From caregiving to bereavement: Trajectories of depressive symptoms among wife and daughter caregivers

From caregiving to bereavement: Trajectories of depressive symptoms among wife and daughter caregivers
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DOI:
10.1093/geronb/60.4.p190
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发表时间:
2005-07-01
影响因子:
6.2
通讯作者:
Li, LW
Li, LW
中科院分区:
医学1区
文献类型:
--
作者:
Li, LW

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本研究旨在探讨妻女照顾者在由丧亲过渡至丧亲期间的忧郁症状轨迹,并探讨其忧郁症状轨迹是否因照顾者的丧亲压力、社会支持及背景特质而有所差异。分层线性模型被用来分析从157个妻子和女儿照顾者谁失去了老年亲属死亡的四波纵向数据。结果表明,平均而言,照顾者的抑郁症状增加,因为他们的照顾对象接近死亡,他们的经验减少后的症状。照顾者的问题行为和照顾者的亲属关系,收入和超负荷的感觉缓和抑郁症状的变化在过渡期间。支助照顾者的服务应根据照顾者的经验和背景特点,在他们最需要的时候,针对特定的照顾者群体。
This study examined the trajectory of depressive symptoms for wife and daughter caregivers during the transition from caregiving to bereavement, and it investigated whether the trajectory varies by caregivers' caregiving stress, social support, and background characteristics. Hierarchical linear modeling was used to analyze four-wave longitudinal data collected from 157 wife and daughter caregivers who lost elderly relatives to death. Results show that, on average, caregivers experience increasing depressive symptoms as their care recipients approach death, and they experience decreasing symptoms after. Care recipients' problematic behavior and caregivers' kinship, income, and feelings of overload moderate the change in depressive symptoms during the transition. Services to support caregivers should target specific groups of caregivers, based on caregiving experience and background characteristics, at times when they are most in need.