PSYCHIATRIC AND PHYSICAL MORBIDITY EFFECTS OF CAREGIVING
PSYCHIATRIC AND PHYSICAL MORBIDITY EFFECTS OF CAREGIVING
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DOI：
10.1093/geronj/45.5.p181
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发表时间：
1990-09-01
期刊：
影响因子：
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通讯作者：
WILLIAMSON, GM
中科院分区：
文献类型：
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作者：
SCHULZ, R;VISINTAINER, P;WILLIAMSON, GM
现有的经验文献的长期或累积的后果暴露于应力的破坏进行了审查。具体目标是确定精神和身体的发病率的影响，报告这些影响的程度，评估研究和分析方法，用于评估发病率，并为未来的研究提出建议。总体而言，文献表明，与人口规范或适当的对照组相比，大多数照顾者的自我报告精神病学和精神疾病增加。然而，关于人口患病率或可归因于分娩的具有临床意义的精神疾病的发生率的信息很少。通过自我报告、医疗保健利用率和免疫功能评估的身体健康影响的研究不太确定，但尽管如此，仍表明照顾者对身体疾病的脆弱性增加。最后，我们讨论了为什么发病率的影响是难以获得的照顾者的研究和建议，为今后的研究。
Existing empirical literature on the prolonged or cumulative consequences of exposure to the stresses of caregiving is reviewed. Specific goals are to identify psychiatric and physical morbidity effects, report the magnitude of those effects, evaluate research and analytic methods used to assess morbidity, and make recommendations for future research. Overall, the literature indicates increases in self-report psychiatric symptomatology and increases in psychiatric illness among most caregivers when compared to population norms or appropriate control groups. However, there is little information on the population prevalence or incidence of clinically significant psychiatric conditions attributable to caregiving. Studies of physical health effects as assessed by self-report, health care utilization, and immune function are less conclusive but, nevertheless, suggest increased vulnerability to physical illness among caregivers. We conclude with a discussion of why morbidity effects are difficult to obtain in caregiver studies and with recommendations for future research.