Department of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich, United Kingdom.
School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
J Geriatr Psychiatry Neurol. 2020 May;33(3):161-172. doi: 10.1177/0891988719868313. Epub 2019 Aug 13.
Much of the carer literature has focused on depression and burden as primary outcomes and anxiety appear somewhat neglected. Providing evidence on the prevalence of carer anxiety is critical as it can enhance awareness among professionals, which in turn can lead to improved access to efficacious treatments. This meta-analysis updated the previous review conducted in 2007 to estimate the up-to-date prevalence of anxiety in informal carers for people with dementia. Literature searches were conducted in databases of published and unpublished literature. Events and sample size data were pooled using a random effects model to obtain an overall prevalence percentage. A total of 10 studies were included, resulting in a pooled estimate of anxiety prevalence at 32.1% (95% confidence interval: 20.6%-46.2%, = .01). Significant heterogeneity was found, which was not reduced following sensitivity analysis. This study suggests anxiety is a prevalent difficulty experienced by dementia carers. Additional research recommendations and clinical implications are discussed.
caregiver 文献大多集中在抑郁和负担作为主要结果，而焦虑似乎有些被忽视。提供 caregiver 焦虑症的患病率证据至关重要，因为这可以提高专业人员的认识，从而可以更好地获得有效的治疗方法。这项荟萃分析更新了 2007 年进行的先前综述，以估计痴呆症患者非正式照顾者中焦虑症的最新患病率。在已发表和未发表文献的数据库中进行了文献检索。使用随机效应模型汇总事件和样本量数据，以获得总体患病率百分比。共纳入 10 项研究，总体焦虑症患病率为 32.1%（95%置信区间：20.6%-46.2%， =.01）。研究结果显示存在显著的异质性，敏感性分析后并未减少。本研究表明，焦虑是痴呆症照顾者普遍存在的困难。讨论了进一步的研究建议和临床意义。
