Scazufca Marcia, Menezes Paulo R, Almeida Osvaldo P
Departamento de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, R Mário de Alencar 185, São Paulo - SP, Brazil.
Soc Psychiatry Psychiatr Epidemiol. 2002 Sep;37(9):416-22. doi: 10.1007/s00127-002-0571-6.
Mental disorders are among the most prevalent chronic conditions in old age, depression being the most widespread. The aim of this study was to examine the burden and distress reported by carers of elderly patients with depression.
Patients aged 60 or over starting outpatient treatment for depression and their relatives were included. Patients were assessed for the severity of depressive symptoms, behaviour and mood disturbance, and abilities of daily living. Relatives were assessed for burden and emotional distress.
Eighty-two patients and their relatives were included. Levels of carers' burden were high. Multiple linear regression showed that patients' behaviour and mood disturbance and relatives's emotional distress scores were independently associated with relatives' burden.
Levels of burden were similar to those found in studies with carers of elderly people with dementia, indicating that depressive symptoms can be considered an important source of distress for caregivers.
精神障碍是老年人群中最常见的慢性病之一,抑郁症最为普遍。本研究的目的是调查老年抑郁症患者照料者报告的负担和痛苦程度。
纳入开始接受门诊抑郁症治疗的60岁及以上患者及其亲属。对患者进行抑郁症状严重程度、行为和情绪障碍以及日常生活能力的评估。对亲属进行负担和情绪困扰评估。
纳入了82名患者及其亲属。照料者的负担水平较高。多元线性回归显示,患者的行为和情绪障碍以及亲属的情绪困扰得分与亲属的负担独立相关。
负担水平与痴呆症老年患者照料者的研究结果相似,表明抑郁症状可被视为照料者痛苦的重要来源。