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人格与应对方式:癌症患者照料者中抑郁和睡眠问题的预测因素

Personality and coping: predictors of depression and sleep problems among caregivers of individuals who have cancer.

作者信息

Carter Patricia A, Acton Gayle J

机构信息

University of Texas at Austin, School of Nursing, TX 78701, USA.

出版信息

J Gerontol Nurs. 2006 Feb;32(2):45-53. doi: 10.3928/0098-9134-20060201-11.

Abstract

This cross-sectional study described personality and coping and examined their relationships with depression and sleep in 51 adult caregivers of individuals who have cancer. Findings are compared with dementia caregiver literature. Fifty-two percent of caregivers reported Center for Epidemiological Studies-Depression (CES-D) scores greater than 16, and 95% reported Pittsburgh Sleep Quality Index (PSQI) scores greater than 5, indicating risk for clinical depression and severe sleep problems. Less functional coping, optimism, mastery, neuroticism, and sleep predicted 66.4% of the variance in depression. Less functional coping, mastery, neuroticism, and depression predicted 41% of the variance in sleep. Neuroticism and mastery predicted 45.3% of the variance in less functional coping strategies. Caregiver optimism and mastery levels were consistent with levels found in dementia studies. Neuroticism scores were higher than in studies of caregivers of individuals with dementia. Mastery and neuroticism were related to depression, as in other caregiver studies. Findings suggest there are far more similarities than differences between caregivers of individuals who have cancer and caregivers of those who have dementia. Caregiver personality and coping strategies appear to be related to caregiver outcomes similarly in the cancer and dementia populations.

摘要

这项横断面研究描述了51名癌症患者成年照料者的性格与应对方式,并考察了它们与抑郁及睡眠之间的关系。研究结果与痴呆症照料者的文献进行了比较。52%的照料者报告其流行病学研究中心抑郁量表(CES-D)得分高于16,95%的照料者报告其匹兹堡睡眠质量指数(PSQI)得分高于5,这表明存在临床抑郁风险和严重睡眠问题。功能不良的应对方式、乐观、掌控感、神经质以及睡眠状况可预测抑郁差异的66.4%。功能不良的应对方式、掌控感、神经质以及抑郁可预测睡眠差异的41%。神经质和掌控感可预测功能不良应对策略差异的45.3%。照料者的乐观和掌控水平与痴呆症研究中的水平一致。神经质得分高于痴呆症患者照料者的研究。与其他照料者研究一样,掌控感和神经质与抑郁有关。研究结果表明,癌症患者照料者与痴呆症患者照料者之间的相似之处远多于差异。在癌症和痴呆症人群中,照料者的性格和应对策略与照料者的结果似乎同样相关。

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