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结直肠癌患者确诊后第一年照顾者的抑郁症状:一项纵向研究。

Depressive symptoms among caregivers of colorectal cancer patients during the first year since diagnosis: a longitudinal investigation.

机构信息

Department of Psychology, University of Miami, Coral Gables, FL 33146, USA.

出版信息

Psychooncology. 2013 Feb;22(2):362-7. doi: 10.1002/pon.2100. Epub 2011 Nov 22.

Abstract

OBJECTIVE

Few studies have examined prospectively and longitudinally depressive symptoms of family caregivers who provide care to colorectal cancer patients, and fewer have addressed ethnic minorities in this regard. This study investigated the relations of social support and caregiving stress with caregivers' depressive symptoms during the first year since the relative's diagnosis, as well as the role of ethnicity in such relations.

METHODS

Seventy-nine caregivers provided complete data at 2 months (T1), 6 months (T2), and 12 months (T3) after their relative's cancer diagnosis. Demographics and caregiving experiences were measured at T1. Depressive symptoms were assessed at T1 through T3.

RESULTS

Greater caregiving stress and lack of social support were significant predictors of greater depressive symptoms. The adverse effect of caregiving stress was more pronounced among African American caregivers, whereas the beneficial effect of social support was more pronounced among White caregivers.

CONCLUSIONS

The findings highlight the importance of both caregiving stress and lack of social support early in caregivership. Findings also suggest that caregivers may benefit from programs tailored for their ethnicity.

摘要

目的

鲜有研究前瞻性且纵向地调查过为结直肠癌患者提供照护的家庭照顾者的抑郁症状,且这方面的研究较少涉及少数民族群体。本研究旨在探讨社会支持和照护压力与照护者在亲属诊断后第一年的抑郁症状之间的关系,并探讨种族在这些关系中的作用。

方法

79 名照顾者在亲属癌症诊断后的 2 个月(T1)、6 个月(T2)和 12 个月(T3)时提供了完整的数据。T1 时测量了人口统计学和照护经验。T1 至 T3 时评估了抑郁症状。

结果

较大的照护压力和缺乏社会支持是抑郁症状更严重的显著预测因素。照护压力的不利影响在非裔美国照顾者中更为明显,而社会支持的有益影响在白种人照顾者中更为明显。

结论

这些发现强调了在照护早期关注照护压力和缺乏社会支持的重要性。研究结果还表明,针对照顾者的种族量身定制的方案可能会使他们受益。

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