Caregivers of People With Mild Cognitive Impairment and Dementia: Characterizing Social and Psychological Outcomes.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Alzheimer Disease & Associated Disorders Pub Date : 2024-01-01 Epub Date: 2024-01-25 DOI:10.1097/WAD.0000000000000603

Oanh L Meyer, Shichen Zheng, Raquel Alto, Duyen Tran, San Luu, Uyen Vu, Ladson Hinton, Danielle Harvey

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引用次数: 0

Abstract

Objective: Little is known about caregiving across the spectrum of cognitive impairment [mild cognitive impairment (MCI) to dementia] and how early life and sociocultural factors affect caregiver health. In this study, we characterized differences between caregivers of those with MCI versus those with dementia.

Methods: A total of 158 caregivers were enrolled in this cross-sectional study, most of whom were dementia caregivers (65%). Caregivers completed questionnaires on depressive symptoms, self-rated health (SRH), perceived burden and stress, as well as psychosocial and demographic measures.

Results: Caregivers of those with MCI reported fewer depressive symptoms and lower stress and burden compared with dementia caregivers. In adjusted analyses caregivers with greater stress reported more depressive symptoms. For SRH, at lower stress levels, having a sibling die before age 18 (ie, early life adversity) was associated with poorer SRH; at higher stress levels, having early life adversity was associated with better SRH. At lower burden levels, more live births were associated with worse SRH; at higher burden levels, more live births were associated with better SRH.

Conclusions: Early life factors are relevant for caregivers of those with cognitive impairment and targeted prevention and early intervention may be helpful in alleviating caregiver burden and stress.

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轻度认知障碍和痴呆症患者的照顾者：社会和心理结果的特征。

目的：人们对认知障碍（从轻度认知障碍（MCI）到痴呆症）不同阶段的护理工作以及早期生活和社会文化因素如何影响护理者的健康知之甚少。在这项研究中，我们描述了 MCI 患者与痴呆症患者的照顾者之间的差异：这项横断面研究共招募了 158 名照顾者，其中大部分是痴呆症照顾者（65%）。照顾者填写了有关抑郁症状、自评健康（SRH）、感知负担和压力以及社会心理和人口统计学测量的问卷：与痴呆症照护者相比，MCI 患者的照护者抑郁症状较少，压力和负担较轻。在调整后的分析中，压力越大的照护者抑郁症状越严重。在性健康和生殖健康方面，压力越小，兄弟姐妹在18岁前死亡（即早期生活逆境）与性健康和生殖健康越差相关；压力越大，早期生活逆境与性健康和生殖健康越好相关。在较低的负担水平下，活产次数越多，性健康和生殖健康状况越差；在较高的负担水平下，活产次数越多，性健康和生殖健康状况越好：结论：早期生活因素与认知障碍患者的照顾者有关，有针对性的预防和早期干预可能有助于减轻照顾者的负担和压力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alzheimer Disease & Associated Disorders 医学-病理学

CiteScore

3.10

自引率

4.80%

发文量

期刊介绍： Alzheimer Disease & Associated Disorders is a peer-reviewed, multidisciplinary journal directed to an audience of clinicians and researchers, with primary emphasis on Alzheimer disease and associated disorders. The journal publishes original articles emphasizing research in humans including epidemiologic studies, clinical trials and experimental studies, studies of diagnosis and biomarkers, as well as research on the health of persons with dementia and their caregivers. The scientific portion of the journal is augmented by reviews of the current literature, concepts, conjectures, and hypotheses in dementia, brief reports, and letters to the editor.