Steep disturbances in caregivers of persons with dementia: Contributing factors and treatment implications
Steep disturbances in caregivers of persons with dementia: Contributing factors and treatment implications
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DOI：
10.1016/j.smrv.2006.09.002
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发表时间：
2007-04-01
影响因子：
10.5
通讯作者：
Vitiello, Michael V.
中科院分区：
文献类型：
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作者：
McCurry, Susan M.;Logsdon, Rebecca G.;Vitiello, Michael V.
据估计，有1 000多万老年痴呆症患者的成年照顾者，其中三分之二的人在其职业生涯中经历了某种形式的严重干扰。卫生保健专业人员最有能力发现和解决这一重大公共卫生问题。本文讨论了三个主要因素照顾者陡峭的干扰：（1）照顾者的存在中断陡峭的例程;（2）照顾者的负担和抑郁症;（3）照顾者的身体健康状况。成功治疗照顾者的陡峭的干扰需要仔细考虑这些因素中的每一个。我们回顾和分析了有关与照顾者陡峭干扰的发展和维持相关的多种复杂因素的科学文献。我们提供了一个临床小插曲，说明了这些因素的相互作用，并关闭为临床医生和研究人员治疗和调查的发展和维护陡峭的问题，在家庭照顾者提供建议。(C)2006 Elsevier Ltd.保留所有权利。
Estimates suggest that there are more than 10 million adult caregivers of persons with dementia, two-thirds of who experience some form of steep disturbance during the course of their caregiving career. Health care professionals are in the best position to detect and address this significant public health problem. Three major contributors to caregiver steep disturbance are discussed in this paper: (1) the presence of caregiver disrupted steep routines; (2) caregiver burden and depression; and, (3) the caregiver's physical health status. Successful treatment of a caregiver's steep disturbance requires careful consideration of each of these contributors. We review and analyze the scientific literature concerning the multiple complex factors associated with the development and maintenance of steep disturbances in caregivers. We provide a clinical vignette that illustrates the interplay of these contributing factors, and close by providing recommendations for clinicians and researchers treating and investigating the development and maintenance of steep problems in family caregivers. (C) 2006 Elsevier Ltd. ALL rights reserved.