Poor caregiver mental health predicts mortality of patients with neurodegenerative disease
Poor caregiver mental health predicts mortality of patients with neurodegenerative disease
复制标题
DOI：
10.1073/pnas.1701597114
复制
发表时间：
2017-07-11
影响因子：
11.1
通讯作者：
Levenson, Robert W.
中科院分区：
文献类型：
--
作者：
Lwi, Sandy J.;Ford, Brett Q.;Levenson, Robert W.
痴呆症和其他神经退行性疾病导致功能严重下降;因此，许多患者需要护理人员帮助日常生活。患者在疾病发作后的生存时间上存在很大差异，疾病的性质和严重程度起着重要作用。照顾也可能是非常紧张的，许多照顾者的心理健康状况下降。在这项研究中，我们调查了照顾者心理健康在患者死亡率中的作用。在176个病人-照顾者二人组中，我们发现照顾者心理健康状况越差，即使考虑到病人的关键风险因素（即，诊断、年龄、性别、痴呆严重程度和患者心理健康）。这些发现强调了在试图改善患者生活时，照顾照顾者和患者的重要性。
Dementia and other neurodegenerative diseases cause profound declines in functioning; thus, many patients require caregivers for assistance with daily living. Patients differ greatly in how long they live after disease onset, with the nature and severity of the disease playing an important role. Caregiving can also be extremely stressful, and many caregivers experience declines in mental health. In this study, we investigated the role that caregiver mental health plays in patient mortality. In 176 patient-caregiver dyads, we found that worse caregiver mental health predicted greater patient mortality even when accounting for key risk factors in patients (i.e., diagnosis, age, sex, dementia severity, and patient mental health). These findings highlight the importance of caring for caregivers as well as patients when attempting to improve patients' lives.