Martin Y, Gilbert P, McEwan K, Irons C
Mental Health Research Unit, Kingsway Hospital, Derby, UK.
Aging Ment Health. 2006 Mar;10(2):101-6. doi: 10.1080/13607860500311953.
There is increasing research exploring depression in carers of people with dementia. This study explored the relation of entrapment, shame and guilt to depression in a group of 70 carers of those with dementia. As in other studies the experience of entrapment in the role was highly related to depression. Moreover, experiences of shame relating to self-criticism, other people's expectations and the fear of their criticism were significantly related to depression, entrapment and guilt. Guilt however, as focused on the fears of harming others, letting others down and sense of responsibility, was not associated with depression or entrapment. Depression in carers may relate in part to feeling trapped in a role but also being vulnerable to criticism and feelings of inadequacy in that role. In this study, degree of behavioural disturbance/dependence was not found to be significantly associated with any of the research variables.
越来越多的研究在探索痴呆症患者照料者的抑郁情况。本研究探讨了70名痴呆症患者照料者群体中，陷入困境、羞耻感和内疚感与抑郁之间的关系。与其他研究一样，在照料角色中陷入困境的经历与抑郁高度相关。此外，与自我批评、他人期望以及对他人批评的恐惧相关的羞耻经历，与抑郁、陷入困境和内疚感显著相关。然而，内疚感，如聚焦于伤害他人的恐惧、让他人失望以及责任感，与抑郁或陷入困境并无关联。照料者的抑郁可能部分与被困在照料角色中有关，但也与在该角色中易受批评和感到能力不足有关。在本研究中，行为障碍/依赖程度与任何研究变量均未发现显著关联。
