The longitudinal effects of early behavior problems in the dementia caregiving career
The longitudinal effects of early behavior problems in the dementia caregiving career
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DOI：
10.1037/0882-7974.20.1.100
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发表时间：
2005-03-01
影响因子：
3.7
通讯作者：
Newcomer, R
中科院分区：
文献类型：
--
作者：
Gaugler, JE;Kane, RL;Newcomer, R
使用来自早期职业痴呆症照顾者的多地区3年数据。本研究旨在探讨在护理生涯早期发生的行为问题如何影响到护理之家的安置时间，以及随着时间的推移，负担和抑郁的变化。一个考克斯比例风险模型表明，照顾者谁管理频繁的行为问题较早，更有可能制度化。在控制了一系列增长曲线模型中重要的时变协变量后，面临严重早期行为问题的照顾者在3年的研究期间报告了更大的负担和抑郁增加。研究结果表明，在考虑关键的纵向结果时，需要考虑痴呆症治疗生涯早期的经验，并且在试图模拟非正式长期护理对健康的影响时，也强调了自然减员的重要性。
Using multiregional, 3-year data from early career dementia caregivers. this study determines how behavior problems that occur early in the caregiving career influence time to nursing home placement and change in burden and depression over time. A Cox proportional hazards model indicated that caregivers who managed frequent behavior problems earlier are more likely to institutionalize. After controlling for important time-varying covariates in a series of growth-curve models, caregivers who were faced with severe, early behavior problems reported greater increases in burden and depression over the 3-year study period. The findings suggest the need to consider experiences early in the dementia caregiving career when accounting for key longitudinal outcomes and also emphasize the importance of attrition when attempting to model the health implications of informal long-term care over time.