| Autor: |
Rosemary Hurzeler, Elizabeth H. Bradley, Joyce H. Chen, Holly G. Prigerson, Emily Cherlin, Stanislav V. Kasl |
| Rok vydání: |
2003 |
| Předmět: |
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| Zdroj: |
The American Journal of Geriatric Psychiatry. 11:309-319 |
| ISSN: |
1064-7481 |
| DOI: |
10.1097/00019442-200305000-00008 |
| Popis: |
Objective The authors evaluated the performance of the Stressful Caregiving Adult Reactions to Experiences of Dying (SCARED) scale, a new tool to assess caregiver exposure to patient distress, and the fear and helplessness evoked by these experiences. Methods The SCARED was administered to 76 hospice-patient caregivers (e.g., family members). Major depressive disorder (MDD) was diagnosed with the Structured Clinical Interview for the DSM-IV; complicated grief (CG) "caseness" was diagnosed with the Inventory of Complicated Grief–Caregiver items, and quality-of-life domains were assessed with the Medical Outcomes Survey Short Form–36. Results Respondents endorsed frequent exposure to each SCARED experience—from 30.3% who mistakenly thought the patient had died, to 80.3% who witnessed the patient in severe pain. Adjusted analyses revealed that the odds of MDD increased by 3.08 for each standard-deviation increase in the SCARED event frequency score and that higher SCARED scores were positively associated (p Conclusion The SCARED may be a clinically useful tool for identifying caregivers at risk for MDD and quality-of-life impairments, as well as potential aspects of caregiving to target for treatment. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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