A comparison of psychosocial outcomes in elderly Alzheimer caregivers and noncaregivers.
A comparison of psychosocial outcomes in elderly Alzheimer caregivers and noncaregivers.
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DOI：
10.1016/j.jagp.2012.10.001
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发表时间：
2013-01
影响因子：
7.2
通讯作者：
Grant, Igor
中科院分区：
文献类型：
--
作者：
Mausbach, Brent T.;Chattillion, Elizabeth A.;Roepke, Susan K.;Patterson, Thomas L.;Grant, Igor
对阿尔茨海默氏症护理的压力、应对和情绪后果进行分析。横截面。基于社区的研究。样本包括125名阿尔茨海默氏症照顾者和60名人口统计相似的有非痴呆症配偶的老年人(即非照顾者)。我们比较了照顾者和非照顾者在压力、应对和情绪结果方面的差异。我们还检查了照顾者样本中抗抑郁药的使用情况。重点放在效应大小的差异上，包括Cohen‘s d以及更有临床意义的效应大小。照顾者明显更有可能认可抑郁症状，并达到抑郁症的临床显著临界值(照顾者为40%；非照顾者为5%)。大约25%的照顾者报告服用抗抑郁药物，尽管其中69%的人继续经历显著的抑郁症状。与非照顾者相比，照顾者使用更少的积极应对策略和更多的消极应对策略。在接下来的20年里，照顾者的数量将大幅增加，照顾者可能会从初级保健提供者那里寻求护理。我们提供了照顾者面临的心理问题的概述，以便建议进行有效的筛查和治疗。
To conduct ananalysis of the stress, coping, and mood consequences of Alzheimer’s caregiving. Cross-sectional. Community-based study. Sample included 125 Alzheimer’s caregivers and 60 demographically similar older adults with non-demented spouses (i.e., non-caregivers). We compared caregivers and non-caregivers on stress, coping, and mood outcomes. We also examined anti-depressant use within the caregiver sample. An emphasis was placed upon effect size differences, including Cohen’s d as well as more clinically meaningful effect sizes. Caregivers were significantly more likely to endorse depressive symptoms and to meet clinically significant cutoff for depression (40% for caregivers; 5% for non-caregivers). Approximately 25% of caregivers reported taking anti-depressant medication, although 69% of these continued to experience significant symptoms of depression. Caregivers also utilized fewer positive coping and greater negative coping strategies relative to non-caregivers. The number of caregivers will increase dramatically over the next two decades, and caregivers will likely seek care from primary care providers. We provide an overview of the psychological issues facing caregivers so that effective screening and treatment may be recommended.
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DOI：
10.1093/geronj/45.5.p181
发表时间：
1990-09-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
SCHULZ, R;VISINTAINER, P;WILLIAMSON, GM
通讯作者：
WILLIAMSON, GM
DOI：
10.1073/pnas.1531903100
发表时间：
2003-07-22
影响因子：
11.1
作者：
Kiecolt-Glaser, JK;Preacher, KJ;Glaser, R
通讯作者：
Glaser, R
影响因子：
7.2
作者：
Mahoney, R;Regan, C;Livingston, G
通讯作者：
Livingston, G
影响因子：
120.7
作者：
Schulz, R;Beach, SR
通讯作者：
Beach, SR
影响因子：
5.7
作者：
Schubert, Cathy C.;Boustani, Malaz;Hendrie, Hugh C.
通讯作者：
Hendrie, Hugh C.