depression;
morbidity;
associated factor;
caregiver;
NEUROPSYCHIATRIC INTERVIEW MINI;
HOSPITAL ANXIETY;
GLOBAL BURDEN;
FAMILY APGAR;
PREVALENCE;
CANCER;
DISEASE;
VALIDATION;
SYMPTOMS;
VALIDITY;
D O I:
10.2147/NDT.S415881
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Depressive disorder significantly impacts patients' daily living activities and quality of life. Caregivers of patients with depression may also suffer from psychological distress related to the chronic burden of caring for the patient's mood changes. The purpose of this study was to evaluate the morbidity and associated factors of depression in caregivers of patients with depressive disorder. Methods: In this study, we used a cross-sectional design with consecutive sampling. Study subjects were recruited from the psychiatric outpatient clinic of a medical center from August 2021 to June 2022. Caregivers of depressive disorder patients were enrolled and assessed using the Mini International Neuropsychiatric Interview, Hospital Anxiety and Depression Scale (HADS), Suicide Assessment Scale (SAS), Stigma Scale of the Explanatory Model Interview Catalogue (EMIC), and Family APGAR Index. Results: Of the 120 caregivers that completed the study, 59.2% (n=71) were females. The most common psychiatric diagnosis was depressive disorders (25.8%), followed by anxiety disorders (17.5%) and insomnia disorder (15.8%); 54.2% of the caregivers had a psychiatric diagnosis. Using logistic regression analysis, we found that anxiolytics/hypnotics use (OR=5.58; 95% CI, 1.84-16.96; p<0.01), higher suicide risk (SAS) (OR=1.10; 95% CI, 1.05-1.16; p<0.001), and lower family support (APGAR scores) (OR=0.82; 95% CI, 0.71-0.94; p<0.01) were three significant associated factors. Conclusion: Depression was the most prevalent psychiatric diagnosis in caregivers of patients with depressive disorder. Early psychiatric diagnosis for caregivers of patients with depression is crucial to offering suitable support and treatment and may improve caregivers' quality of life.
机构:
Massachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Harvard Med Sch, 55 Fruit St,Yawkey 7B, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Nipp, R. D.
El-Jawahri, A.
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Massachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
El-Jawahri, A.
Fishbein, J. N.
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Massachusetts Gen Hosp, Dept Psychiat, Div Palliat Care, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Fishbein, J. N.
Gallagher, E. R.
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Massachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Gallagher, E. R.
Stagl, J. M.
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Massachusetts Gen Hosp, Dept Psychiat, Div Palliat Care, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Stagl, J. M.
Park, E. R.
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Massachusetts Gen Hosp, Dept Psychiat, Div Palliat Care, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Park, E. R.
Jackson, V. A.
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Massachusetts Gen Hosp, Dept Med, Div Palliat Care, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Jackson, V. A.
Pirl, W. F.
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Massachusetts Gen Hosp, Dept Psychiat, Div Palliat Care, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Pirl, W. F.
Greer, J. A.
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Massachusetts Gen Hosp, Dept Psychiat, Div Palliat Care, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
Greer, J. A.
Temel, J. S.
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Massachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Med, Div Hematol & Oncol, Boston, MA 02114 USA
机构:
Tokushima Univ Hosp, Dept Gen Med & Primary Care, 50 Kuramoto Cho 2, Tokushima 77101, JapanTokushima Univ Hosp, Dept Gen Med & Primary Care, 50 Kuramoto Cho 2, Tokushima 77101, Japan
Okura, Yoshihiro
Takeuchi, Chisato
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Univ Tokushima, Dept Gen Med, Grad Sch Biomed Sci, Tokushima, JapanTokushima Univ Hosp, Dept Gen Med & Primary Care, 50 Kuramoto Cho 2, Tokushima 77101, Japan
Takeuchi, Chisato
Yamaguchi, Harutaka
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Univ Tokushima, Dept Gen Med, Grad Sch Biomed Sci, Tokushima, JapanTokushima Univ Hosp, Dept Gen Med & Primary Care, 50 Kuramoto Cho 2, Tokushima 77101, Japan
Yamaguchi, Harutaka
Tani, Kenji
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Tokushima Univ Hosp, Dept Gen Med & Primary Care, 50 Kuramoto Cho 2, Tokushima 77101, JapanTokushima Univ Hosp, Dept Gen Med & Primary Care, 50 Kuramoto Cho 2, Tokushima 77101, Japan