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痴呆患者的家庭照料者比非家庭照料者抑郁程度更高,但炎症标志物水平没有差异。

Depression But Not Inflammatory Markers Are Increased in Family Versus Nonfamily Caregivers of Persons With Dementia.

机构信息

Department of Clinical Nursing, 37803Medical University of Warsaw, Warsaw, Poland.

Department of Immunology, Transplantology and Internal Diseases, 37803Medical University of Warsaw, Warsaw, Poland.

出版信息

J Geriatr Psychiatry Neurol. 2021 Jan;34(1):29-36. doi: 10.1177/0891988720901782. Epub 2020 Jan 30.

DOI:10.1177/0891988720901782
PMID:31996080
Abstract

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.

摘要

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。

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