Depression of Family Caregivers of Patients With Disorders of Consciousness: A Systematic Review

IF 2.7 3区医学 Q2 CLINICAL NEUROLOGY

Acta Neurologica Scandinavica Pub Date : 2025-10-01 DOI:10.1155/ane/6249080

Fangfang Shou, Junyang Wu, Jing Wang, Charlotte Grégoire, Wangshan Huang, Meiqi Li, Charlène Aubinet, Anqi Wang, Natu Hu, Steven Laureys, Haibo Di

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Abstract

Objectives

The main purpose of this study was to systematically analyze the state of depression among family caregivers of patients with disorders of consciousness (DoC) and explore the influencing factors of depression.

Data Sources

A systematic review. English-language articles published from January 1, 1994, to July 1, 2024, were searched using Web of Science, PubMed, Embase, and MEDLINE databases.

Study Selection

The study selected for review had to assess the level of depression, or the predictors of depression, among family caregivers of DoC patients.

Results

A total of 18 studies, encompassing 2155 participants, met the predetermined inclusion criteria. Depending on the study, 15.5%–82.6% of these caregivers of DoC patients reported depression. Eight studies showed that positive coping strategies (e.g., acceptance and problem-focused strategies) predicted lower levels of depression. Two longitudinal studies showed a significant decrease in depression over time. Two of the four studies that discussed gender showed a greater prevalence of depression in female caregivers than in males. In addition, low quality of life, poor social support, unmet emotional support needs, and financial problems increase the level of depression.

Conclusion

Family caregivers are suffering from depression. Duration of illness (i.e., DoC), gender of family caregivers, coping strategies, and social support influenced the proportion of depression symptoms. These results open the path to the study of interventions aiming to support the mental health of family caregivers of DoC patients and considering these influences. Improving the mental health of family caregivers could ultimately allow an increase in the quality of life of patients and promote their recovery.

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意识障碍患者家庭照顾者的抑郁：一项系统综述

目的本研究的主要目的是系统分析意识障碍（DoC）患者家庭照顾者的抑郁状况，并探讨其抑郁的影响因素。数据来源系统综述。使用Web of Science、PubMed、Embase和MEDLINE数据库检索1994年1月1日至2024年7月1日发表的英文文章。研究选择：入选的研究必须评估DoC患者的家庭照顾者的抑郁水平或抑郁的预测因素。结果共有18项研究，包括2155名受试者，符合预定的纳入标准。根据这项研究，15.5%-82.6%的DoC患者的护理人员报告了抑郁症。八项研究表明，积极的应对策略（例如，接纳和问题关注策略）预示着较低的抑郁水平。两项纵向研究表明，随着时间的推移，抑郁症显著减少。在讨论性别的四项研究中，有两项显示，女性看护者比男性更容易患抑郁症。此外，生活质量低、社会支持不足、情感支持需求未得到满足以及经济问题都会增加抑郁程度。结论家庭照顾者存在抑郁症。患病时间（即DoC）、家庭照顾者性别、应对策略和社会支持影响抑郁症状的比例。这些结果为研究旨在支持DoC患者家庭照顾者心理健康的干预措施并考虑这些影响开辟了道路。改善家庭照顾者的心理健康最终可以提高病人的生活质量，促进他们的康复。

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

Acta Neurologica Scandinavica 医学-临床神经学

CiteScore

6.70

自引率

2.90%

发文量

161

审稿时长

4-8 weeks

期刊介绍： Acta Neurologica Scandinavica aims to publish manuscripts of a high scientific quality representing original clinical, diagnostic or experimental work in neuroscience. The journal''s scope is to act as an international forum for the dissemination of information advancing the science or practice of this subject area. Papers in English will be welcomed, especially those which bring new knowledge and observations from the application of therapies or techniques in the combating of a broad spectrum of neurological disease and neurodegenerative disorders. Relevant articles on the basic neurosciences will be published where they extend present understanding of such disorders. Priority will be given to review of topical subjects. Papers requiring rapid publication because of their significance and timeliness will be included as ''Clinical commentaries'' not exceeding two printed pages, as will ''Clinical commentaries'' of sufficient general interest. Debate within the speciality is encouraged in the form of ''Letters to the editor''. All submitted manuscripts falling within the overall scope of the journal will be assessed by suitably qualified referees.