据支持适应假设；干预措施应针对那些有持续痛苦风险的人。
Competing theories of adaptation and wear-and-tear describe psychological distress patterns among family caregivers. This study seeks to characterize psychological distress patterns in family caregivers and identify predictors. One hundred three caregivers of care recipients with primary malignant brain tumors were interviewed within 1, 4, 8, and 12 months post-diagnosis regarding psychological distress; care recipients were interviewed regarding clinical/functional characteristics. Group-based trajectory modeling identified longitudinal distress patterns, and weighted logistic/multinomial regression models identified predictors of distress trajectories. Group-based trajectory modeling identified high-decreasing (51.1 % of caregivers) and consistently low (48.9 %) depressive symptom trajectories, high-decreasing (75.5 %) and low-decreasing (24.5 %) anxiety trajectories, and high (37.5 %), moderate (40.9 %), and low-decreasing (21.6 %) caregiver burden trajectories. High depressive symptoms were associated with high trajectories for both anxiety and burden, lower caregivers age, income, and social support, and lower care recipient functioning. Our data support the adaptation hypothesis; interventions should target those at risk for persistent distress.
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影响因子：
2.6
作者：
Carter, Patricia A.
通讯作者：
Carter, Patricia A.
影响因子：
3.7
作者：
Li, LW;Seltzer, MM;Greenberg, JS
通讯作者：
Greenberg, JS
DOI：
10.1076/jcen.25.8.1090.16735
发表时间：
2003-12-01
影响因子：
2.2
作者：
Ergh, TC;Hanks, RA;Coleman, RD
通讯作者：
Coleman, RD
影响因子：
2
作者：
GIVEN, CW;GIVEN, B;FRANKLIN, S
通讯作者：
FRANKLIN, S
影响因子：
1.9
作者：
Carter, Patricia A
通讯作者：
Carter, Patricia A