Negative Consequences of Family Caregiving for Veterans With PTSD and Dementia
Negative Consequences of Family Caregiving for Veterans With PTSD and Dementia
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DOI：
10.1097/nmd.0000000000000560
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发表时间：
2017-02-01
影响因子：
1.9
通讯作者：
Kunik, Mark E.
中科院分区：
文献类型：
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作者：
Pinciotti, Caitlin M.;Bass, David M.;Kunik, Mark E.
最近的研究表明，患有创伤后应激障碍（PTSD）的退伍军人患痴呆症的可能性是其他退伍军人的两倍。然而，到目前为止，还没有研究检查PTSD和痴呆症共存对家庭照顾者的影响，这些家庭照顾者为这些退伍军人提供了大部分护理。使用压力过程模型，目前的调查探讨的相似性和差异，心理社会，健康和服务使用的结果之间的照顾者协助退伍军人与创伤后应激障碍和痴呆症相比，照顾者协助退伍军人与痴呆症。患有创伤后应激障碍和痴呆症的退伍军人的照顾者表示，他们的亲属表现出更多的困难行为症状，并使用更多的社区服务。这些照顾者还报告说，他们更难理解退伍军人的记忆问题，身体也更紧张。总之，结果表明，患有创伤后应激障碍和痴呆症的退伍军人的照顾者面临更大的负面后果风险。对未来研究的意义和建议进行了讨论。
Recent research shows veterans with posttraumatic stress disorder (PTSD) are twice as likely as other veterans to develop dementia. However, no studies to date have examined the impact of co-existing PTSD and dementia on family caregivers, who provide the majority of care to these veterans. Using the Stress Process Model, the current investigation explored the similarities and differences in psychosocial, health, and service use outcomes among caregivers assisting veterans with PTSD and dementia compared with caregivers assisting veterans with dementia only. Caregivers of veterans with PTSD and dementia indicated that their relative exhibited more difficult behavior symptoms and used more community services. These caregivers also reported more difficulties understanding veterans' memory problems and more physical strain. Together, results suggested caregivers of veterans with both PTSD and dementia were at greater risk of negative caregiving consequences. Implications and suggestions for future research are discussed.