Faculty of Sport Sciences, University of Extremadura, 10071 Cáceres, Spain.
University School of Education and Tourism, University of Salamanca, 05003 Avila, Spain.
Int J Environ Res Public Health. 2020 Feb 8;17(3):1078. doi: 10.3390/ijerph17031078.
Informal caregivers of persons with dementia often report high levels of anxiety, depression and burden. Nonetheless, other less evaluated psychological symptoms might also influence their health-related quality of life (HRQoL). The aim of this study was to comprehensively analyse other psychological symptoms and their influence on the health-related quality of life of informal caregivers. Fifty-four informal women caregivers and fifty-six women non-caregivers were recruited to participate in the study. Psychological symptoms were assessed using the Symptom Check-List-90-Revised (SCL-90-R) questionnaire and the HRQoL with the EuroQoL-Five Dimensions and Three Levels (EurQoL-5D-3L) questionnaire. Significant between-group differences were found in the majority of scales in the SCL-90-R questionnaire ( < 0.01) and caregivers also reported a worse HRQoL than non-caregivers ( < 0.05). Several psychological symptoms such as obsession-compulsive (β = 0.47), hostility (β = 0.59), and somatization (β = -0.49) had a significant impact on caregivers' HRQoL ( explained between 0.17 and 0.30 of the variance). Caregivers are at a higher risk of suffering other psychological symptoms and show a moderate-high level of psychiatric morbidity, which therefore explains the poorer HRQoL outcomes. Supporting interventions should be provided to mitigate these psychological symptoms in order to improve their general distress and HRQoL.
痴呆患者的非专业照护者常报告有高水平的焦虑、抑郁和负担。尽管如此，其他评估较少的心理症状也可能影响他们的健康相关生活质量（HRQoL）。本研究的目的是全面分析其他心理症状及其对非专业照护者健康相关生活质量的影响。招募了 54 名女性非专业照护者和 56 名女性非照护者参与研究。使用症状清单 90 修订版（SCL-90-R）问卷评估心理症状，使用欧洲五维健康量表-3 级（EurQoL-5D-3L）问卷评估健康相关生活质量。SCL-90-R 问卷的大多数量表（ < 0.01）和非照护者之间存在显著的组间差异，且照护者报告的 HRQoL 也比非照护者差（ < 0.05）。一些心理症状，如强迫观念-强迫行为（β=0.47）、敌对（β=0.59）和躯体化（β=-0.49），对照护者的 HRQoL 有显著影响（解释了 0.17%至 0.30%的方差）。照护者面临更高的罹患其他心理症状的风险，表现出中度至高度的精神疾病发病率，因此导致了较差的 HRQoL 结果。应提供支持性干预措施来减轻这些心理症状，以改善他们的整体痛苦和 HRQoL。
