Poor caregiver mental health predicts mortality of patients with neurodegenerative disease

被引:94
|
作者
Lwi, Sandy J. [1 ]
Ford, Brett Q. [2 ]
Casey, James J. [1 ]
Miller, Bruce L. [3 ]
Levenson, Robert W. [1 ]
机构
[1] Univ Calif Berkeley, Dept Psychol, 3210 Tolman Hall, Berkeley, CA 94720 USA
[2] Univ Toronto, Dept Psychol, Toronto, ON M1C 1A4, Canada
[3] Univ Calif San Francisco, Memory & Aging Ctr, San Francisco, CA 94143 USA
关键词
neurodegenerative disease; dementia caregiving; mental health; mortality; PROGRESSIVE SUPRANUCLEAR PALSY; PSYCHOLOGICAL STRESS; ALZHEIMERS-DISEASE; DEMENTIA CARE; SURVIVAL; PREVALENCE; DEPRESSION; SPOUSES; RISK; TIME;
D O I
10.1073/pnas.1701597114
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Dementia and other neurodegenerative diseases cause profound declines in functioning; thus, many patients require caregivers for assistance with daily living. Patients differ greatly in how long they live after disease onset, with the nature and severity of the disease playing an important role. Caregiving can also be extremely stressful, and many caregivers experience declines in mental health. In this study, we investigated the role that caregiver mental health plays in patient mortality. In 176 patient-caregiver dyads, we found that worse caregiver mental health predicted greater patient mortality even when accounting for key risk factors in patients (i.e., diagnosis, age, sex, dementia severity, and patient mental health). These findings highlight the importance of caring for caregivers as well as patients when attempting to improve patients' lives.
引用
收藏
页码:7319 / 7324
页数:6
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