Caregiving and gingival symptom reports: psychophysiologic mediators.
Caregiving and gingival symptom reports: psychophysiologic mediators.
复制标题
护理和牙龈症状报告：心理生理介质。
DOI：
10.1097/01.psy.0000188485.65153.7b
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Echeverria,Diana
中科院分区：
文献类型：
--
作者：
Vitaliano,PeterP;Persson,Rutger;Kiyak,Asuman;Saini,Hardeep;Echeverria,Diana
目的：我们首先评估护理与牙龈症状报告的关联。然后，我们评估了观察到的关系是否由心理生理宿主因素介导。 方法：将患有阿尔茨海默氏病的配偶的照顾者 (n = 123) 与人口统计学上相似的非照顾者配偶 (n = 117) 进行比较。结果：报告牙龈症状的照顾者百分比 (17%) 是非照顾者的两倍 (8.5%)(p <. 05)，尽管照顾者和非照顾者的情况不同口腔保健方面没有差异。护理和牙龈症状报告之间的关系是由心理生理变量介导的。与非照顾者相比，照顾者的麻烦 (p<. 05)、抑郁情绪 (p<. 05) 和代谢风险（胰岛素、葡萄糖、肥胖；p<. 05）更高。更严重的牙龈症状报告还与更大的麻烦 (p<.01)、抑郁情绪 (p<.001) 和代谢风险 (p<.001) 相关。皮下脂肪、炎症和明显糖尿病的测量与牙龈症状报告相关，但与护理人员状况无关。结论：护理人员报告牙龈症状的比例高于非护理人员。这些结果对衰老、心理生理学和慢性压力的研究具有重要意义。
Objective:We first assessed the association of caregiving with gingival symptom reports. We then assessed whether the observed relationship was mediated by psychophysiologic host factors.Methods:Caregivers of spouses with Alzheimer’s disease (n= 123) were compared with demographically similar noncaregiver spouses (n= 117).Results:The percentage of caregivers (17%) who reported gingival symptoms was twice that of noncaregivers (8.5%)(p<. 05), despite the fact that caregivers and noncaregivers did not differ in oral health care. The relationship between caregiving and gingival symptom reports was mediated by psychophysiologic variables. Caregivers were higher on hassles (p<. 05), depressed mood (p<. 05), and metabolic risk (insulin, glucose, obesity; p<. 05) than were noncaregivers. Greater gingival symptom reports were also associated with greater hassles (p<. 01), depressed mood (p<. 001), and metabolic risk (p<. 001). Measures of subcutaneous fat, inflammation, and frank diabetes were related to gingival symptom reports but not to caregiver status.Conclusions:A higher percentage of caregivers reported gingival symptoms than noncaregivers. These results have implications for research on aging, psychophysiology, and chronic stress.