Volume 29 Issue 10
Oct.  2025
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XIE Xiangqing, GUO Qihao. Current status of stigma associated with Alzheimer's disease in primary caregivers and linear regression analysis of influencing factors[J]. Chinese Journal of General Practice, 2025, 23(10): 1777-1780. doi: 10.16766/j.cnki.issn.1674-4152.004227
Citation: XIE Xiangqing, GUO Qihao. Current status of stigma associated with Alzheimer's disease in primary caregivers and linear regression analysis of influencing factors[J]. Chinese Journal of General Practice, 2025, 23(10): 1777-1780. doi: 10.16766/j.cnki.issn.1674-4152.004227

Current status of stigma associated with Alzheimer's disease in primary caregivers and linear regression analysis of influencing factors

doi: 10.16766/j.cnki.issn.1674-4152.004227
Funds:

 82171198

 X院内-2332

  • Received Date: 2025-03-11
  •   Objective  To explore the current status and influencing factors of comorbidity shame (AS) among primary caregivers of Alzheimer' s disease (AD).  Methods  Convenience sampling was used to select 177 AD patients and their primary caregivers at the Sixth People' s Hospital of Shanghai from January 2022 to March 2024. General information forms, Mini-Mental Status Examination (MMSE), Montreal Cognitive Assessment Scale (MoCA), Associated Disease Shame Scale (ASS), Self-Efficacy Scale (SES), and Simple Coping Style Questionnaire (SCSQ) were used to investigate the current status of AS among primary caregivers. Use linear regression analysis to identify the influencing factors of primary caregiver AS in AD.  Results  The total score of AS for the main caregivers of AD was (30.34±8.06) points. The stigma experienced by these caregivers was inversely related to their self-efficacy and simple coping style (r=-0.254, P < 0.05; r=-0.030, P>0.05). Correlation analysis revealed a statistically significant linear relationship between stigma and self-efficacy (P < 0.05). Univariate analysis identified several potential factors influencing stigma among caregivers, including the severity of dementia in AD patients, the duration of caregiving, caregivers' understanding of the patient' s condition, monthly economic income, and nationality (P < 0.05). Further linear regression analysis confirmed that the severity of dementia (β=2.015, P=0.014), the time spent by caregivers with patients (β=2.779, P=0.023), and caregivers' self-efficacy (β=-0.231, P=0.009) were significant predictors of stigma among primary caregivers of AD patients (P < 0.05).  Conclusion  The main caregiver of AD patients has AS, and the degree of dementia, time spent with the caregiver, and self-efficacy are factors that affect caregiver AS. Social support should be provided to the main caregiver of AD, and psychological counseling should be strengthened to improve their psychological resilience.

     

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