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痴呆住院患者的家庭照顾者和痴呆门诊患者的家庭照顾者在抑郁严重程度方面的差异。

Differences in depression severity in family caregivers of hospitalized individuals with dementia and family caregivers of outpatients with dementia.

机构信息

Psychosocial Research Program, Butler Hospital, 345 Blackstone Boulevard, Providence, RI 02906, USA.

出版信息

Am J Geriatr Psychiatry. 2012 Sep;20(9):815-9. doi: 10.1097/JGP.0b013e318235b62f.

Abstract

OBJECTIVES

To determine if family caregivers of hospitalized individuals with dementia exhibit greater depression severity than caregivers of outpatients.

METHODS

Caregivers were recruited during care recipient treatment. Measures assessed depression, stress, burden, and grief.

RESULTS

Forty-one caregivers of a hospitalized patient and 44 caregivers of an outpatient (total N = 85) were recruited. The groups did not differ except caregivers of hospitalized patients were younger and less likely to reside with the care recipient. Regarding depression, 63.4% of caregivers of a hospitalized patient and 43.2% of caregivers of an outpatient scored within the clinical depressive symptoms range. Independent sample t-tests showed that caregivers of a hospitalized patient had greater severity of depression, burden, and grief. Caregiving for a hospitalized person remained a significant predictor of greater depression severity in regression models.

CONCLUSIONS

Family caregiving for a person hospitalized for psychiatric treatment of dementia is a risk factor for depression.

摘要

目的

确定住院痴呆患者的家庭照料者是否比门诊患者的照料者表现出更严重的抑郁程度。

方法

在接受治疗期间招募照料者。评估措施包括抑郁、压力、负担和悲伤。

结果

共招募了 41 名住院患者的照料者和 44 名门诊患者的照料者(总计 85 名)。两组除了住院患者的照料者更年轻且与照料对象同住的可能性更小外,没有其他区别。在抑郁方面,63.4%的住院患者照料者和 43.2%的门诊患者照料者的抑郁症状处于临床范围内。独立样本 t 检验显示,住院患者的照料者抑郁、负担和悲伤程度更严重。在回归模型中,照料住院患者仍然是抑郁严重程度的一个显著预测因素。

结论

住院接受痴呆精神治疗的人的家庭照料是抑郁的一个风险因素。

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