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学科主题: 精神卫生
题名:
Strain and its correlates among carers of people with dementia in low-income and middle-income countries. A 10/66 Dementia Research Group population-based survey
作者: Prince, Martin1; Brodaty, Henry2; Uwakwe, Richard3; Acosta, Daisy4; Ferri, Cleusa P.1; Guerra, Mariella5,6; Huang, Yueqin7; Jacob, K. S.8; Llibre Rodriguez, Juan J.9; Salas, Aquiles10; Luisa Sosa, Ana11; Williams, Joseph D.12; Jotheeswaran, A. T.13; Liu, Zhaorui7
关键词: dementia ; developing countries ; caregivers ; stress ; psychological ; aged ; epidemiologic studies
刊名: INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
发表日期: 2012-07-01
DOI: 10.1002/gps.2727
卷: 27, 期:7, 页:670-682
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Geriatrics & Gerontology ; Gerontology ; Psychiatry
研究领域[WOS]: Geriatrics & Gerontology ; Psychiatry
关键词[WOS]: CAREGIVER BURDEN ; ALZHEIMERS-DISEASE ; FAMILY CAREGIVERS ; GENDER-DIFFERENCES ; CHINESE VERSION ; MENTAL-HEALTH ; VALIDATION ; DEPRESSION ; STRATEGIES ; INTERVENTION
英文摘要:

Objectives In a multi-site population-based study in several middle-income countries, we aimed to investigate relative contributions of care arrangements and characteristics of carers and care recipients to strain among carers of people with dementia. Based on previous research, hypotheses focused on carer sex, care inputs, behavioural and psychological symptoms (BPSD) and socioeconomic status, together with potential buffering effects of informal support and employing paid carers. Methods In population-based catchment area surveys in 11 sites in Latin America, India and China, we analysed data collected from people with dementia and care needs, and their carers. Carer strain was assessed with the Zarit Burden Interview. Results With 673 care recipient/carer dyads interviewed (99% of those eligible), mean Zarit Burden Interview scores ranged between 17.1 and 27.9 by site. Women carers reported more strain than men. The most substantial correlates of carer strain were primary stressors BPSD, dementia severity, needs for care and time spent caring. Socioeconomic status was not associated with carer strain. Those cutting back on work experienced higher strain. There was tentative evidence for a protective effect of having additional informal or paid support. Conclusions Our findings underline the global impact of caring for a person with dementia and support the need for scaling up carer support, education and training. That giving up work to care was prevalent and associated with substantial increased strain emphasizes the economic impact of caring on the household. Carer benefits, disability benefits for people with dementia and respite care should all be considered. Copyright (c) 2012 John Wiley & Sons, Ltd.

语种: 英语
所属项目编号: GR066133 ; IIRG-04-1286
项目资助者: Wellcome Trust ; World Health Organisation (India, Dominican Republic and China) ; US Alzheimer&prime ; s Association ; FONDACIT (Venezuela) ; Rockefeller Foundation
WOS记录号: WOS:000305082000002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52575
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.Nnamdi Azikiwe Univ, Teaching Hosp, Nnewi, Anambra State, Nigeria
2.UNPHU, Dept Internal Med, Geriatr Sect, Santo Domingo, Dominican Rep
3.Univ Peruana Cayetano Heredia, Lima, Peru
4.Inst Memoria & Desordenes Relacionados, Lima, Peru
5.Med Univ Havana, Fac Med Finley Albarran, Havana, Cuba
6.Voluntary Hlth Serv, Chennai, Tamil Nadu, India
7.Publ Hlth Fdn India, New Delhi, India
8.Kings Coll London, Inst Psychiat, Ctr Global Mental Hlth, Hlth Serv & Populat Res Dept, London WC2R 2LS, England
9.Univ New S Wales, Fac Med, Sch Psychiat, Dementia Collaborat Res Ctr, Sydney, NSW, Australia
10.Peking Univ, Minist Hlth, Key Lab Mental Hlth, Inst Mental Hlth, Beijing 100871, Peoples R China
11.Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
12.Cent Univ Venezuela, Fac Med, Caracas Univ Hosp, Dept Med, Caracas, Venezuela
13.Univ Nacl Autonoma Mexico, Natl Inst Neurol & Neurosurg Mexico, Cognit & Behav Unit, Mexico City 04510, DF, Mexico

Recommended Citation:
Prince, Martin,Brodaty, Henry,Uwakwe, Richard,et al. Strain and its correlates among carers of people with dementia in low-income and middle-income countries. A 10/66 Dementia Research Group population-based survey[J]. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY,2012,27(7):670-682.
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