Department of Clinical Nursing, 37803Medical University of Warsaw, Warsaw, Poland.
Department of Immunology, Transplantology and Internal Diseases, 37803Medical University of Warsaw, Warsaw, Poland.
J Geriatr Psychiatry Neurol. 2021 Jan;34(1):29-36. doi: 10.1177/0891988720901782. Epub 2020 Jan 30.
We investigated quality of life (WHOQoL-BREF), perceived stress (PSS-10), anxiety and depression (HADS-M), life satisfaction (SWLS), and serum levels of interleukin-6 (IL-6), C-reactive protein (CRP), and cortisol in family caregivers (n = 94) and professional caregivers (n = 48) of demented patients, as well as among noncaregivers (n = 30). Compared with professional caregivers, family caregivers had higher scores in HADS-M depression ( = .003) and anxiety ( = .033), lower life satisfaction ( = .04), and lower quality of life in psychological ( = .02) and social relationship ( = .03) domains. There were no differences in serum levels of IL-6, CRP, or cortisol between caregivers and control participants. In multivariable analysis, when family relationship was considered together with the time period of caregiving and results of the Mini-Mental State Examination test in care recipients (n = 118, 12.49 ± 7.99), only family relationship influenced scores in HADS-M depression ( = .004), SWLS scores ( = .011), and WHOQoL-BREF scores in psychological ( = .011) and social relationship ( = .008) domains. In conclusion, family caregivers are more stressed and have deeper depressive and anxiety disorders, lower life satisfaction, and lower quality of life than professional caregivers.
我们调查了生活质量(WHOQoL-BREF)、感知压力(PSS-10)、焦虑和抑郁(HADS-M)、生活满意度(SWLS)以及白细胞介素-6(IL-6)、C 反应蛋白(CRP)和皮质醇在痴呆患者的家庭照顾者(n=94)和专业照顾者(n=48)以及非照顾者(n=30)中的血清水平。与专业照顾者相比,家庭照顾者在 HADS-M 抑郁(=0.003)和焦虑(=0.033)方面得分较高,生活满意度(=0.04)较低,心理(=0.02)和社会关系(=0.03)领域的生活质量较低。照顾者和对照组之间的血清 IL-6、CRP 或皮质醇水平没有差异。在多变量分析中,当将家庭关系与照顾时间以及接受者的 Mini-Mental State Examination 测试结果(n=118,12.49±7.99)一起考虑时,只有家庭关系影响 HADS-M 抑郁(=0.004)、SWLS 评分(=0.011)和 WHOQoL-BREF 评分在心理(=0.011)和社会关系(=0.008)领域。总之,家庭照顾者比专业照顾者承受更大的压力,抑郁和焦虑障碍更深,生活满意度更低,生活质量更低。