본문 바로가기
KERD
논문KCI 등재

치매 환자 부양자의 주요우울장애 유병률

Major Depressive Disorder in Family Caregivers of Patients with Dementia

2

조회

0

다운로드

7

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objectives:The family caregivers of patients with dementia experience high caregiver burden. This study aims to investigate the prevalence of depression in family caregivers of dementia patients and to reveal whether or not the depression is affected by caregiver burden. Methods:Multi-stage cluster sampling was adopted in this study. Interviews were conducted face-to-face with 18-year-old and older people living in the community from June to November 2016. Korean version of Composite International Diagnostic Interview(K-CIDI) was applied to assess the prevalence of one-year MDD of the subjects. It also examined whether caregivers in the survey lived with the dementia patients, whether they were caregiving the dementia patients themselves, and which relationship they had. Results:Cross-analysis was conducted on the relationships in MDD and caregiver burden according to demographic factors, with a total of 5,102 respondents in the study. Prevalence of one-year MDD was 8.2% for sons and daughters and 50% for spouses with dementia. Among the families who had caregiver burden with dementia, prevalence of one-year MDD was 12.9%. Elderly and small numbers of family were also significantly associated with the prevalence of one-year MDD. Conclusion:The prevalence of one-year MDD of the family caregivers of patients with dementia was higher than without that of patients according to family relation and caregiver burden. Caregivers who were elderly and had two or fewer family members had more caregiver burden and higher prevalence of one-year MDD.

Abstract

Objectives:The family caregivers of patients with dementia experience high caregiver burden. This study aims to investigate the prevalence of depression in family caregivers of dementia patients and to reveal whether or not the depression is affected by caregiver burden. Methods:Multi-stage cluster sampling was adopted in this study. Interviews were conducted face-to-face with 18-year-old and older people living in the community from June to November 2016. Korean version of Composite International Diagnostic Interview(K-CIDI) was applied to assess the prevalence of one-year MDD of the subjects. It also examined whether caregivers in the survey lived with the dementia patients, whether they were caregiving the dementia patients themselves, and which relationship they had. Results:Cross-analysis was conducted on the relationships in MDD and caregiver burden according to demographic factors, with a total of 5,102 respondents in the study. Prevalence of one-year MDD was 8.2% for sons and daughters and 50% for spouses with dementia. Among the families who had caregiver burden with dementia, prevalence of one-year MDD was 12.9%. Elderly and small numbers of family were also significantly associated with the prevalence of one-year MDD. Conclusion:The prevalence of one-year MDD of the family caregivers of patients with dementia was higher than without that of patients according to family relation and caregiver burden. Caregivers who were elderly and had two or fewer family members had more caregiver burden and higher prevalence of one-year MDD.

참고문헌 (27)

  1. 2017년 치매 유병률 조사, "통계청", 보건복지부, ~ (2017)
  2. 이동우, "대한민국 국가치매관리종합계획: 1차에서 3차까지", 대한의사협회지, 61(5), pp.298~303 (2018), 대한의사협회[DOI]
  3. 대한노인정신의학회, "노인정신의학", pp.3~13 (2015), 엠엘커뮤니케이션
  4. Cheng ST, "Dementia Caregiver Burden : a research update and critical analysis", Curr Psychiatry Rep, 19, pp.64~ (2017)
  5. Clyburn LD, "Predicting caregiver burden and depression in Alzheimer’s disease", J Gerontol B Psychol Sci Soc Sci, 55, pp.S2~S13 (2000)
  6. 배경열, "노인의 인지기능에 따른 부양자의 부양부담", 생물치료정신의학, 12(1), pp.66~75 (2006), 대한생물치료정신의학회
  7. 이혜자, "재가 치매노인 주부양자의 부양부담 실태 및영향요인", 대한케어복지학, 2, pp.33~60 (2006)
  8. Ferrara M, "Prevalence of stress, anxiety and depression in with Alzheimer caregivers", Health Qual Life Outcomes, 6, pp.93~ (2008)
  9. Clipp EC, "Dementia and cancer : a comparison of spouse caregivers", The Gerontologist, 33, pp.534~541 (1993)
  10. Mahoney R, "Anxiety and depression in family caregivers of people with Alzheimer disease : the LASER-AD study", Am J Geriatr Psychiatry, 13, pp.795~801 (2005)
  11. Ory MG, "Prevalence and impact of caregiving : a detailed comparison between dementia and nondementia caregivers", The Gerontologist, 39, pp.177~186 (1999)
  12. Brodaty H, "Family caregivers of people with dementia", Dialogues Clin Neurosci, 11, pp.217~228 (2009)
  13. Alfakhri AS, "Depression among caregivers of patients with dementia", Inquiry, 55, pp.46958017750432~ (2018)
  14. Ballard CG, "A follow up study of depression in the carers of dementia sufferers", BMJ, 312, pp.947~ (1996)
  15. Campbell P, "Determinants of burden in those who care for someone with dementia", Int J Geriatr Psychiatry, 23, pp.1078~1085 (2008)
  16. Jang SI, "Depression in the family of patients with dementia in Korea", Am J Alzheimers Dis Other Demen, 31, pp.481~491 (2016)
  17. 2016년도 정신질환실태 역학조사, "홍진표", 보건복지부삼성서울병원, ~ (2016)
  18. 조맹제, "한국어판 Composite International Diagnostic Interview(KCIDI)의 개발", pp.41~ (2002)
  19. 가계동향조사, "통계청", ~ (2018)
  20. Meuser TM, "A comprehensive, stage-sensitive model of grief in dementia caregiving", Gerontologist, 41, pp.658~670 (2001)
  21. Andren S, "The relationship between caregiver burden, caregivers’ perceived health and their sense of coherence in caring for elders with dementia", J Clin Nurs, 17, pp.790~799 (2008)
  22. Allen SM., "Gender differences in spousal caregiving and unmet need for care", J Gerontol, 49, pp.S187~S195 (1994)
  23. 김재민, "치매환자 부양자의 부양부담 결정인자", 신경정신의학, 40(6), pp.1106~1113 (2001), 대한신경정신의학회
  24. 이애숙, "치매노인 부양자의 부양부담 실태 및 부양부담에 영향을 미치는 요인", 보건과 사회과학, 13, pp.29~60 (2003), 한국보건사회학회
  25. 이현경, "치매노인 주부양자의 부양부담과 가족응집력에 관한 연구 : 부양스트레스의 매개효과와 비공식 사회적 지원의 조절효과 검증", 가족과 문화, 30(2), pp.78~104 (2018), 한국가족학회[DOI]
  26. Poysti MM, "Gender differences in dementia spousal caregiving", Int J Alzheimers Dis, 2012, pp.1~5 (2012)
  27. 윤보라, "치매 환자는 누가 돌보는가: 독거 치매 노인 현황과 주부양자 조사 연구", Dementia and Neurocognitive Disorders(대한치매학회지), 11(1), pp.13~17 (2012), 대한치매학회

이 간행물의 다른 논문 (6건)