The influence of caregiver mastery on depressive symptoms.
The influence of caregiver mastery on depressive symptoms.
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照顾者掌握程度对抑郁症状的影响。
DOI：
10.1111/j.1547-5069.2007.00176.x
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Remer,Sandy
中科院分区：
文献类型：
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作者：
Sherwood,PaulaR;Given,BarbaraA;Given,CharlesW;Schiffman,RachelF;Murman,DanielL;vonEye,Alexander;Lovely,Mary;Rogers,LisaR;Remer,Sandy
目的：本研究的目的是探讨照顾者的问题行为与照顾者抑郁症状之间的关系如何随照顾者的掌握程度而变化，并控制照顾者的年龄、性别以及与照顾者的关系对原发性恶性脑瘤患者照顾者的影响。设计：采用横断面设计，从2003年至2004年从一个脑瘤治疗中心、两个国家支持团体和全州癌症登记中招募的95名原发恶性脑瘤患者的照顾者通过电话访谈收集数据。方法：研究方法包括神经精神病学问卷调查、照顾者掌握情况和流行病学研究中心-抑郁。使用逐步回归程序来评估潜在的调节和调节关系。研究结果：数据没有表明照顾者的掌握程度是一个调节变量。分析表明，照顾者掌握作为部分中介，既有照顾者的问题行为对照顾者抑郁症状的直接影响，也有通过照顾者掌握的间接影响。在间接影响方面，照顾者的问题行为与照顾者对照顾者的掌握程度较低有关，而照顾者对照顾者的掌握程度又与照顾者的抑郁症状有关。结论：研究结果显示照顾者的问题行为与照顾者的抑郁症状之间存在联系，这种关系在肿瘤学中尚未得到很好的证实。这种关联表明了一种机制，通过这种机制，护理接受者的问题行为可能会导致照顾者抑郁症状。
Purpose: The purpose of this study was to explore how the relationship between care recipients’ problem behaviors and caregivers’ depressive symptoms varies as a function of caregiver mastery, controlling for the effects of caregiver age, gender, and relationship to the care recipient in caregivers of people with primary malignant brain tumor (PMBT). Design: A cross-sectional design was used to gather data via telephone interviews from 95 caregivers of people with primary malignant brain tumor, recruited from 2003 to 2004 from a brain tumor treatment center, two national support groups, and a statewide cancer registry.Methods: Measures for the study included the Neuropsychiatric Inventory-Questionnaire, Caregiver Mastery, and the Center for Epidemiologic Studies–Depression. A stepwise regression procedure was used to evaluate potential moderating and mediating relationships. Findings: Data did not indicate that caregiver mastery was a moderating variable. The analysis showed caregiver mastery as a partial mediator, with both a direct effect of care recipients’ problem behaviors on caregivers’ depressive symptoms and an indirect effect through caregiver mastery. Concerning the indirect effect, care recipients’ problem behaviors were related to lower levels of caregiver mastery, which in turn were related to more depressive symptoms in caregivers.Conclusions: Findings showed a link between care recipients’ problem behaviors and caregivers’ depressive symptoms, a relationship that has not been well established in oncology. This association indicates one mechanism through which problem behaviors in the care recipient might lead to caregiver depressive symptoms.