Behavior and caregiver burden: behavioral problems in patients with Alzheimer disease and its association with caregiver distress.
Behavior and caregiver burden: behavioral problems in patients with Alzheimer disease and its association with caregiver distress.
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发表时间：
1997
影响因子：
2.1
通讯作者：
L. Teri
中科院分区：
文献类型：
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作者：
L. Teri
阿尔茨海默病（AD）中的行为功能障碍是对患者发病率和残疾的主要影响，并且对患者机构化的决策至关重要。行为功能障碍的范围从退缩、冷漠和抑郁到敌意、愤怒和攻击，大多数患者在疾病过程中表现出一些症状。抑郁症状在AD患者中很常见（17-30%），并与广泛的行为功能障碍和功能障碍增加有关。此外，患者抑郁的发生与照顾者负担和抑郁密切相关。本报告总结了照顾者苦恼和患者行为问题之间的关系。修订的记忆和行为问题检查表的管理提供了有关行为问题的频率及其与照顾者痛苦的关联的信息。在一项对201名患者-照顾者的研究中，抑郁相关行为被证实是最令照顾者痛苦的行为。在另一项研究中，在那些照顾临床抑郁症AD患者的人中，照顾者抑郁症的发生率很高（75%）。事实上，在第三项研究中，100%的抑郁症患者都有抑郁的照顾者。照顾者对抑郁症的脆弱性与他们自己的年龄，性别，身体能力，个性和可用的社会支持有关。减轻照顾者的痛苦，负担和抑郁将是非常有价值的改善AD患者的护理。
Behavioral dysfunction in Alzheimer disease (AD) is a major influence on the morbidity and disability of patients and is central to decisions on patient institutionalization. Behavioral dysfunction ranges from withdrawal, apathy, and depression to hostility, anger, and aggression, with most patients exhibiting some symptoms during the course of the disease. Symptoms of depression are common in AD patients (17-30%) and are associated with broad behavioral dysfunction and increased functional disability. Furthermore, the occurrence of depression in patients correlates strongly with caregiver burden and depression. This report summarizes the relationship between caregiver distress and patient behavioral problems. Administration of the Revised Memory and Behavior Problem Checklist provided information on the frequency of behavioral problems and their association with caregiver distress. In one study of 201 patient-caregiver dyads, depression-related behaviors were confirmed as the most distressing to caregivers. In another, the rates of caregiver depression were high (75%) among those caring for clinically depressed AD patients. Indeed, in a third study, 100% of patients with depression had depressed caregivers. The vulnerability of caregivers to depression is linked to their own age, gender, physical ability, personality, and available social supports. Alleviation of caregiver distress, burden, and depression will be of great value in the improvement of AD patient care.