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创伤性脑损伤成年患者的父母与配偶照顾者中的抑郁和焦虑:系统评价。

Depression and anxiety in parent versus spouse caregivers of adult patients with traumatic brain injury: a systematic review.

机构信息

St. Michael's Hospital, Toronto, ON, Canada.

出版信息

Neuropsychol Rehabil. 2013;23(1):1-18. doi: 10.1080/09602011.2012.712871. Epub 2012 Aug 17.

DOI:10.1080/09602011.2012.712871
PMID:22897335
Abstract

A systematic review of studies which evaluated depression and anxiety in parent versus spouse caregivers of adults with traumatic brain injury (TBI) was conducted. Demographic variables of the TBI patients and caregivers, study design, measurement tools used, and outcomes reported were collected. Twenty-four studies met the inclusion criteria and were evaluated for methodological quality. While the majority of studies revealed no significant differences between caregiver types on measures of depression and/or anxiety, there was a great deal of variation in methodology and quality between the studies. Overall, high levels of caregiver distress were exposed, regardless of caregiver type (parent versus spouse). There is a need for qualitative and quantitative research designs in order to elucidate the factors that put caregivers at risk for depression and anxiety.

摘要

对评估创伤性脑损伤 (TBI) 成年患者的父母与配偶照顾者的抑郁和焦虑的研究进行了系统回顾。收集了 TBI 患者和照顾者的人口统计学变量、研究设计、使用的测量工具以及报告的结果。有 24 项研究符合纳入标准,并对其进行了方法学质量评估。虽然大多数研究表明,在抑郁和/或焦虑的测量方面,照顾者类型之间没有显著差异,但研究之间的方法和质量存在很大差异。总体而言,无论照顾者类型(父母与配偶)如何,都暴露了照顾者高度的痛苦。需要进行定性和定量的研究设计,以阐明使照顾者面临抑郁和焦虑风险的因素。

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