Family Caregiver Comorbidities in Lewy Body Dementia Versus Alzheimer Disease and Associated Disorders.
Family Caregiver Comorbidities in Lewy Body Dementia Versus Alzheimer Disease and Associated Disorders.
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DOI：
10.1097/wad.0000000000000535
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发表时间：
2023-01-01
影响因子：
2.1
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中科院分区：
文献类型：
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痴呆症患者的家庭照顾者有很高的照顾者压力和糟糕的健康后果。关于路易体痴呆症(LBD)照顾者及其特定共病的研究有限。这项研究的目的是(1)确定LBD照顾者中自我报告的共病的流行率，以及(2)将这些发现与阿尔茨海默病及相关疾病(ADs)患者照顾者的历史数据联系起来。在一项全国性的在线调查中，LBD家庭照顾者完成了自我管理的共病调查问卷，我们将这些发现与现有的关于ADAD照顾者共病的文献进行了比较。在217LBD照顾者中，84.3%为女性，39.1%为及以下，66.8%有两年照顾者经验。照顾者自认为是现任(83.9%)或前任(16.1%)的照顾者。最常见的并发症是高血压(38.2%)、抑郁(35.0%)、背痛(34.1%)和关节炎(27.7%)。LBD照顾者，特别是年轻的照顾者，与ADAD照顾者和老年人相比，抑郁症的患病率更高，背痛的患病率几乎相当于脊髓损伤照顾者。我们的研究是第一次说明LBD照顾者中的特定并存情况并将其与背景联系起来。了解这些情况的因果关系和影响，对于设计有效的干预措施以改善受LBD影响的家庭的生活至关重要。
Family caregivers of people living with dementia have high caregiver strain and poor health consequences. Limited research exists on Lewy body dementia (LBD) caregivers and their specific comorbidities. This study aimed to (1) identify the prevalence of self-reported comorbidities among LBD caregivers and (2) contextualize these findings with historical data on caregivers of persons living with Alzheimer disease and associated disorders (ADADs). In a national, online survey, LBD family caregivers completed the Self-Administered Comorbidity Questionnaire and we compared these findings with extant literature on ADAD caregiver comorbidities. Among 217 LBD caregivers, 84.3% were female, 39.1% were 64 years old or younger, and 66.8% had > 2 years of caregiving experience. Caregivers self-identified as current (83.9%) or former (16.1%) caregivers. The most frequent comorbidities were hypertension (38.2%), depression (35.0%), back pain (34.1%), and arthritis (27.7%). LBD caregivers, particularly younger caregivers, had a higher prevalence of depression compared with ADAD caregivers and older adult populations, and back pain prevalence nearly equivalent to spinal cord injury caregivers. Our study is the first to illustrate and contextualize specific comorbidities among LBD caregivers. Understanding the causality and impact of these conditions will be critical in designing effective interventions to improve the lives of families affected by LBD.