PSYCHIATRIC AND PHYSICAL MORBIDITY EFFECTS OF DEMENTIA CAREGIVING - PREVALENCE, CORRELATES, AND CAUSES
PSYCHIATRIC AND PHYSICAL MORBIDITY EFFECTS OF DEMENTIA CAREGIVING - PREVALENCE, CORRELATES, AND CAUSES
复制标题
DOI：
10.1093/geront/35.6.771
复制
发表时间：
1995-12-01
期刊：
影响因子：
5.7
通讯作者：
FLEISSNER, K
中科院分区：
文献类型：
--
作者：
SCHULZ, R;OBRIEN, AT;FLEISSNER, K
痴呆症的发病文献进行审查的目的是（a）评估的患病率和规模的精神和身体疾病的影响照顾者，（B）确定个人和上下文相关的报告的健康影响和他们的根本原因，（c）检查观察到的结果的政策相关性。几乎所有的研究都报告了照顾者中抑郁症的水平升高，并且那些使用诊断性访谈的人报告了高比例的临床抑郁症和焦虑症。证据是更模棱两可的，一般较弱的相关性之间的关系，如自评健康，疾病的数量，牙科，医疗保健利用，预防性健康行为和心血管功能。在所有研究中，照顾者的精神病发病率与患者的问题行为、收入、自评健康、感知压力和生活满意度有关。躯体疾病与患者的问题行为和认知障碍有关，与照顾者的抑郁、焦虑和感知的社会支持有关。报告的影响和政策影响的可能原因进行了讨论。
The dementia caregiving literature is reviewed with the goals of (a) assessing the prevalence and magnitude of psychiatric and physical morbidity effects among caregivers, (b) identifying individual and contextual correlates of reported health effects and their underlying causes, and (c) examining the policy relevance of observed findings. Virtually all studies report elevated levels of depressive symptomatology among caregivers, and those using diagnostic interviews report high rates of clinical depression and anxiety. The evidence is more equivocal and generally weaker for the association between caregiving and physical morbidity, such as self-rated health, number of illnesses, symptomatology, health care utilization, preventive health behaviors, and cardiovascular functioning. Across studies, psychiatric morbidity in caregivers was linked to patient problem behaviors, income, self-rated health, perceived stress, and life satisfaction. Physical morbidity was associated with patient problem behaviors and cognitive impairment, and with caregiver depression, anxiety, and perceived social support. Possible causes of reported effects and policy implications are discussed.