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普拉德-威利综合征患者家庭照顾者的抑郁、死亡焦虑和死亡恐惧:一项混合研究。

Depression, Anxiety of Death, and Fear of Death in Family Caregivers of People With Prader-Willi Syndrome: A Mixed Study.

作者信息

Mora-Lagunes Recinos Monserrat Abigail, Escamilla Gutiérrez María Luisa, Ledesma Amaya Luis Israel, Moreno Vite Itzel, Guzmán Saldaña Rebeca María Elena, Rubio Moreno Claudia

机构信息

Institute of Health Sciences, Academic Area of Psychology, Pachuca de Soto, Autonomous University of the State of Hidalgo, Pachuca de Soto, Mexico.

Institute of Health Sciences, Academic Area of Psychology, Research group of evaluation and transdisciplinary intervention of the health-disease process, Autonomous University of the State of Hidalgo, Pachuca de Soto, Mexico.

出版信息

Glob Adv Integr Med Health. 2025 Apr 27;14:27536130251319793. doi: 10.1177/27536130251319793. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

Family caregivers of individuals with Prader-Willi syndrome face significant challenges that affect their social, economic, personal, and emotional well-being. The mental health of these caregivers remains largely unexplored, particularly regarding their own premature death.

OBJECTIVE

This study seeks to explicate how caregivers manage their responsibility of providing continuous specialized care for individuals with Prader-Willi syndrome. A mixed research approach was used to uncover depression, death anxiety, and anticipated fear of own death among caregivers of patients with SPW who access a foundation in the state of Hidalgo, Mexico.

METHOD

A mixed-methods approach was employed, using a sequential explanatory design. The quantitative sample included 15 volunteer participants between 35 and 66 years old, belonging to a foundation in Hidalgo, Mexico. Research instruments had an internal consistency of r = >0.70. Qualitative data was gathered through a focus group, using interpretive description to explore caregivers' emotional experiences.

RESULTS

Statistical analyses, including Gamma and Kendall Tau tests, revealed significant correlations ( = 0.01) between caregivers' anticipated fear of death and the levels of death anxiety and depression. The qualitative findings yielded 3 principal themes: uncertainty about future self-sufficiency, fear of the future if they pass away, and the crucial role of community support.

DISCUSSION AND CONCLUSION

This methodological mixed study reveals a correlation between anxiety about the future, fear of death, and the emotional need for support. Continual emotional support and counselling are crucial for caregivers responsible for PWS patients' care.

摘要

背景

普拉德-威利综合征患者的家庭照顾者面临着重大挑战,这些挑战影响着他们的社会、经济、个人和情感福祉。这些照顾者的心理健康在很大程度上仍未得到充分研究,尤其是关于他们自己过早死亡的情况。

目的

本研究旨在阐明照顾者如何管理为普拉德-威利综合征患者提供持续专业护理的责任。采用混合研究方法,以揭示在墨西哥伊达尔戈州一家基金会接受服务的普拉德-威利综合征患者的照顾者中的抑郁、死亡焦虑以及对自身死亡的预期恐惧。

方法

采用混合方法,运用序列解释性设计。定量样本包括15名年龄在35岁至66岁之间的志愿者参与者,他们隶属于墨西哥伊达尔戈州的一家基金会。研究工具的内部一致性为r =>0.70。定性数据通过焦点小组收集,采用解释性描述来探索照顾者的情感体验。

结果

包括伽马检验和肯德尔秩相关系数检验在内的统计分析显示,照顾者对死亡的预期恐惧与死亡焦虑和抑郁水平之间存在显著相关性(= 0.01)。定性研究结果产生了3个主要主题:对未来自给自足的不确定性、如果他们去世对未来的恐惧以及社区支持的关键作用。

讨论与结论

这项混合方法研究揭示了对未来的焦虑、对死亡的恐惧与情感支持需求之间的相关性。持续的情感支持和咨询对于负责照顾普拉德-威利综合征患者的照顾者至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a2b/12035207/3fa96c3ab32a/10.1177_27536130251319793-fig1.jpg

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