Washio M, Arai Y
Department of Public Health, School of Medicine, Kyushu University, Fukuoka, Japan.
Psychiatry Clin Neurosci. 1999 Jun;53(3):407-12. doi: 10.1046/j.1440-1819.1999.00564.x.
The present study was conducted in an attempt to investigate factors related to depression of caregivers who looked after the disabled elderly residing in a community in southern Japan. A questionnaire survey was carried out of 45 pairs of caregivers and the disabled elderly who received regular visits from a practice nurse, who was located in Onga County, Fukuoka, in southern Japan. Twenty-four out of 45 caregivers (53.3%) scored above the conventional cut-off of the Center for Epidemiologic Studies Depression Scale (CES-D). The proportion of children-in-law caregivers was significantly smaller (0% vs. 23.8%, P = 0.01) and the proportion of caregivers who had consulted a physician within 1 month prior to the study was greater in the depressed than that in the non-depressed (79.2% vs. 47.6%, P = 0.03). The elderly whose caregivers were depressed (group 1) had more behavioural disturbances than those of the non-depressed caregivers (group 2) (1.92+/-2.38 vs. 0.52+/-0.87, P = 0.01) A multiple logistic regression analysis revealed that only behavioural disturbance was positively related to depression (Odds ratio: 4.29, 95% confidence interval: 1.28-14.37). More behavioural disturbances led the caregivers to depression or the depressed caregivers failed to take care of the elderly, which resulted in an increase in the number of the behavioural disturbances of the elderly.
本研究旨在调查与照顾居住在日本南部某社区的残疾老年人的照料者抑郁相关的因素。对45对照料者和残疾老年人进行了问卷调查，这些照料者和残疾老年人接受了位于日本南部福冈县大川郡的一名执业护士的定期访视。45名照料者中有24名（53.3%）的得分高于流行病学研究中心抑郁量表（CES-D）的传统临界值。儿媳照料者的比例显著较小（0%对23.8%，P = 0.01），并且在研究前1个月内咨询过医生的照料者比例在抑郁组中高于非抑郁组（79.2%对47.6%，P = 0.03）。照料者抑郁的老年人（第1组）比照料者非抑郁的老年人（第2组）有更多的行为障碍（1.92±2.38对0.52±0.87，P = 0.01）。多元逻辑回归分析显示，只有行为障碍与抑郁呈正相关（比值比：4.29，95%置信区间：1.28 - 14.37）。更多的行为障碍导致照料者抑郁，或者抑郁的照料者未能照顾好老年人，这导致老年人行为障碍的数量增加。
