Association between family caregivers and depressive symptoms among community-dwelling older adults in Japan: A cross-sectional study during the COVID-19 pandemic.
Association between family caregivers and depressive symptoms among community-dwelling older adults in Japan: A cross-sectional study during the COVID-19 pandemic.
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DOI：
10.1016/j.archger.2021.104468
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发表时间：
2021-09
影响因子：
4
通讯作者：
Hayashi H
中科院分区：
文献类型：
--
作者：
Noguchi T;Hayashi T;Kubo Y;Tomiyama N;Ochi A;Hayashi H
新型冠状病毒病（COVID-19）大流行可能会增加老年人家庭照顾者的心理健康负担，但相关报道有限。我们研究了大流行期间家庭团聚与抑郁症状状态变化之间的关系。这项横断面研究纳入了957名（平均年龄[标准差]= 80.8 [4.8]岁; 53.5%为女性）来自日本半城市地区的年龄≥ 65岁的社区居住老年人，他们完成了邮寄问卷。根据2020年3月至10月期间使用两问题筛选评估的抑郁症状状态，将参与者分为四组："非抑郁症状"、"抑郁症状发生率"、"抑郁症状缓解"或"抑郁症状持续性"。参与者于2020年10月接受了评估，内容包括家庭抚养状况、抚养角色、受照顾者需求的严重程度以及疫情期间增加的照顾者负担，每个问题都很简单。应用多项logistic回归分析获得抑郁症状状态变化的比值比（OR）和95%置信区间（CI）。与非照顾者相比，家庭照顾者与抑郁症状的发生率（OR [95% CI]= 3.17 [1.55 - 6.51]，p <0.01）和持续性（OR [95% CI]= 2.39 [1.30 - 4.38]，p <0.01）相关。主要照顾者、有严重护理需求的个人的照顾者以及在大流行期间负担增加的照顾者患抑郁症状的风险很高。在大流行期间，家庭照顾者出现抑郁症状的风险很高。我们的研究结果强调了家庭照顾者需要一个支持系统。
Novel coronavirus disease (COVID-19) pandemic could increase the mental health burden of family caregivers of older adults, but related reports are limited. We examined the association between family caregiving and changes in the depressive symptom status during the pandemic. This cross-sectional study included 957 (mean age [standard deviation] = 80.8 [4.8] years; 53.5% females) community-dwelling older adults aged ≥ 65 years from a semi-urban area of Japan, who completed a mailed questionnaire. Based on the depressive symptom status assessed with the Two-Question Screen between March and October 2020, participants were classified into four groups: “non-depressive symptoms,” “incidence of depressive symptoms,” “remission from depressive symptoms,” or “persistence of depressive symptoms.” Participants were assessed in October 2020 for the family caregiving status, caregiving role, the severity of care recipients’ needs, and increased caregiver burden during the pandemic, each with the simple question. Multinomial logistic regression analysis was applied to obtain the odds ratios (ORs) and 95% confidence intervals (CIs) for changes in depressive symptom status. Compared to non-caregivers, family caregivers were associated with the incidence (OR [95% CI] = 3.17 [1.55–6.51], p < 0.01) and persistence of depressive symptoms (OR [95% CI] = 2.39 [1.30–4.38], p < 0.01). Primary caregivers, caregivers for individuals with severe care needs, and caregivers with increased burden during the pandemic had a high risk of depressive symptoms. Family caregivers had a high risk of depressive symptoms during the pandemic. Our findings highlight the need for a support system for family caregivers.
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影响因子：
4.9
作者：
Sato K;Sakata R;Murayama C;Yamaguchi M;Matsuoka Y;Kondo N
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影响因子：
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DOI：
10.1093/geronb/57.3.p195
发表时间：
2002-05-01
影响因子：
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通讯作者：
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DOI：
10.1001/jama.2020.6775
发表时间：
2020-01-01
期刊：
JAMA, Journal of the American Medical Association
影响因子：
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作者：
Richardson, Safiya;Hirsch, Jamie S.;,
通讯作者：
,