Caregiver burden mediates between caregiver's mental health condition and elder's behavioral problems among Japanese family caregivers
Caregiver burden mediates between caregiver's mental health condition and elder's behavioral problems among Japanese family caregivers
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日本家庭照顾者中照顾者负担在照顾者心理健康状况与老年人行为问题之间起中介作用
DOI：
10.1080/13607863.2013.827625
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发表时间：
2014
影响因子：
3.4
通讯作者：
Honda S.
中科院分区：
文献类型：
--
作者：
Honda A;Abe Y;Aoyagi K;Honda S.
目的：据报道，在日本，每4个家庭照顾者中就有1个人患有抑郁症。本研究的目的是调查照料者中与心理健康状况相关的自我评估的负担。方法：在横断面研究中，我们研究了95名年龄在38-87岁的照顾者。一般健康问卷(GHQ-12)得分大于或等于4分为心理健康不良。结果：照顾者心理健康不良的比例为24%。与GHQ-12得分低的照顾者相比，具有高GHQ-12得分的照顾者的照顾者负担的数量增加了2.5倍(p=0.001)。随着照顾者中行为问题数量的增加，具有高GHQ-12得分的照顾者的比例显著增加(p=0.003)。一个中介模型被用来确定照顾者中行为问题的数量和心理健康不良之间关系的潜在机制。因此，我们发现照顾者的心理健康状况与照顾者负担的数量和照顾者的行为问题有关。结论：不仅要为照顾者提供支持，而且要为他们的老年亲属提供支持，特别是要注意及早发现照顾者的心理健康状况不佳，以便进行有效的干预，并为如何处理行为问题提供有用的建议。
Objectives:In Japan, the prevalence of depression has been reported to occur among 1 in 4 family caregivers. The purpose of this study was to investigate the self-rated burden associated with mental health conditions among caregivers.Methods:We studied 95 caregivers aged 38–87 years in a cross-sectional study. The General Health Questionnaire (GHQ-12) score of 4 or more was defined as poor mental health.Results:The proportion of caregivers with poor mental health was 24%. Caregivers with a high GHQ-12 score had the number of caregiver burdens increased by 2.5-fold compared to those with a low GHQ-12 score (p= 0.001). The proportion of caregivers with a high GHQ-12 score was significantly higher with an increasing number of behavioral problems among care recipients (p= 0.003). A mediational model was used to identify the underlying mechanism of the relationship between the number of behavioral problems and poor mental health in caregivers. Consequently, we found that mental health conditions in caregivers were associated with both the number of caregiver burdens and behavioral problems among care recipients.Conclusions:It is vital to provide support not only to the caregivers but also to their elderly relatives, paying particular attention to early identification of poor mental health in caregivers so as to administer effective interventions, and to offer useful advice concerning how to deal with behavioral problems.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.4
作者：
Au, Alma;Lai, Man-Kin;Gallagher-Thompson, Dolores
通讯作者：
Gallagher-Thompson, Dolores
压力下的家庭：老年痴呆症患者护理人员的干预措施。
影响因子：
2.5
作者：
S. Zarit;J. Zarit
通讯作者：
J. Zarit
影响因子：
5.7
作者：
PEARLIN, LI;MULLAN, JT;SKAFF, MM
通讯作者：
SKAFF, MM
老龄化社会年度报告
DOI：
--
发表时间：
2010
期刊：
影响因子：
--
作者：
Office Cabinet
通讯作者：
Office Cabinet