Associations Between Alzheimer's Disease and Related Dementias and Depressive Symptoms of Partner Caregivers.

Associations Between Alzheimer's Disease and Related Dementias and Depressive Symptoms of Partner Caregivers.
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DOI:
10.1177/0733464820952252
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发表时间:
2021-07
期刊:
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子:
--
通讯作者:
Hoffman GJ
Hoffman GJ
中科院分区:
其他
文献类型:
--
作者:
Harris ML;Titler MG;Hoffman GJ

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家庭成员-主要是配偶和伴侣-是阿尔茨海默病和相关痴呆症(ADRD)患者的主要照顾者,这是一种需要越来越多护理水平的慢性进行性疾病。我们进行了一项回顾性观察性分析,比较了16,650名伴侣没有ADRD的老年人和那些最近(2年内)或最近诊断(≥2年前)的抑郁症状,控制了滞后的社会人口统计学和健康特征。报告的抑郁症状平均为1.2例(SD=1.8)。与伴侣无ADRD的受访者相比,伴侣有任何ADRD的受访者抑郁症状增加0.35 (95% CI: 0.30, 0.41)或增加30%。最近的伴侣诊断与33%的增加相关,而最近的诊断与27%的增加相关。临床意义和纵向恶化的抑郁症状放大了在ADRD诊断后优先考虑伴侣健康和以家庭为中心的护理的必要性。
Family members – mainly spouses and partners – are the primary caregivers for individuals with Alzheimer’s disease and related dementias (ADRD), chronic progressive illnesses requiring increasing levels of care. We performed a retrospective observational analysis comparing depressive symptoms of 16,650 older individuals with partners without ADRD, and those recently (within 2 years) or less recently diagnosed (≥2 years prior), controlling for lagged sociodemographic and health characteristics. The mean number of reported depressive symptoms was 1.2 (SD=1.8). Compared to respondents with partners with no ADRD, having a partner with any ADRD was associated with a 0.35 increase (95% CI: 0.30, 0.41), or 30% increase, in depressive symptoms. A less recent partner diagnosis was associated with a 33% increase while a recent diagnosis was associated with a 27% increase. Clinically meaningful and longitudinally worsening depressive symptoms amplify the need to prioritize partner health and family-centered care following an ADRD diagnosis.
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