因 COVID-19 大流行而导致的社交隔离对痴呆症患者及其照护者的影响。
The impact of social isolation due to the COVID-19 pandemic on patients with dementia and caregivers.
机构信息
Department of Life Sciences, Brunel University London, Uxbridge, UK.
Department of Neuroscience, University of Sheffield, Sheffield, UK.
出版信息
Acta Neuropsychiatr. 2022 Oct;34(5):276-281. doi: 10.1017/neu.2022.12. Epub 2022 Apr 4.
OBJECTIVE
Social distancing to limit COVID-19 transmission has led to extensive lifestyle changes, including for people with dementia (PWD). The aim of this study, therefore, was to assess the impact of lockdown on the mental health of PWD and their carers.
METHODS
Forty-five carers of PWD completed a telephone interview during the baseline assessment of the SOLITUDE study to gather information on life conditions and changes in symptoms of PWD during lockdown. Associations between changes in symptoms of PWD and carers' concerns and mental health were investigated.
RESULTS
About 44% of carers experienced anxiety and irritability and reported changes in behavioural and cognitive symptoms in PWD. These changes were associated with worse carers' mental health and concerns about faster disease progression ( = 13.542, < 0.001).
CONCLUSION
COVID-19-related social isolation has had a negative impact on patients' and carers' mental health. Potential long-term neurocognitive consequences require further investigation.
目的
为了限制 COVID-19 的传播而采取的社交隔离措施导致了广泛的生活方式改变，痴呆症患者（PWD）也不例外。因此，本研究旨在评估封锁对 PWD 及其照顾者的心理健康的影响。
方法
在 SOLITUDE 研究的基线评估期间，45 名 PWD 的照顾者通过电话访谈完成了调查，以收集有关生活条件以及 PWD 在封锁期间症状变化的信息。研究调查了 PWD 症状变化与照顾者的担忧和心理健康之间的关联。
结果
大约 44%的照顾者出现了焦虑和烦躁，并报告说 PWD 的行为和认知症状发生了变化。这些变化与照顾者的心理健康状况恶化和对疾病更快进展的担忧有关（ = 13.542，<0.001）。
结论
与 COVID-19 相关的社交隔离对患者和照顾者的心理健康产生了负面影响。潜在的长期神经认知后果需要进一步调查。
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