Ruiz-Robledillo Nicolás, González-Bono Esperanza, Moya-Albiol Luis
University of Valencia, Spain.
University of Valencia, Spain
J Health Psychol. 2014 Dec;19(12):1586-96. doi: 10.1177/1359105313496444. Epub 2013 Aug 9.
Several studies have found disruptions in cortisol awakening response in informal caregivers. Institutional support may modulate these effects, and this study analyses how the health of caregivers is affected when institutional support is provided for families of people with high-functioning autism. Self-reported health, depression and cortisol awakening response were analysed in three groups: supported caregivers, non-supported caregivers and non-caregivers. Non-supported caregivers presented higher somatic symptoms and lower cortisol awakening response than the supported caregiver and non-caregiver groups. A high number of somatic symptoms and low functionality of offspring were related to a lower cortisol awakening response only in the non-supported caregiver group. These findings demonstrate the importance of institutional support for improving the health of caregivers.
多项研究发现，非正式照料者的皮质醇觉醒反应存在紊乱。机构支持可能会调节这些影响，本研究分析了为高功能自闭症患者家庭提供机构支持时，照料者的健康状况会受到怎样的影响。对三组人员的自我报告健康状况、抑郁情况和皮质醇觉醒反应进行了分析：得到支持的照料者、未得到支持的照料者和非照料者。与得到支持的照料者组和非照料者组相比，未得到支持的照料者出现了更多的躯体症状，且皮质醇觉醒反应更低。仅在未得到支持的照料者组中，大量的躯体症状和后代的低功能与较低的皮质醇觉醒反应有关。这些发现证明了机构支持对改善照料者健康的重要性。
