Department of Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan, China.
Department of Nursing, Taiyuan Central Hospital, Taiyuan, China.
Psychiatry Res. 2018 Mar;261:400-405. doi: 10.1016/j.psychres.2017.12.088. Epub 2018 Jan 3.
Improving caregivers' positive perception of their role may be important in reducing their subjective burden when caring for Alzheimer's disease (AD) patients with depression. The purpose of present study was to explore the moderating role of the positive aspects of caregiving (PAC) on the subjective burden on family caregivers when managing depressive behaviors. We conducted a cross-sectional study including 200 pairs of patients with mild AD and their caregivers from three communities and two hospitals in Taiyuan, China in October 2014. The latent variable interaction model based on a two stage least squares (2SLS) regression was fitted. A significant moderating effect of the PAC was found on the relationship between depression in patients with AD and the caregiver burden they cause. Caregivers dealing with patients with low levels of depression but with high levels of the PAC had significantly lower levels of caregiver burden compared to those caregivers with the low levels of PAC. Continuously detecting the patient's mental state combined with caregivers having an optimistic attitude towards life may improve the quality of life for both patients and caregivers.
提高照护者对其角色的积极认知，可能有助于减轻他们在照顾患有抑郁症的阿尔茨海默病（AD）患者时的主观负担。本研究旨在探讨积极照护方面（PAC）对管理抑郁行为的家庭照护者主观负担的调节作用。我们于 2014 年 10 月在太原市的三个社区和两家医院进行了一项包括 200 对轻度 AD 患者及其照护者的横断面研究。采用基于两阶段最小二乘法（2SLS）回归的潜在变量交互模型进行拟合。PAC 对 AD 患者的抑郁与照护者负担之间的关系具有显著的调节作用。与 PAC 水平较低的照护者相比，照护者面对抑郁程度较低但 PAC 水平较高的患者时，其照护者负担显著较低。持续监测患者的精神状态，同时让照护者保持乐观的生活态度，可能会提高患者和照护者的生活质量。
