The occurrence and persistence of thoughts of suicide, self-harm and death in family caregivers of people with dementia: a longitudinal data analysis over 2 years.
The occurrence and persistence of thoughts of suicide, self-harm and death in family caregivers of people with dementia: a longitudinal data analysis over 2 years.
复制标题
DOI：
10.1002/gps.4708
复制
发表时间：
2018-03
影响因子：
4
通讯作者：
van Hout HPJ
中科院分区：
文献类型：
--
作者：
Joling KJ;O'Dwyer ST;Hertogh CMPM;van Hout HPJ
痴呆症患者的家庭照顾者经常报告高水平的压力和抑郁，但对那些考虑自杀或自残的人知之甚少。本研究探讨了痴呆症照顾者自杀，自残和死亡的想法，并调查了将他们与没有这种想法的人区分开来的特征。每3个月收集一次数据，持续24个月，来自生活在荷兰的192名痴呆症患者的家庭照顾者。看护者在基线时没有临床抑郁症或焦虑症。自杀相关的想法是用迷你国际神经精神访谈中的一个项目来测量的，这是一种DSM-IV精神障碍的诊断工具。Fisher精确、方差分析或Kruskal-Wallis检验将考虑自杀的照顾者的特征与两个对照组进行比较。24个月内，76名护理人员报告了潜在抑郁症的症状，并接受了自杀念头的进一步评估。9名照顾者（11.8%，总样本的4.7%）报告自杀想法，其中3人在多个点。有自杀念头的照顾者比没有自杀念头的照顾者有更严重的抑郁和焦虑症状，能力和掌握感较低，感到不快乐，经历更多的健康问题，更少的家庭支持和更多的孤独感。痴呆症照顾者中存在自杀想法，并且可以在整个护理轨迹中持续存在。各种心理和社会特征显着区分照顾者自杀的想法，从那些没有。需要进行更多的研究，以确定高风险的照顾者，并为制定预防战略和干预措施提供证据基础。版权所有© 2017作者. International Journal of Geriatric Psychiatry，John Wiley & Sons Ltd.
Family caregivers of people with dementia often report high levels of stress and depression, but little is known about those who contemplate suicide or self‐harm. This study explores thoughts of suicide, self‐harm and death in dementia caregivers and investigates the characteristics that distinguish them from those without such thoughts. Data were collected every 3 months, for 24 months, from 192 family caregivers of people with dementia living in the Netherlands. Caregivers did not have a clinical depression or anxiety disorder at baseline. Suicide‐related thoughts were measured with an item from the Mini International Neuropsychiatric Interview, a diagnostic instrument for DSM‐IV mental disorders. Fisher exact, analysis of variance or Kruskal–Wallis tests compared the characteristics of caregivers who had contemplated suicide with two comparison groups. Within 24 months, 76 caregivers reported symptoms of a potential depression and were further assessed for suicidal thoughts. Nine carers (11.8%, 4.7% of the total sample) reported suicidal thoughts with three of those at multiple points. Caregivers with suicidal thoughts had more severe depressive and anxious symptoms, had a lower sense of competence and mastery, felt less happy and experienced more health problems, less family support and more feelings of loneliness than caregivers who had not. Suicidal thoughts are present in dementia caregivers and can persist across the care trajectory. Various psychological and social characteristics significantly distinguish caregivers with suicidal thoughts from those without. More research is needed to enable the identification of high‐risk caregivers and provide an evidence base for the development of preventive strategies and interventions. © 2017 The Authors. International Journal of Geriatric Psychiatry Published by John Wiley & Sons Ltd.
登录
查看更多内容
DOI：
10.1080/09540121.2014.906559
发表时间：
2014-10-01
影响因子：
1.7
作者：
Skeen, Sarah;Tomlinson, Mark;Sherr, Lorraine
通讯作者：
Sherr, Lorraine
影响因子：
2
作者：
GIVEN, CW;GIVEN, B;FRANKLIN, S
通讯作者：
FRANKLIN, S
影响因子：
3.4
作者：
O'Dwyer, Siobhan T.;Moyle, Wendy;De Leo, Diego
通讯作者：
De Leo, Diego
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
4.9
作者：
O'Dwyer, Siobhan T.;Moyle, Wendy;Barrett, Susan
通讯作者：
Barrett, Susan