|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|4931902||1363399||2018||9 صفحه PDF||ندارد||دانلود کنید|
â¢Approximately one fifth of the adult population in the 58 countries studied were engaged in informal care.â¢Caregivers were more likely to have depression, sleep problems, and higher levels of perceived stress.â¢Interventions and policies to address the mental health burden of caregivers are indispensable.
Caregiving has been associated with adverse health outcomes. However, there is a paucity of multi-country, population-based studies on mental health outcomes of caregivers especially from low- and middle-income countries (LMICs). Thus, we assessed the association of caregiving with depression, sleep problems, and perceived stress in 10 high-, 27 middle-, and 21 low-income countries. Cross-sectional community-based data of the World Health Survey including 258,793 adults aged â¥18 years were analyzed. Multivariable logistic and linear regression analyses were conducted to explore the association of past 12-month caregiving with past 12-month DSM-IV depression, and past 30-day perceived stress [range 0 (low)-100 (high)] and severe/extreme sleep problems. Nearly 20% of the individuals were engaged in caregiving with particularly high rates observed in high-income countries (HICs) (e.g., Finland 43.3%). Across the entire sample, after adjustment for potential confounders, caregivers had a significantly higher likelihood of having depression (ORÂ =Â 1.54; 95%CIÂ =Â 1.37â1.73), sleep problems (ORÂ =Â 1.37; 95%CIÂ =Â 1.25â1.50), while their mean perceived stress score was 3.15 (95%CIÂ =Â 2.46â3.84) points higher. These associations tended to be stronger in HICs. A greater number of caregiving activities was associated with a greater likelihood of depression, sleep problems, and perceived stress regardless of country income levels. In conclusion, caregiving has a negative impact on mental health worldwide with possibly greater effects in HICs. Given the growing contribution of caregivers in long-term care, interventions and policies to alleviate the mental health burden of caregivers are urgently needed to maintain sustainable and effective care practices.
Journal: Journal of Psychiatric Research - Volume 96, January 2018, Pages 115-123