Ning Wenjing, Wang Shanshan, Xu Yudi, Cheung Daphne
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
J Adv Nurs. 2025 Jun 25. doi: 10.1111/jan.17093.
To identify and evaluate the magnitude of the association between caregiver psychosocial factors and depressive symptoms among people with dementia.
Systematic review and meta-analysis.
A systematic review with meta-analysis used a random-effects model to estimate the effect size.
Medline, PsycINFO, CINAHL, Scopus and Embase databases were searched for peer-reviewed studies from inception to 25 November 2023.
The review included 88 articles, with 61 selected for meta-analysis. Seven caregiver psychosocial factors were determined for the meta-analysis: caregiver quality of life, distress, positive aspects of caregiving, depression, burden, quality of the relationship and anxiety.
This study suggested that depressive symptoms in people with dementia were associated with caregiver quality of life, distress, burden, depression and positive aspects of caregiving.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Recognising the association between caregiver psychosocial factors and depressive symptoms in people with dementia has essential nursing implications. Adopting family-centred care models and integrating respite care and psychological support for caregivers can help improve patient outcomes and overall dementia care.
This study highlights the association between caregiver psychosocial factors and depressive symptoms in people with dementia. Caregiver distress, burden and depression were linked to increased depressive symptoms in people with dementia, while caregiver quality of life and positive aspects of caregiving were associated with depressive symptoms in people with dementia. These findings underscore the need for tailored interventions to enhance dyadic health.
This systematic review and meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
There was no patient or public contribution.
This review was registered in PROSPERO (2024 CRD42024511383).
识别并评估痴呆症患者的照料者心理社会因素与抑郁症状之间关联的程度。
系统评价与荟萃分析。
一项采用随机效应模型估计效应大小的系统评价与荟萃分析。
检索了Medline、PsycINFO、CINAHL、Scopus和Embase数据库，以查找从数据库建立至2023年11月25日期间的同行评审研究。
该评价纳入了88篇文章，其中61篇被选入荟萃分析。确定了7个用于荟萃分析的照料者心理社会因素：照料者生活质量、困扰、照料的积极方面、抑郁、负担、关系质量和焦虑。
本研究表明，痴呆症患者的抑郁症状与照料者生活质量、困扰、负担、抑郁以及照料的积极方面有关。
对专业和/或患者护理的启示：认识到痴呆症患者的照料者心理社会因素与抑郁症状之间的关联具有重要的护理意义。采用以家庭为中心的护理模式，并为照料者提供喘息护理和心理支持，有助于改善患者结局和整体痴呆症护理。
本研究强调了痴呆症患者的照料者心理社会因素与抑郁症状之间的关联。照料者的困扰、负担和抑郁与痴呆症患者抑郁症状的增加有关，而照料者的生活质量和照料的积极方面与痴呆症患者的抑郁症状有关。这些发现强调了需要采取针对性干预措施来改善二元健康状况。
本系统评价与荟萃分析遵循系统评价与荟萃分析的首选报告项目指南。
没有患者或公众参与。
本评价已在国际前瞻性系统评价注册库（PROSPERO，注册号：2024 CRD42024511383）注册。
