Depression among caregivers of stroke survivors
Depression among caregivers of stroke survivors
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DOI：
10.1161/01.str.0000155690.04697.c0
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发表时间：
2005-03-01
期刊：
影响因子：
8.3
通讯作者：
Kaste, M
中科院分区：
文献类型：
--
作者：
Berg, A;Psych, L;Kaste, M
背景和目的-我们的目的是评估抑郁症状的患病率之间的照顾者中风幸存者，并确定哪些患者或中风相关的因素，并可用于预测照顾者抑郁症在18个月的后续stroke. Methods-我们检查了98照顾者的100例连续患者经历了首次缺血性中风在赫尔辛基大学中心医院。在急性期、6个月和18个月时对照顾者进行了访谈。抑郁与贝克抑郁量表进行了评估。的神经，功能，认知和情绪状态的患者进行了评估，在随访期间与一个全面的测试battery.Results-A的30%至33%的所有照顾者在随访期间抑郁症的5X;率高于患者。在急性期，照顾者抑郁与中风严重程度和患者年龄较大相关，在18个月时，患者年龄较大与配偶抑郁相关。在后来的后续行动中，照顾者抑郁症是最好的预测照顾者的抑郁症在急性phase.Conclusions-Identifying那些照顾者在最高风险的后续不良情绪的结果不仅需要评估患者的相关因素，但也面试的照顾者在中风后早期。
Background and Purpose-We aimed to assess the prevalence of depressive symptoms among caregivers of stroke survivors and to determine which patient- or stroke-related factors are associated with and can be used to predict caregiver depression during an 18-month follow-up after stroke.Methods-We examined 98 caregivers of 100 consecutive patients experiencing their first ischemic stroke in Helsinki University Central Hospital. The caregivers were interviewed at the acute phase and at 6 months and 18 months. Depression was assessed with the Beck Depression Inventory. The neurological, functional, cognitive, and emotional status of the patients was assessed 5X during the follow-up with a comprehensive test battery.Results-A total of 30% to 33% of all caregivers were depressed during the follow-up; the rates were higher than those of the patients. At the acute phase, caregiver depression was associated with stroke severity and older age of the patient, and at 18 months the older age of the patient was associated with depression of the spouses. In later follow-up, caregiver depression was best predicted by the caregiver's depression at acute phase.Conclusions-Identifying those caregivers at highest risk for poor emotional outcome in follow-up requires not only assessment of patient- related factors but also interview of the caregiver during the early poststroke period.