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Stress-related cognitive dysfunction in dementia caregivers

机译:痴呆症照护者与压力有关的认知功能障碍

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SummaryIn a cross-sectional study, 31 dementia caregivers were compared to a group of 25 noncaregiving controls to evaluate whether the stress of being the primary caregiver of a person with dementia produces cognitive dysfunction. Cognitive differences were examined to evaluate the relationships between cognitive function and stress-related physiological and psychological measures to contribute information regarding its potential mechanism. The cognitive assessments were 2 measures of attention-executive function and 1 word list memory task. Physiological and self-rated stress-related measurements included cortisol, perceived stress, depression, self-efficacy, mindfulness, sleep quality, fatigue, and neuroticism. Caregivers performed worse than noncaregivers on the 2 attention tasks but not on the word list memory test. There was no interaction of caregiver status and age on cognitive performance. The caregivers and noncaregivers differed in morning salivary cortisol and most of the self-rated stress-related measures with the caregiver values reflecting greater stress. Of note, impaired sleep was the only potential mediator of the caregiver effect on cognitive performance in our small sample.
机译:总结在一项横断面研究中,将31名痴呆症照护者与25个非照护对照组进行了比较,以评估作为痴呆症患者的主要照护者的压力是否产生认知功能障碍。检查认知差异以评估认知功能与压力相关的生理和心理措施之间的关系,以提供有关其潜在机制的信息。认知评估为注意执行功能的2个指标和单词表记忆任务的1个指标。与压力有关的生理和自我评估指标包括皮质醇,感知压力,抑郁,自我效能感,正念,睡眠质量,疲劳和神经质。在两项注意任务上,看护者的表现要比不看护者差,但在单词表记忆测试中却没有。护理人员的状态和年龄在认知能力上没有相互作用。照料者和非照料者在早晨唾液皮质醇和大多数与压力有关的自我评估指标方面有所不同,其中照料者值反映更大的压力。值得注意的是,在我们的小样本中,睡眠障碍是看护者影响认知能力的唯一潜在媒介。

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