Religiousness and major depression among bereaved family caregivers: a 13-month follow-up study

Religiousness and major depression among bereaved family caregivers: a 13-month follow-up study
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DOI:
10.1177/082585970602200406
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发表时间:
2006-12-01
影响因子:
1.7
通讯作者:
Bradley, Elizabeth H.
Bradley, Elizabeth H.
中科院分区:
医学4区
文献类型:
--
作者:
Fenix, J. B.;Cherlin, Emily J.;Bradley, Elizabeth H.

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目的:研究癌症患者家属照顾者的宗教性多项目测量与重性抑郁症(MDD)之间的关系。设计图:一项前瞻性纵向研究的主要照顾者的连续患者(n=175)与癌症登记在康涅狄格州最大的临终关怀。结果如下:在13个月的随访中,宗教性总分高的护理人员患MDD的可能性显著降低(OR=0.79,95% CI:0.68-0.91)。在对基线时的看护者MDD、看护者年龄、看护者负担和由于看护角色而限制的活动数量进行调整后,该发现仍然具有显著性(OR=0.74,95% CI:0.59-0.91)。结论:在基线时报告更大宗教信仰的家庭照顾者在失去后的13个月随访中抑郁症的发生率较低。在丧亲期间与宗教支持团体或社区团体合作,可以为一些照顾者提供一个有效的机制,加快康复进程。
Objective: To examine the association between a multi-item measure of religiousness and major depressive disorder (MDD) in bereaved family caregivers of patients with cancer. Design: A prospective longitudinal study of primary caregivers of consecutive patients (n=175) with cancer enrolled in the largest hospice in Connecticut. Results: Caregivers with a high religiousness summary score were significantly less likely to have MDD at the 13-month follow-up interview (OR=0.79, 95% Cl: 0.68-0.91). This finding remained significant (OR=0.74, 95% Cl: 0.59-0.91) after adjustment for caregiver MDD at baseline, caregiver age, caregiver burden, and number of activities restricted due to caregiving roles. Conclusions: Family caregivers who reported greater religiousness at baseline had lower rates of depression in the 13-month follow up after their loss. Collaboration with religious support groups or community groups during bereavement could offer an effective mechanism for speeding the process of recovery for some caregivers.