Characteristics of Depressed Caregivers of Veterans With Dementia
Characteristics of Depressed Caregivers of Veterans With Dementia
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DOI：
10.1177/1533317512461555
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发表时间：
2015-11-01
影响因子：
3.4
通讯作者：
Kunik, Mark E.
中科院分区：
文献类型：
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作者：
Bejjani, Carla;Snow, A. Lynn;Kunik, Mark E.
这项研究调查了照顾者和痴呆症患者(PWD)的特征，以确定他们与照顾者抑郁的关联。参与者包括来自波士顿、休斯顿、普罗维登斯、德克萨斯州博蒙特和俄克拉何马城的508名PWD(退伍军人)和486名照顾者，他们从医疗记录中的诊断中识别出来，并于2007年2月至2009年7月招募参加一项更大的研究，评估护理协调干预-痴呆症护理中的合作伙伴。评估的特征包括日常生活活动、日常生活工具活动、认知障碍和破坏性行为。评估的照顾者特征包括照顾者未得到满足的需求、支持服务的使用和非正式帮助者的数量。照顾者抑郁使用爱荷华州流行病学研究中心11个条目的抑郁量表进行测量。抑郁的照顾者报告的未得到满足的需求比非抑郁的照顾者多得多。抑郁的照顾者也报告了他们的PWD中有高频率的破坏性行为。照顾者对未得到满足的需求的看法可能是干预的重要目标。
This study examined the characteristics of caregivers and persons with dementia (PWD) to determine their association with caregiver depression. Participants included 508 PWD (veterans) and 486 caregivers from Boston, Houston, Providence, Beaumont (Texas), and Oklahoma City, identified from diagnoses from medical records and recruited from February 2007 to July 2009, for a larger study evaluating Partners in Dementia Care, a care-coordination intervention. Characteristics evaluated for PWD included activities of daily living, instrumental activities of daily living, cognitive impairment, and disruptive behavior. Caregiver characteristics evaluated included caregiver unmet needs, support-service use, and number of informal helpers. Caregiver depression was measured using the Iowa form 11-item Center for Epidemiologic Studies Depression Scale. Depressed caregivers reported significantly more unmet needs than the nondepressed caregivers. Depressed caregivers also reported a high frequency of disruptive behavior in their PWD. Caregiver perceptions of unmet needs may be an important target for intervention.