Donaldson C, Tarrier N, Burns A
University of Manchester, School of Psychiatry and Behavioural Sciences, Withington Hospital.
Br J Psychiatry. 1997 Jan;170:62-8. doi: 10.1192/bjp.170.1.62.
The symptoms of dementia are the most obvious stressors to which caregivers are exposed and many studies have investigated the association of such symptoms with the adverse consequences of caring. The present paper represents the only dedicated review of this literature.
Manual and computer (MEDLINE) literature searches were performed.
Seventeen empirical studies were found.
Variability in conceptual and methodological approaches and inconsistencies in the reported findings have prevented firm conclusions from being drawn. However, the literature provided support for a relationship between non-cognitive features in dementia and psychological problems in caregivers, and suggested possible associations between cognitive deficits and some negative care-giver outcomes. New methodological and conceptual approaches are required if decisive evidence is to be forthcoming. This information is a prerequisite for investigations into the causal mechanisms that sustain these relationships, and for rationally designed interventions.
痴呆症状是照料者面临的最明显压力源，许多研究探讨了此类症状与照料不良后果之间的关联。本文是对此类文献的唯一专门综述。
进行了手工和计算机（MEDLINE）文献检索。
共找到17项实证研究。
概念和方法学方法的差异以及报告结果的不一致性阻碍了得出确凿结论。然而，文献支持痴呆的非认知特征与照料者心理问题之间的关系，并表明认知缺陷与一些照料者负面结果之间可能存在关联。若要得出决定性证据，需要新的方法学和概念方法。这些信息是调查维持这些关系的因果机制以及进行合理设计干预的先决条件。
