痴呆症阶段化,神经精神疾病行为症状和晚年离婚或分居之间的关联:一个案例对照研究
Joan K Monin1, Gail McAvay2, Emma Zang3
1Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States of America.
PloS one
|August 16, 2023
概括
婚姻中的痴呆症进展是复杂的. 晚期痴呆阶段与较低的离婚风险相关,而严重的行为症状,如焦虑,增加了老年夫妇分居的可能性.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 痴呆症显著影响婚姻动态,引入照顾者的负担,亲密关系的丧失和财务压力.
- 了解影响痴呆症患者婚姻稳定的因素对于支持至关重要.
研究的目的:
- 研究老年已婚夫妇的痴呆症阶段和神经精神症状如何影响离婚或分居率.
- 识别与增加婚姻解散风险相关的特定行为症状.
主要方法:
- 一个用国家阿尔茨海默氏症协调中心 (NACC) 统一数据集 (UDS) 从2007-2021年进行的病例控制研究.
- 分析包括291起离婚/分居案例与5个对照组相匹配,使用条件逻辑回归.
- 根据教育,痴呆症严重程度 (CDR®),生活情况,信息人,性别和种族进行调整; 多重比较的霍赫伯格方法.
主要成果:
- 晚期痴呆阶段与离婚/分居的可能性较低有关 (AOR=0.68).
- 总体神经精神科目录 (NPI) 评分较高与离婚/分居几率增加相关 (AOR=1.08).
- 严重的兴奋/侵略,抑郁/失调,无抑制,高兴/高兴显著增加了离婚/分居的风险.
结论:
- 在美国老年夫妇中,晚期痴呆可能会降低离婚风险,可能是由于依赖性增加.
- 神经精神症状,特别是焦虑和抑郁,是痴呆症患者婚姻分离的重要预测因素.
- 这些发现凸显了针对性行为症状管理的需要,以支持婚姻稳定.
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