Jang Sung-In, Bae Hong-Chul, Shin Jaeyong, Jang Suk-Yong, Hong Seri, Han Kyu-Tae, Park Eun-Cheol
Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea.
Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea Department of Public Health, Graduate School, Yonsei University, Seoul, Korea.
Am J Alzheimers Dis Other Demen. 2016 Sep;31(6):481-91. doi: 10.1177/1533317515628048. Epub 2016 Feb 16.
Dementia is the leading cause of disability worldwide in the elderly individuals. Although prior studies have examined psychiatric symptoms in dementia caregivers, few studies have examined physician-diagnosed depression in the family caregiver of a patient with dementia.
We used data from 457 864 respondents from the Korea Community Health Survey. We used logistic regression to examine the relationship between physician-diagnosed depression and cohabitation with a patient with dementia.
Cohabitation with a patient with dementia (1.2% of the Korean population) was significantly associated with physician-diagnosed depression. The significance remained in females when the data were stratified by sex. A significant association also occurred among males with low family income.
To reduce the burden of dementia, we need a management policy that includes the caregiver as well as the patient with dementia. In particular, political management for the vulnerable population, male caregiver in low-income family and female caregiver in high-income family, should be prepared.
痴呆症是全球老年人残疾的主要原因。尽管先前的研究已经调查了痴呆症照料者的精神症状,但很少有研究调查痴呆症患者家庭照料者中经医生诊断的抑郁症。
我们使用了韩国社区健康调查中457864名受访者的数据。我们使用逻辑回归来研究经医生诊断的抑郁症与与痴呆症患者同居之间的关系。
与痴呆症患者同居(占韩国人口的1.2%)与经医生诊断的抑郁症显著相关。按性别对数据进行分层时,女性中的这种显著性仍然存在。家庭收入低的男性中也存在显著关联。
为了减轻痴呆症的负担,我们需要一项包括照料者以及痴呆症患者的管理政策。特别是,应该为弱势群体制定政策管理措施,即低收入家庭中的男性照料者和高收入家庭中的女性照料者。