Cameron Jill I, Cheung Angela M, Streiner David L, Coyte Peter C, Stewart Donna E
Toronto Rehabilitation Institute, University of Toronto, ON, Canada.
Arch Phys Med Rehabil. 2006 Feb;87(2):177-83. doi: 10.1016/j.apmr.2005.10.012.
To determine the impact of stroke survivors' behavioral and psychologic symptoms (BPS) on informal caregivers' experience of depression in the context of the caregiving situation.
Cross-sectional survey using a structured quantitative interview.
Rehabilitation facility outpatient clinic, tertiary care facility outpatient clinic, and community care organizations.
Ninety-four informal caregivers to stroke survivors completed standardized measurement instruments.
Not applicable.
Measurement instruments included the Center for Epidemiological Studies Depression Scale, Brain Impairment Behavior Inventory-Revised, Caregiver Assistance Scale, Caregiving Impact Scale, and Mastery scale.
A substantial percentage (44.7%) of caregivers were at risk of clinical depression. Caregivers experienced more depression symptoms when they cared for stroke survivors exhibiting more BPS of memory and comprehension difficulties, provided less assistance, experienced more lifestyle interference, and had lower mastery (F(5,85)=26.02, P<.001, adjusted R(2)=.58).
BPS exhibited by stroke survivors contribute to informal caregivers' experience of depression. These results can assist rehabilitation professionals to identify informal care providers who are at greater risk of experiencing emotional distress and, therefore, may benefit from intervention.
确定中风幸存者的行为和心理症状（BPS）对非正式照料者在照料情境下抑郁体验的影响。
采用结构化定量访谈的横断面调查。
康复机构门诊、三级护理机构门诊和社区护理组织。
94名中风幸存者的非正式照料者完成了标准化测量工具。
不适用。
测量工具包括流行病学研究中心抑郁量表、修订版脑损伤行为量表、照料者援助量表、照料影响量表和掌控感量表。
相当比例（44.7%）的照料者有临床抑郁风险。当照料表现出更多记忆和理解困难BPS的中风幸存者时，照料者会经历更多抑郁症状，获得的帮助更少，生活方式受到的干扰更大，且掌控感更低（F(5,85)=26.02，P<.001，调整后R(2)=.58）。
中风幸存者表现出的BPS会导致非正式照料者产生抑郁体验。这些结果可帮助康复专业人员识别出有更大情绪困扰风险的非正式照料者，因此他们可能会从干预中受益。
