Williamson G M, Schulz R
Department of Psychiatry, University of Pittsburgh.
Psychol Aging. 1990 Dec;5(4):502-9. doi: 10.1037//0882-7974.5.4.502.
Communal orientation and closeness of the caregiver-patient relationship were investigated as predictors of distress among caregivers of Alzheimer's patients. Persons high in communal orientation were less depressed than those low in communal orientation. Caregivers reporting a close relationship with the patient before illness onset felt less burdened than those whose relationship had not been close. Communal orientation interacted with closeness when data were analyzed separately for men and women. Among men, being low in communal orientation and having a relatively poor prior relationship were associated with the highest levels of depression, levels that put them at risk for clinical depression. Among women low in communal orientation, higher levels of depression were related to having a close prior relationship with the patient.
研究了社区取向和照顾者与患者关系的亲密度，以此作为阿尔茨海默病患者照顾者痛苦程度的预测指标。社区取向高的人比社区取向低的人抑郁程度更低。报告在疾病发作前与患者关系亲密的照顾者，比那些关系不亲密的照顾者负担感更轻。当分别对男性和女性的数据进行分析时，社区取向与亲密度存在交互作用。在男性中，社区取向低且之前关系相对较差与最高程度的抑郁相关，这种程度的抑郁使他们有患临床抑郁症的风险。在社区取向低的女性中，较高的抑郁水平与之前和患者关系亲密有关。
