家庭疾病的影响：护士健康研究中非正式护理与心理健康状况的纵向评估
Reverberations of family illness: a longitudinal assessment of informal caregiving and mental health status in the Nurses' Health Study.
作者信息
Cannuscio Carolyn C, Jones Camara, Kawachi Ichiro, Colditz Graham A, Berkman Lisa, Rimm Eric
机构信息
Department of Health and Social Behavior, Harvard School of Public Health, Boston, MA 02115, USA.
出版信息
Am J Public Health. 2002 Aug;92(8):1305-11. doi: 10.2105/ajph.92.8.1305.
OBJECTIVES
. This study examined the association between caregiving for disabled or ill family members, estimated to occur in more than 22 million US households, and change in mental health.
METHODS
We assessed 4-year change in mental health among 37 742 Nurses' Health Study participants with the Medical Outcomes Study Short-Form 36.
RESULTS
Women who provided 36 or more weekly hours of care to a disabled spouse were almost 6 times more likely than noncaregivers to experience depressive or anxious symptoms (multivariate odds ratio [OR] = 5.6; 95% confidence interval [CI] = 3.8, 8.3). Caring for a disabled or ill parent (>or= 36 weekly hours) was associated with a less dramatic elevation in depressive or anxious symptoms (multivariate OR = 2.0; 95% CI = 0.9, 4.3).
CONCLUSIONS
In this population, caregiving was associated with increased risk of depressive or anxious symptoms.
目的
本研究调查了为残疾或患病家庭成员提供照料（据估计，超过2200万美国家庭存在这种情况）与心理健康变化之间的关联。
方法
我们使用医学结局研究简表36对37742名护士健康研究参与者的心理健康进行了4年的跟踪评估。
结果
每周为残疾配偶提供36小时及以上照料的女性出现抑郁或焦虑症状的可能性几乎是非照料者的6倍（多变量优势比[OR]=5.6；95%置信区间[CI]=3.8, 8.3）。照料残疾或患病父母（每周≥36小时）与抑郁或焦虑症状的升高幅度较小有关（多变量OR=2.0；95% CI=0.9, 4.3）。
结论
在这一人群中，照料与抑郁或焦虑症状风险增加有关。
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