Factors associated with the resilience of family caregivers of persons with dementia: a systematic review

Abstract Background: Resilience is the ability of individuals or groups to overcome adversity without displaying physical or mental disorders, or even learning to deal with unfavorable conditions more efficiently. There have been many studies on resilience, which try to identify the conditions under which people in situations of deprivation or adversity overcome such challenges. Objective: The present article aimed to identify factors associated the with development of resilience in family caregivers of people with dementia and the possible outcomes of resilience for the caregiver and receiver of care. Method: The study consisted of a systematic literature review carried out in accordance with the PRISMA methodology with searches in the Lilacs, PsycInfo, PubMed, SciELO, SCOPUS and Web of Science databases, using pre-established descriptors. Results: After synthesis of the extracted data and the considerations of this review, it was possible to identify possible factors associated with the development of resilience in family caregivers of persons with dementia: depression, anxiety, burden, drug use, the relationship with the person receiving care and health conditions are associated with the resilience of family caregivers. Conclusion: We found in literature that the development of resilience by family caregivers of people with Alzheimer's is influenced by factors related to the patient and the caregiver himself or herself.

摘要 研究背景：韧性（Resilience）指个体或群体克服逆境且未出现身心障碍，甚至能更高效地应对不利处境的能力。目前已有诸多针对韧性的研究，旨在识别处于匮乏或逆境情境中的人群克服此类挑战的相关条件。研究目的：本文旨在明确痴呆患者家庭照护者韧性发展的关联因素，以及韧性对照护者与被照护者可能产生的结局影响。研究方法：本研究遵循PRISMA方法学开展系统文献综述，通过预设检索词在Lilacs、PsycInfo、PubMed、SciELO、SCOPUS及Web of Science数据库中进行检索。研究结果：经对提取数据的综合整合与本综述的考量，本研究明确了痴呆患者家庭照护者韧性发展的相关关联因素：抑郁、焦虑、照护负担、药物使用、与被照护者的关系及自身健康状况，均与家庭照护者的韧性水平相关。研究结论：本文通过文献梳理发现，阿尔茨海默病患者家庭照护者的韧性发展，受患者相关与照护者自身相关的双重因素影响。