痴呆症患者配偶的心理健康与幸福：北特伦德拉格健康研究
Mental health and wellbeing in spouses of persons with dementia: the Nord-Trøndelag Health Study.
作者信息
Ask Helga, Langballe Ellen Melbye, Holmen Jostein, Selbæk Geir, Saltvedt Ingvild, Tambs Kristian
机构信息
Division of Mental Health, Norwegian Institute of Public Health, P,O, Box 4404, Nydalen N-0403 Oslo, Norway.
出版信息
BMC Public Health. 2014 May 1;14:413. doi: 10.1186/1471-2458-14-413.
BACKGROUND
Caring for a spouse diagnosed with dementia can be a stressful situation and can put the caregiving partner at risk of loss of mental health and wellbeing. The main aim of this study was to investigate the relationship between dementia and spousal mental health in a population-based sample of married couples older than 55 years of age. The association was investigated for individuals living together with their demented partner, as well as for individuals whose demented partner was living in an institution.
METHODS
Data on dementia were collected from hospitals and nursing homes in the county of Nord-Trøndelag, Norway. These data were combined with data on spousal mental health, which were collected in a population-based health screening: the Nord-Trøndelag Health Study (HUNT). Of 6,951 participating couples (>55 years), 131 included one partner that had been diagnosed with dementia.
RESULTS
Our results indicate that after adjustment for covariates, having a partner with dementia is associated with lower levels of life satisfaction and more symptoms of anxiety and depression than reported by spouses of elderly individuals without dementia. Spouses living together with a partner diagnosed with dementia experienced moderately lower levels of life satisfaction (0.35 standard deviation [SD]) and more symptoms of depression (0.38 SD) and anxiety (0.23 SD) than did their non-caregiving counterparts. Having a partner with dementia that resided in a nursing home was associated with clearly lower life satisfaction. Compared with non-caregivers, these spouses reported lower levels of life satisfaction (1.16 SD), and also more symptoms of depression (0.38 SD), and more symptoms of anxiety (0.42 SD).
CONCLUSIONS
Having a partner with dementia is associated with loss of mental health and reduced life satisfaction. The risk of adverse mental health outcomes is greatest after the partner's nursing home admission.
背景
照顾被诊断患有痴呆症的配偶可能是一种压力巨大的情况，会使作为照顾者的伴侣面临心理健康和幸福感丧失的风险。本研究的主要目的是在一个基于人群的55岁以上已婚夫妇样本中，调查痴呆症与配偶心理健康之间的关系。对与痴呆症伴侣共同生活的个体，以及其痴呆症伴侣住在机构中的个体，均进行了该关联调查。
方法
痴呆症数据来自挪威北特伦德拉格郡的医院和养老院。这些数据与配偶心理健康数据相结合，后者是在一项基于人群的健康筛查——北特伦德拉格健康研究（HUNT）中收集的。在6951对参与研究的夫妇（年龄>55岁）中，有131对夫妇的一方被诊断患有痴呆症。
结果
我们的结果表明，在对协变量进行调整后，与没有痴呆症的老年人的配偶相比，有痴呆症伴侣的人生活满意度较低，焦虑和抑郁症状更多。与被诊断患有痴呆症的伴侣共同生活的配偶，其生活满意度略低（0.35标准差[SD]），抑郁症状（0.38 SD）和焦虑症状（0.23 SD）比非照顾者配偶更多。有住在养老院的痴呆症伴侣与明显较低的生活满意度相关。与非照顾者相比，这些配偶报告的生活满意度较低（1.16 SD），抑郁症状（0.38 SD）和焦虑症状（0.42 SD）也更多。
结论
有痴呆症伴侣与心理健康丧失和生活满意度降低有关。在伴侣入住养老院后，心理健康出现不良结果的风险最大。
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