Rivera Patricia, Elliott Timothy R, Berry Jack W, Grant Joan S, Oswald Kimberly
Department of Medicine - Immunology / Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35294-2041, USA.
NeuroRehabilitation. 2007;22(1):3-8.
To test the hypothesis that ineffective problem-solving abilities would be significantly predictive of risk for depression in caregivers of persons with traumatic brain injury (TBI) after controlling for caregiver burden, caregiver health and demographic characteristics.
Correlational and logistic regression analyses of cross-sectional data.
57 women and 3 men (M age of caregivers=51.4, SD=10.1) caring for a relative with a TBI.
Centers for Epidemiologic Studies - Depression scale (CES-D).
Twenty-nine caregivers (48.3%) had CES-D scores that met the criteria for risk of depression. An ineffective approach to problem solving, characterized by negative, avoidant, and careless/impulsive styles, and self-reported caregiver physical symptoms were significantly predictive of caregiver depression regardless of length of time caregiving, perceived burden, or demographic variables.
Caregivers of persons with TBI who report physical health problems and who exhibit ineffective problem solving area at greater risk for depression, regardless of the time they have spent in their role as a caregiver.
检验如下假设，即在控制照顾者负担、照顾者健康状况及人口统计学特征后，解决问题能力欠佳可显著预测创伤性脑损伤（TBI）患者照顾者发生抑郁的风险。
对横断面数据进行相关性和逻辑回归分析。
57名女性和3名男性（照顾者平均年龄 = 51.4，标准差 = 10.1），他们正在照顾一名患有创伤性脑损伤的亲属。
流行病学研究中心抑郁量表（CES-D）。
29名照顾者（48.3%）的CES-D得分符合抑郁风险标准。以消极、回避及粗心/冲动风格为特征的无效问题解决方式以及照顾者自我报告的身体症状，无论照顾时间长短、感知到的负担或人口统计学变量如何，均能显著预测照顾者的抑郁情况。
报告有身体健康问题且表现出无效问题解决方式的创伤性脑损伤患者照顾者，无论其担任照顾者的时间长短，发生抑郁的风险都更高。
