Anxiety and depression in family caregivers of people with Alzheimer disease - The LASER-AD study
Anxiety and depression in family caregivers of people with Alzheimer disease - The LASER-AD study
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DOI：
10.1176/appi.ajgp.13.9.795
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发表时间：
2005-09-01
影响因子：
7.2
通讯作者：
Livingston, G
中科院分区：
文献类型：
--
作者：
Mahoney, R;Regan, C;Livingston, G
目的：痴呆患者的家庭照顾者存在较高的压力、苦恼和心理疾病发生率。女性照顾者和那些照顾有神经精神症状的人的人特别危险。作者报告了阿尔茨海默病（AD）患者的家庭照顾者样本中焦虑和抑郁的患病率，并比较了那些有或没有这些条件的人的特征。方法：一组153人与AD和他们的照顾者进行了采访，作为一个更大的AD研究的一部分。结果：23.5%的照顾者的焦虑得分达到或超过病例水平，10.5%的照顾者的抑郁得分达到或超过病例水平。照顾者（CR）的日常生活活动（ADL）的损害，是一个照顾者与CR生活，是一个女性照顾者报告质量较差的关系与CR，和照顾者报告他们的健康状况差，所有预测焦虑症CR易怒，照顾者报告健康状况不佳，和质量较差的关系与CR预测抑郁症。结论：临床医生应该意识到AD患者的家庭照顾者，特别是女性照顾者的焦虑和抑郁症状的高发生率。CR和照顾者的身体健康受损使他们处于心理疾病的风险中，应该积极治疗。照顾者和CR之间的关系质量不佳预示着照顾者的抑郁和焦虑。与CR生活在一起的照顾者更有可能焦虑而不是抑郁。
Objective: There are high rates of stress, distress, and psychological illness in family caregivers of people with dementia. Female caregivers and those caring for people with neuropsychiatric symptoms are particularly at risk. The authors report on the prevalence of anxiety and depression in a sample of family caregivers of people with Alzheimer disease (AD) and compare the characteristics of those who did or did not have those conditions. Methods: A group of 153 people with AD and their caregivers were interviewed as part of a larger study of AD. Results: In all, 23.5% of caregivers scored at or above caseness level for anxiety, and 10.5%, at levels for depression. Care-recipient (CR) activities of daily living (ADL) impairment, being a caregiver living with the CR, being a female caregiver reporting a poorer quality of relationship with the CR, and caregivers reporting their health as being poor all predicted anxiety disorder CR irritability, caregivers reporting poor health, and a poorer quality of relationship with the CR predicted depression. Conclusions: Clinicians should be aware of the high rates of anxiety as well as depressive symptoms in family caregivers of people with AD, especially in female caregivers. CRs and Caregivers' impaired physical health put them at risk for psychological morbidity and should be treated energetically. A poor-quality relationship between the caregiver and the CR predicts both caregiver depression and anxiety. Caregivers living with the CR are much more likely to be anxious than depressed.