Relationship between health-related quality of life, depression, and anxiety in older primary care patients and their family members.

Autor:	Fowler NR; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.; Indiana University Center for Aging Research, Indianapolis, IN, USA.; Regenstrief Institute, Inc, Indianapolis, IN, USA.; Center for Health Innovation and Implementation Science, Indiana Clinical and Translational Science Institute, Indianapolis, IN, USA., Perkins AJ; Department of Biostatistics and Health Data Science, Indiana University School of Medicine & Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA., Park S; Regenstrief Institute, Inc, Indianapolis, IN, USA.; Department of Biostatistics and Health Data Science, Indiana University School of Medicine & Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA., Schroeder MW; Indiana University Center for Aging Research, Indianapolis, IN, USA.; Regenstrief Institute, Inc, Indianapolis, IN, USA., Boustani MA; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.; Indiana University Center for Aging Research, Indianapolis, IN, USA.; Regenstrief Institute, Inc, Indianapolis, IN, USA.; Center for Health Innovation and Implementation Science, Indiana Clinical and Translational Science Institute, Indianapolis, IN, USA., Head KJ; Department of Communication Studies, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA., Bakas T; College of Nursing, University of Cincinnati, Cincinnati, OH, USA.
Jazyk:	angličtina
Zdroj:	Aging & mental health [Aging Ment Health] 2024 Jun; Vol. 28 (6), pp. 910-916. Date of Electronic Publication: 2023 Nov 29.
DOI:	10.1080/13607863.2023.2285499
Abstrakt:	Objectives: Patient-family member dyads experience transitions through illness as an interdependent team. This study measures the association of depression, anxiety, and health-related quality of life (HRQOL) of older adult primary care patient-family member dyads. Methods: Baseline data from 1,808 patient-family member dyads enrolled in a trial testing early detection of Alzheimer's disease and related dementias in primary care. Actor-Partner Independence Model was used to analyze dyadic relationships between patients' and family members' depression (PHQ-9), anxiety (GAD-7), and HRQOL (SF-36 Physical Component Summary score and Mental Component Summary score). Results: Family member mean (SD) age is 64.2 (13) years; 32.2% male; 84.6% White; and 64.8% being the patient's spouse/partner. Patient mean (SD) age is 73.7 (5.7) years; 47% male; and 85.1% White. For HRQOL, there were significant actor effects for patient and family member depression alone and depression and anxiety together on their own HRQOL ( p  < 0.001). There were significant partner effects where family member depression combined with anxiety was associated with the patient's physical component summary score of the SF-36 ( p  = 0.010), and where the family member's anxiety alone was associated with the patient's mental component summary score of the SF-36 ( p  = 0.031). Conclusion: Results from this study reveal that many dyads experience covarying health status (e.g. depression, anxiety) even prior to entering a caregiving situation.
Databáze:	MEDLINE
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