Reverberations of family illness: A longitudinal assessment of informal caregiving and mental health status in the Nurses' Health Study
Reverberations of family illness: A longitudinal assessment of informal caregiving and mental health status in the Nurses' Health Study
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DOI：
10.2105/ajph.92.8.1305
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发表时间：
2002-08-01
影响因子：
12.7
通讯作者：
Rimm, E
中科院分区：
文献类型：
--
作者：
Cannuscio, CC;Jones, C;Rimm, E
目标。这项研究调查了对残疾或生病的家庭成员的照顾(估计有2200多万个美国家庭发生)与心理健康变化之间的关系。我们使用《医疗结果研究简表36》对37742名护士健康研究参与者的4年心理健康变化进行了评估。每周为残疾配偶提供36小时或更多护理的女性出现抑郁或焦虑症状的可能性几乎是非护理人员的6倍(多变量优势比[OR]=5.6；95%可信区间[CI]=3.8，8.3)。照顾残疾或生病的父母(每周工作时间大于或等于36小时)与抑郁或焦虑症状的轻微增加有关(多变量OR=2.0；95%CI=0.9，4.3)。在这一人群中，照料与抑郁或焦虑症状的风险增加有关。
Objectives. This study examined the association between caregiving for disabled or ill family members, estimated to occur in more than 22 million US households, and change in mental health.Methods. We assessed 4-year change in mental health among 37 742 Nurses' Health Study participants with the Medical Outcomes Study Short-Form 36.Results. Women who provided 36 or more weekly hours of care to a disabled spouse were almost 6 times more likely than noncaregivers to experience depressive or anxious symptoms (multivariate odds ratio [OR]=5.6; 95% confidence interval [Cl]=3.8, 8.3). Caring for a disabled or ill parent (greater than or equal to36 weekly hours) was associated with a less dramatic elevation in depressive or anxious symptoms (multivariate OR= 2.0; 95% CI=0.9, 4.3).Conclusions. In this population, caregiving was associated with increased risk of depressive or anxious symptoms.