Caregivers' relationship closeness with the person with dementia predicts both positive and negative outcomes for caregivers' physical health and psychological well-being.
Caregivers' relationship closeness with the person with dementia predicts both positive and negative outcomes for caregivers' physical health and psychological well-being.
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DOI：
10.1080/13607863.2012.678482
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发表时间：
2012
影响因子：
3.4
通讯作者：
Tschanz J
中科院分区：
文献类型：
--
作者：
Fauth E;Hess K;Piercy K;Norton M;Corcoran C;Rabins P;Lyketsos C;Tschanz J
患有痴呆症的护理者和护理者之间更密切的关系与护理者的积极结果相关，但尚不清楚亲密性是护理者健康和心理健康的风险因素还是保护性因素。我们检查了基于人群的卡奇县痴呆症进展研究中的234名护理二人组。照顾者包括配偶(49%)和成年子女(51%)。护理接受者大多患有阿尔茨海默氏症(62%)。线性混合模型测试了基线关系亲密度或痴呆症发病前后亲密度的变化与基线水平和照顾者情绪(影响平衡量表；ABS)、抑郁(贝克抑郁问卷；BDI)和心理和身体健康(简式健康调查的组成部分；SF-12)之间的关系。在控制了照顾者的人口统计学特征、照顾者健康状况的数量和照顾者的特征(痴呆症类型、功能能力和行为障碍)后，我们发现，基线亲密度越高，预示着基线SF-12心理健康评分越高(心理健康状况更好)，抑郁程度越低。更高的基线接近度也预示着ABS和SF-12精神健康随着时间的推移会出现更大的恶化。此外，在研究过程中，报告从痴呆症前到痴呆症后与护理接受者失去亲密关系的照顾者在ABS和SF-12心理健康方面的得分有所改善，但SF-12的身体健康状况更差。这些结果表明，在护理二元体中的亲密性和亲密性的丧失可能与护理者的积极和不利结果有关，无论是横截面还是随着时间的推移。
Closer relationships between caregivers and care recipients with dementia are associated with positive outcomes for care recipients, but it is unclear if closeness is a risk or protective factor for the health and psychological well-being of caregivers. We examined 234 care dyads from the population-based Cache County Dementia Progression Study. Caregivers included spouses (49%) and adult offspring (51%). Care recipients mostly had dementia of the Alzheimer’s type (62%). Linear mixed models tested associations between relationship closeness at baseline, or changes in closeness prior to versus after dementia onset, with baseline levels and changes over time in caregiver affect (Affect Balance Scale; ABS), depression (Beck Depression Inventory; BDI), and mental and physical health (components of the Short-Form Health Survey; SF-12). After controlling for demographic characteristics of the caregiver, number of caregiver health conditions, and characteristics of the care recipient (type of dementia, functional ability, and behavioral disturbances), we found that higher baseline closeness predicted higher baseline SF-12 mental health scores (better mental health), and lower depression. Higher baseline closeness also predicted greater worsening over time in ABS and SF-12 mental health. In addition, caregivers who reported a loss of closeness in their relationship with the care recipient from pre- to post-dementia displayed improved scores on ABS and SF-12 mental health, but worse SF-12 physical health over the course of the study. These results suggest that closeness and loss of closeness in the care dyad may be associated with both positive and adverse outcomes for caregivers, both cross-sectionally and over time.
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影响因子：
12.7
作者：
Cochrane, JJ;Goering, PN;Rogers, JM
通讯作者：
Rogers, JM
影响因子：
6
作者：
BENGTSON, VL;ROBERTS, REL
通讯作者：
ROBERTS, REL
影响因子：
2.1
作者：
Burgener, S;Twigg, P
通讯作者：
Twigg, P
影响因子：
2
作者：
Lyons, Karen S.;Sayer, Aline G.;Stewart, Barbara J.
通讯作者：
Stewart, Barbara J.
影响因子：
4
作者：
de Vugt, ME;Stevens, F;Verhey, FRJ
通讯作者：
Verhey, FRJ