Stratmann Marlene, Forsell Yvonne, Möller Jette, Liang Yajun
Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden.
BMC Public Health. 2021 Jun 29;21(1):1263. doi: 10.1186/s12889-021-11246-1.
As the population is ageing, the need for informal caregivers increases, and thus we need to know more about the effects on caregivers. This study aims to determine both cross-sectional and longitudinal associations between perceived limitation of informal caregiving and mental health of caregivers.
This population-based cohort study was based on the Swedish Psykisk hälsa, Arbete och RelaTioner (PART) study, and 9346 individuals aged 18-65 were included. Data were collected through questionnaires, interviews and Swedish registers. Informal care was defined as care given to a family member. Self-reported and diagnosed depression and anxiety were included as outcomes. Covariates included sex, age, social support and socio-economic position. Ordinal logistic regression and Cox regression were performed to determine the associations between caregiving and anxiety or depression.
Self-reported depression and anxiety was only increased among those experiencing limitations (adjusted odds ratios [aOR] 2.00, 95% confidence intervals [CI] 1.63-2.47 for depression; aOR 2.07, 95% CI 1.57-2.74 for anxiety) compared to those not giving care, respectively. The adjusted hazard ratio (aHR) were increased for diagnosed depression (aHR 1.97, 95% CI 1.27-3.05) and for diagnosed anxiety (aHR 1.86, 95% CI 1.06-3.25) among those giving care and experiencing limitations, compared to those not giving care. No significant associations were found in caregivers without limitations.
Caregivers experiencing limitations showed a significant association with short- and long-term anxiety and depression. This study implies the importance of exploring the degree to which informal caregiving can be provided without adding burden to caregivers.
随着人口老龄化，对非正式照料者的需求增加，因此我们需要更多地了解其对照料者的影响。本研究旨在确定非正式照料的感知限制与照料者心理健康之间的横断面和纵向关联。
这项基于人群的队列研究基于瑞典心理、工作与关系（PART）研究，纳入了9346名年龄在18 - 65岁的个体。数据通过问卷调查、访谈和瑞典登记册收集。非正式照料定义为给予家庭成员的照料。自我报告和诊断出的抑郁与焦虑被纳入结果指标。协变量包括性别、年龄、社会支持和社会经济地位。进行有序逻辑回归和Cox回归以确定照料与焦虑或抑郁之间的关联。
与未提供照料者相比，自我报告的抑郁和焦虑仅在经历限制的人群中增加（抑郁的调整优势比[aOR]为2.00，95%置信区间[CI]为1.63 - 2.47；焦虑的aOR为2.07，95%CI为1.57 - 2.74）。与未提供照料者相比，在提供照料且经历限制的人群中，诊断出的抑郁（调整风险比[aHR]为1.97，95%CI为1.27 - 3.05）和诊断出的焦虑（aHR为1.86，95%CI为1.06 - 3.25）的调整风险比增加。在没有限制的照料者中未发现显著关联。
经历限制的照料者与短期和长期焦虑及抑郁存在显著关联。本研究表明探索在不给照料者增加负担的情况下可提供非正式照料的程度的重要性。
