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Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study
BACKGROUND: Hospitalization is common for acute exacerbation of COPD, but little is known about its impact on the mental health of caregivers. OBJECTIVE: The aim of this study was to determine the rates and predictors of depressive symptoms in caregivers at the time of hospitalization for acute exac...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5167454/ https://www.ncbi.nlm.nih.gov/pubmed/28008245 http://dx.doi.org/10.2147/COPD.S118109 |
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author | Bernabeu-Mora, Roberto García-Guillamón, Gloria Montilla-Herrador, Joaquina Escolar-Reina, Pilar García-Vidal, José Antonio Medina-Mirapeix, Francesc |
author_facet | Bernabeu-Mora, Roberto García-Guillamón, Gloria Montilla-Herrador, Joaquina Escolar-Reina, Pilar García-Vidal, José Antonio Medina-Mirapeix, Francesc |
author_sort | Bernabeu-Mora, Roberto |
collection | PubMed |
description | BACKGROUND: Hospitalization is common for acute exacerbation of COPD, but little is known about its impact on the mental health of caregivers. OBJECTIVE: The aim of this study was to determine the rates and predictors of depressive symptoms in caregivers at the time of hospitalization for acute exacerbation of COPD and to identify the probability and predictors of subsequent changes in depressive status 3 months after discharge. MATERIALS AND METHODS: This was a prospective study. Depression symptoms were measured in 87 caregivers of patients hospitalized for exacerbation at hospitalization and 3 months after discharge. We measured factors from four domains: context of care, caregiving demands, caregiver resources, and patient characteristics. Univariate and multivariate multiple logistic regressions were used to determine the predictors of depression at hospitalization and subsequent changes at 3 months. RESULTS: A total of 45 caregivers reported depression at the time of hospitalization. After multiple adjustments, spousal relationship, dyspnea, and severe airflow limitation were the strongest independent predictors of depression at hospitalization. Of these 45 caregivers, 40% had a remission of their depression 3 months after discharge. In contrast, 16.7% of caregivers who were not depressive at hospitalization became depressive at 3 months. Caregivers caring >20 hours per week for patients with dependencies had decreased odds of remission, and patients having dependencies after discharge increased the odds of caregivers becoming depressed. CONCLUSION: Depressive symptoms are common among caregivers when patients are hospitalized for exacerbation of COPD. Although illness factors are determinants of depression at hospitalization, patient dependence determines fluctuations in the depressive status of caregivers. |
format | Online Article Text |
id | pubmed-5167454 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-51674542016-12-22 Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study Bernabeu-Mora, Roberto García-Guillamón, Gloria Montilla-Herrador, Joaquina Escolar-Reina, Pilar García-Vidal, José Antonio Medina-Mirapeix, Francesc Int J Chron Obstruct Pulmon Dis Original Research BACKGROUND: Hospitalization is common for acute exacerbation of COPD, but little is known about its impact on the mental health of caregivers. OBJECTIVE: The aim of this study was to determine the rates and predictors of depressive symptoms in caregivers at the time of hospitalization for acute exacerbation of COPD and to identify the probability and predictors of subsequent changes in depressive status 3 months after discharge. MATERIALS AND METHODS: This was a prospective study. Depression symptoms were measured in 87 caregivers of patients hospitalized for exacerbation at hospitalization and 3 months after discharge. We measured factors from four domains: context of care, caregiving demands, caregiver resources, and patient characteristics. Univariate and multivariate multiple logistic regressions were used to determine the predictors of depression at hospitalization and subsequent changes at 3 months. RESULTS: A total of 45 caregivers reported depression at the time of hospitalization. After multiple adjustments, spousal relationship, dyspnea, and severe airflow limitation were the strongest independent predictors of depression at hospitalization. Of these 45 caregivers, 40% had a remission of their depression 3 months after discharge. In contrast, 16.7% of caregivers who were not depressive at hospitalization became depressive at 3 months. Caregivers caring >20 hours per week for patients with dependencies had decreased odds of remission, and patients having dependencies after discharge increased the odds of caregivers becoming depressed. CONCLUSION: Depressive symptoms are common among caregivers when patients are hospitalized for exacerbation of COPD. Although illness factors are determinants of depression at hospitalization, patient dependence determines fluctuations in the depressive status of caregivers. Dove Medical Press 2016-12-14 /pmc/articles/PMC5167454/ /pubmed/28008245 http://dx.doi.org/10.2147/COPD.S118109 Text en © 2016 Bernabeu-Mora et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Bernabeu-Mora, Roberto García-Guillamón, Gloria Montilla-Herrador, Joaquina Escolar-Reina, Pilar García-Vidal, José Antonio Medina-Mirapeix, Francesc Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study |
title | Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study |
title_full | Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study |
title_fullStr | Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study |
title_full_unstemmed | Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study |
title_short | Rates and predictors of depression status among caregivers of patients with COPD hospitalized for acute exacerbations: a prospective study |
title_sort | rates and predictors of depression status among caregivers of patients with copd hospitalized for acute exacerbations: a prospective study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5167454/ https://www.ncbi.nlm.nih.gov/pubmed/28008245 http://dx.doi.org/10.2147/COPD.S118109 |
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