A Landscape of Subjective and Objective Stress in African-American Dementia Family Caregivers.
A Landscape of Subjective and Objective Stress in African-American Dementia Family Caregivers.
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DOI：
10.1177/01939459211062956
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发表时间：
2022-03
影响因子：
1.8
通讯作者：
Gallagher-Thompson D
中科院分区：
文献类型：
--
作者：
Cothran FA;Chang E;Beckett L;Bidwell JT;Price CA;Gallagher-Thompson D
压力是日常生活的重要组成部分，系统性的社会不平等，如种族主义和歧视，是非洲裔美国人长期压力的公认因素。额外暴露于分娩压力可能会加剧不利的健康后果。二次分析描述了非裔美国人家庭照顾者的主观和客观压力，以及主观和客观压力与健康结果的关系。基线数据从142个非裔美国人痴呆症家庭照顾者的“大村庄”研究的手段和频率进行了描述，回归模型和皮尔逊相关性被用来检查人口统计学，健康的社会决定因素和健康结果之间的关联。混合模型用于检查皮质醇的变化和变化变异。大多数照顾者有中度的压力。压力与睡眠中断和抑郁症状有关，歧视似乎是抑郁症状的独立因素。这项工作为解释压力的主观和客观指标提供了基础，以调整现有的多成分干预措施。
Stress is a significant part of daily life, and systemic social inequities, such as racism and discrimination, are well-established contributors of chronic stress for African Americans. Added exposure to the stress of caregiving may exacerbate adverse health outcomes. This secondary analysis describes subjective and objective stress in African American family caregivers, and relationships of subjective and objective stress to health outcomes. Baseline data from 142 African American dementia family caregivers from the “Great Village” study were described using means and frequencies; regression models and Pearson’s correlation were used to examine associations between demographics, social determinants of health, and health outcomes. Mixed models were used to examine change and change variation in cortisol. Most caregivers had moderate degrees of stress. Stress was associated with sleep disruption and depressive symptoms, and discrimination appeared to be an independent contributor to depressive symptoms. This work provides a foundation for interpreting subjective and objective indicators of stress to tailor existing multi-component interventions.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
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影响因子：
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Adam EK;Quinn ME;Tavernier R;McQuillan MT;Dahlke KA;Gilbert KE
通讯作者：
Gilbert KE