了解适应负荷和慢性应激对家庭照顾者的生理影响:一项范围综述。

IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Kristin Corey Magan, Kari Mofford
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引用次数: 0

摘要

目的:为患有慢性疾病的个体提供护理与慢性压力和不良健康结果相关。家庭照顾和适应负荷(AL)之间的联系,慢性压力的累积生物学负担,尚不清楚。我们进行了一项范围审查,以检查患有慢性疾病的成人家庭照顾者AL的现有文献的范围和性质。方法:以Arksey和O'Malley提出的框架和PRISMA范围审查扩展清单为指导进行范围审查。2007年至2025年间发表的同行评议文章在CINAHL, APA PsycINFO和Web of Science with BIOSIS Previews和MEDLINE中被确定。如果研究包括AL的生物学测量,作为多种生物标志物的指数计算,在患有慢性疾病的成年人的家庭照顾者中,研究符合资格标准。结果:共有10篇文章符合入选标准。研究结果表明,与非照顾者相比,家庭照顾者的AL明显更高,未来更有可能患病和残疾。大多数研究揭示了照顾者负担、主观压力和al升高之间的联系。结论:研究结果表明,家庭照顾与适应负荷和长期健康结果有关。需要进一步的研究来更好地了解护理期间和护理后AL的纵向变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding allostatic load and the physiological impact of chronic stress in family caregivers: a scoping review.

Objectives: Providing care to an individual with chronic illness is associated with chronic stress and adverse health outcomes. The link between family caregiving and allostatic load (AL), the cumulative biological burden of chronic stress, is unclear. A scoping review was conducted to examine the extent and nature of existing literature on AL in family caregivers of adults with chronic illness.

Method: This scoping review was guided by the framework proposed by Arksey and O'Malley and the PRISMA Extension for Scoping Reviews checklist. Peer-reviewed articles published between 2007 and 2025 were identified in CINAHL, APA PsycINFO, and Web of Science with BIOSIS Previews and MEDLINE. Studies met eligibility criteria if they included biological measurement of AL, calculated as an index of multiple biomarkers, in family caregivers of adults living with chronic illness.

Results: A total of 10 articles met the eligibility criteria. The findings suggested that, compared to non-caregivers, family caregivers had significantly higher AL and were more likely to experience future illness and disability. Most studies revealed associations among caregiver burden, subjective stress, and elevated AL.

Conclusion: The findings suggested that family caregiving is associated with allostatic overload and long term health outcomes. Further research is needed to better understand longitudinal changes in AL during and after a caregiving episode.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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