Onwumere Juliana, Kuipers Elizabeth, Wildman Emilie, Mason Ava, Stahl Daniel
King's College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, London, United Kingdom.
South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent BR3 3BX, United Kingdom.
J Affect Disord Rep. 2021 Dec;6:100239. doi: 10.1016/j.jadr.2021.100239. Epub 2021 Sep 17.
Background Informal (unpaid) carers represent a core component of health and social care systems. However, their experiences, health impacts and care needs during Covid-19 have been largely overlooked. This study aimed to explore the health and wellbeing impacts of Covid-19 on carers and the contribution of hopefulness. Methods Data were collected from an online survey hosted on the Qualtrics platform. Results Three hundred and sixty-nine participants consented to the survey. Data are reported on 186 participants with an 80% or higher completion rate. Most participants (> 80%) reported poor sleep quality, while nearly half the sample met case threshold for anxiety (46.2%) and 29% for depression. Mood disturbance in carers was associated with higher levels of sleep disturbances. Positive wellbeing in carers was best predicted by having a more hopeful outlook and fewer symptoms of depression. Limitations A cross-sectional survey-based design that is unable to offer no definitive conclusions about the direction of the results. The study was also limited by having carer participants as the only informants. Conclusions Though informal carers are found in all areas of society, their experiences and health correlates during Covid-19 have not attracted much research attention. The additional and unique challenges of the pandemic for the health and wellbeing needs of carers must not be overlooked as is sadly so often the case. Instead, the experiences of carers and their needs should be prioritised, publicised, and matched by needs-led interventions. Identifying carers and enquiring about their wellbeing would be a laudable first step.
背景 非正式(无薪)照料者是健康和社会护理系统的核心组成部分。然而,他们在新冠疫情期间的经历、对健康的影响以及护理需求在很大程度上被忽视了。本研究旨在探讨新冠疫情对照料者健康和幸福的影响以及希望感的作用。方法 数据通过Qualtrics平台上的在线调查收集。结果 369名参与者同意参与调查。报告了186名完成率达到80%或更高的参与者的数据。大多数参与者(>80%)报告睡眠质量差,而近一半的样本达到焦虑症病例阈值(46.2%),抑郁症病例阈值为29%。照料者的情绪障碍与更高水平的睡眠障碍相关。照料者积极的幸福感最能通过更有希望的前景和更少的抑郁症状来预测。局限性 基于横断面调查的设计无法对结果的方向给出明确结论。该研究还受到限制,因为只有照料者参与者作为唯一的信息提供者。结论 尽管非正式照料者在社会各领域都存在,但他们在新冠疫情期间的经历及其与健康的关联并未引起太多研究关注。疫情给照料者的健康和幸福需求带来的额外且独特的挑战绝不能像经常发生的那样被忽视。相反,应该优先考虑、宣传照料者的经历和需求,并通过以需求为导向的干预措施来满足这些需求。识别照料者并询问他们的幸福感将是值得称赞的第一步。