Spouse caregivers of Alzheimer patients: problem responses to caregiver burden
Spouse caregivers of Alzheimer patients: problem responses to caregiver burden
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DOI：
10.1080/13607860500492498
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发表时间：
2006-03-01
影响因子：
3.4
通讯作者：
Baume, RM
中科院分区：
文献类型：
--
作者：
Croog, SH;Burleson, JA;Baume, RM
本文报告了199名阿尔茨海默病患者的配偶对作为照顾者的压力的反应模式的比较。针对配偶的性别和年龄，我们研究了照顾者的情绪和社会反应的一组上的总负担的影响，和感知的病人的问题。我们还研究了配偶照顾者的抑郁症状和焦虑与他们对压力的反应模式之间的关系。总的病人问题负担与照顾者对病人的愤怒-怨恨呈正相关，其次是照顾者对个人时间限制和社会生活限制的担忧。在个别领域的病人的问题，情绪不稳定的病人，而不是认知障碍似乎最强的影响照顾者的反应措施。消极影响的社交生活和协会似乎有特别显着的影响照顾者的抑郁症状和焦虑评分。配偶照顾者没有不同的年龄在临床上显着的方式在他们的反应模式的压力，生育。这项研究表明，考虑潜在的配偶照顾者的反应，如愤怒和侵略性的反应，对病人的影响，社会剥夺和个人牺牲的感觉，以及对病人的护理和维持家庭凝聚力和生活质量的压力的影响等领域的重要性。
This paper reports on comparisons of patterns of responses by 199 spouses of Alzheimer disease patients to stresses of functioning as caregivers. Focusing on gender and age of spouses, we examine effects of the total burden of caregiving and perceived patient problems on a set of emotional and social responses of caregivers. We also examine ways in which depressive symptoms and anxiety of spouse caregivers were associated with patterns of their responses to caregiving stresses. Total patient problem burden was most strongly associated positively with caregiver anger-resentment toward the patient, followed by caregiver concerns about personal time restriction and limitation of social life. Among individual areas of patient problems, emotional lability of the patient rather than cognitive impairment appeared strongest by far in affecting caregiver response measures. Negative impact of caregiving on their social life and associations appeared to have particularly marked effects on effects on caregiver depressive symptoms and anxiety scores. Spouse caregivers did not differ by age in clinically significant ways in their patterns of reaction to stresses of caregiving. The study suggests the importance of considering potential spouse caregiver reactions in such areas as anger and aggressive response to patients, the impact of feelings of social deprivation and personal sacrifice, as well as the implications of caregiving stresses for patient care and maintenance of family cohesion and quality of life.