A LONGITUDINAL-STUDY OF THE PSYCHOSOCIAL IMPACT OF STROKE ON PRIMARY SUPPORT PERSONS
A LONGITUDINAL-STUDY OF THE PSYCHOSOCIAL IMPACT OF STROKE ON PRIMARY SUPPORT PERSONS
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DOI：
10.1037/0882-7974.3.2.131
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发表时间：
1988-06-01
影响因子：
3.7
通讯作者：
RAU, MT
中科院分区：
文献类型：
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作者：
SCHULZ, R;TOMPKINS, CA;RAU, MT
我们纵向调查了中风对社会支持系统和患者主要支持人的福祉的影响，包括急性和病情稳定。首次中风患者和主要支持人员参与了两波数据收集，从中风后7周开始，每隔6个月进行一次。我们的数据显示，抑郁症状的患病率比中老年人群的代表性样本高出2.5至3.5倍。平均抑郁程度没有随时间变化，但乐观程度显著下降。多元回归分析显示，支持人员的抑郁水平和感知负担水平与中风的严重程度等方面高度相关，而年龄和收入等人口统计变量在急性调整阶段对这些关系的减弱作用相对较小。然而，从中风后7到9个月，健康、收入和年龄等公认的人口统计学变量是抑郁症的重要预测因子。年龄较大、身体健康、收入较高的人抑郁程度最低。
We investigated longitudinally the effects of a stroke on the social support systems and well-being of the patient's primary support person, both acutely and as the condition stabilized. Individuals who had suffered a first stroke and a primary support person participated in two waves of data collection, carried out in 6-month intervals beginning 7 weeks after the stroke. Our data show that the prevalence of depressive symptoms is from 2 ½ to 3 ½ times higher than rates found among representative samples of middle-aged and elderly populations. Mean level of depression did not change over time, although level of optimism declined significantly. Multiple regression analyses showed that levels of depression and perceived burden in support persons are highly related to aspects of the stroke such as its severity, and that demographic variables such as age and income play a relatively minor role in attenuating these relations in the acute adjustment phase. However, from 7 to 9 months after the stroke, well-established demographic variables such as health, income, and age were significant predictors of depression. Individuals who were older and who had good health and higher incomes were least depressed.