Cho Hannah, Hwang Yeji
School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
College of Nursing and Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea.
Alzheimers Dement. 2025 Jun;21(6):e70325. doi: 10.1002/alz.70325.
Dementia family caregivers face a significant burden due to the progressive nature of the disease, which places them at high risk for depression. Because a lack of information is available on the social determinants of health that impact depression, this study investigated this relationship.
This study was a secondary data analysis using the 2017 National Health and Aging Trends Study (NHATS) Round 11 and the National Study of Caregiving (NSOC) Round 4, which included a nationally representative sample of American older adults and their family caregivers. Weighted multivariate logistic regression models were used for data analysis.
Among 528 family caregivers of persons living with dementia, ≈15.9% had depression. The final logistic regression model showed that intermediary determinants, such as living with a spouse/partner or utilizing a caregiver training program, lowered the likelihood of depression.
Health care professionals should pay greater attention to these individuals, and caregiver training programs should be made widely accessible and available.
Approximately 15.9% of dementia family caregivers had depression. Family caregivers who were married or living with a partner were less likely to have depression. Family caregivers involved in caregiving training programs were less likely to have depression.
由于痴呆症的渐进性，痴呆症患者的家庭护理人员面临着巨大的负担，这使他们患抑郁症的风险很高。由于缺乏关于影响抑郁症的健康社会决定因素的信息，本研究对这种关系进行了调查。
本研究是一项二次数据分析，使用了2017年全国健康与老龄化趋势研究（NHATS）第11轮和全国护理研究（NSOC）第4轮的数据，其中包括具有全国代表性的美国老年人及其家庭护理人员样本。采用加权多元逻辑回归模型进行数据分析。
在528名痴呆症患者的家庭护理人员中，约15.9%患有抑郁症。最终的逻辑回归模型表明，诸如与配偶/伴侣同住或参加护理人员培训项目等中介决定因素降低了患抑郁症的可能性。
医疗保健专业人员应更加关注这些个体，护理人员培训项目应广泛普及并易于获得。
约15.9%的痴呆症家庭护理人员患有抑郁症。已婚或与伴侣同住的家庭护理人员患抑郁症的可能性较小。参加护理培训项目的家庭护理人员患抑郁症的可能性较小。
