사회적 지지가 치매 수발 부담과 우울증에 미치는 영향
Effects of Social Support on Caregiver Burden and Depressive Symptoms in Family Caregivers of Patients with Alzheimer’s Disease
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배경: 치매 환자가 점점 늘어남에 따라 가족들이 겪는치매 수발 부담이 우울증을 유발시키는 원인으로 파악되면서 사회적 관심의 대상이 되고 있다. 본 연구는 사회적지지가 치매 수발 부담과 우울증에 어떻게 영향을 미치는지 기초적인 메커니즘을 규명하는 데 목적을 두고 있다. 방법: 미국에서 실시된 치매 수발 가족들을 대상으로 한사회심리프로그램(Resources for Enhancing Alzheimer’sCaregiver Health)에 참가한 612명의 치매 수발 가족들을분석했다. 사회적 지지가 치매 수발 부담을 낮추고, 사회적지지에 의해 낮춰진 치매 수발 부담이 우울증을 낮추는지를 검증했다. 결과: 연구 결과는 연구 가설을 지지하는 것으로 나타났다. 사회적 지지가 수발 부담을 낮추고 사회적 지지에 의해 낮아진 수발 부담이 우울증을 낮췄다. 고찰: 본 연구 결과는 치매 수발 가족들의 사회적 지지와 우울증이 어떻게 관련이 있는지에 관한 기본적인 메커니즘을 검증한 것으로, 치매 수발의 맥락에서 사회적 지지와 우울증이 어떻게 관련이 되어있는지에 관한 기초 연구틀로서 사용될 수 있을 것이다.
Abstract
Background: Alzheimer’s disease and other forms of dementia affect an ever-growing number of individuals in the United States, and the family members in charge of caring for relatives with dementia often experience debilitating caregiving burden and depression as a result of this responsibility. Methods: Using a sample of 612 family caregivers from the Resources for Enhancing Alzheimer’s Caregiver Health, this study examined perceived social support (i.e., level of satisfaction with social support received) as a protective factor of caregiving burden and depression. Results: Regression results indicated that there was a significant negative effect of perceived social support on caregiving burden (B=-0.35, P<0.01) and depressive symptoms (B=-0.55, P<0.01). Mediation analysis results indicated a significant indirect effect of perceived social support on depressive symptoms through caregiving burden (B=-0.103, CI=-0.207/-0.035). Discussion: These findings indicate that higher perceived social support may reduce caregiving burden, and in turn, reduce depressive symptoms. These findings provide insight into the mechanisms linking social support with depressive symptoms among caregivers.
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