Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Int Psychogeriatr. 2010 Dec;22(8):1310-7. doi: 10.1017/S104161021000089X. Epub 2010 Jul 19.
The relationship between care recipients' depressive symptoms and those of caregivers remains unknown. We evaluated the association between the depressive status of caregivers and that of community-dwelling disabled care recipients.
A prospective cohort study of 893 care recipients and paired caregivers was conducted. The care recipients were all eligible for a universal-coverage long-term care insurance program and their ages ranged from 65 to 104 years. They and their paired caregivers (age range 31-90 years) completed the 15-item Geriatric Depression Scale (GDS-15, score range: 0-15) assessment at baseline. The GDS-15 was used to measure the depression of caregivers and recipients with a threshold of <6/6+. The data included each care recipient's demographic characteristics, overall health status, basic activities of daily living, and comorbidities. The data also included the caregiver's demographic characteristics, including the caregiver's relationship to the recipient, and the caregiver's subjective burden as assessed by the Japanese version of the Zarit Burden Interview (ZBI).
The mean GDS-15 scores of care recipients and caregivers were 6.7 points and 5.6 points, respectively. There was a positive correlation between the GDS-15 scores of caregivers and care recipients (r = 0.307, p<0.001). Multivariate logistic regression analysis adjusting for potential confounders including ZBI score indicated that the depressive symptoms of caregivers were associated with those whose care recipients were in the groups with moderate and high GDS-15 scores (OR: 1.97, 95% CI: 1.39-2.81, OR: 3.13, 95% CI: 1.87-5.24, respectively).
Caregivers' depressive symptoms are associated with the depressive mood of the care recipients even after adjusting for confounders including caregiver burden.
照顾者的抑郁症状与被照顾者的抑郁症状之间的关系尚不清楚。我们评估了照顾者抑郁状况与社区居住的残疾被照顾者抑郁状况之间的关系。
对 893 名被照顾者及其配对照顾者进行了一项前瞻性队列研究。被照顾者均符合全民覆盖的长期护理保险计划的条件，年龄在 65 至 104 岁之间。他们及其配对的照顾者（年龄在 31 至 90 岁之间）在基线时完成了 15 项老年抑郁量表（GDS-15，评分范围：0-15）评估。GDS-15 用于测量照顾者和被照顾者的抑郁情况，临界值为<6/6+。数据包括每位被照顾者的人口统计学特征、整体健康状况、基本日常生活活动能力和合并症。数据还包括照顾者的人口统计学特征，包括照顾者与被照顾者的关系，以及照顾者的主观负担，通过日本版的 Zarit 负担访谈（ZBI）进行评估。
被照顾者和照顾者的平均 GDS-15 评分分别为 6.7 分和 5.6 分。照顾者的 GDS-15 评分与被照顾者的 GDS-15 评分呈正相关（r=0.307，p<0.001）。调整潜在混杂因素（包括 ZBI 评分）的多变量逻辑回归分析表明，照顾者的抑郁症状与那些被照顾者 GDS-15 评分处于中、高分组的照顾者有关（OR：1.97，95%CI：1.39-2.81，OR：3.13，95%CI：1.87-5.24）。
即使在调整了包括照顾者负担在内的混杂因素后，照顾者的抑郁症状仍与被照顾者的抑郁情绪有关。
