title: [Medicosocial profile of the crucial caregiver. Is he/she an occult patient?].
abstract: OBJECTIVE
  To determine the prevalence of physical pathology (morbidity felt) and psychological unease (anxiety-depression) in crucial carers for disabled patients, and so establish a profile of them.
  
  
  METHODS
  An observational study. Analysis of two historical cohorts.
  
  
  METHODS
  Primary care. Urban health centre.
  
  
  METHODS
  The exposed cohort was made up of 54 carers for disabled patients, chosen at random from the records at our Centre. The non-exposed cohort (n = 54), matched for age, gender and educational level, was chosen at random from the consulting rooms.
  
  
  RESULTS
  By means of a questionnaire, descriptive variables were collected, i.e. the morbidity felt, consumption of medicine, psychological unease (Goldberg's anxiety-depression scale), perception of social support (modified Duke Unl), index of the effort of the carer (IEC) and the profile of the person being cared for. The "typical" carer was a 57-year old woman (CI 95: 54-61), with a low educational level, daughter or wife of the disabled person, who received external help in few cases (11%). Problems of health referred to by carers (Arthralgia, migraines, asthenia, feeling depressed and insomnia), are more frequent (p < 0.001) than in non-carers. 75% took some medication, as against 45% of non-carers (p < 0.001). 83% displayed anxiety and 63% depression, against 36 and 37%, respectively, in the non-exposed cohort. A high IEC implied greater risk of anxiety (p < 0.05) and depression (p < 0.001).
  
  
  CONCLUSIONS
  The crucial carer has a greater prevalence of physical and psychological morbidity. A high IEC and a perception of low social support create the conditions for higher anxiety and depression. Caring for the carer needs to be integrated into care for the disabled patient.
authors.affiliation: Unidad Docente de Medicina de Familia y Communitaria de Teruel.
authors.forename: M L
authors.initials: ML
authors.lastname: Rubio Montañés
authors.forename: A
authors.initials: A
authors.lastname: Sánchez Ibáñez
authors.forename: J A
authors.initials: JA
authors.lastname: Ibáñez Estella
authors.forename: F
authors.initials: F
authors.lastname: Galve Royo
authors.forename: N
authors.initials: N
authors.lastname: Martí Talens
authors.forename: J
authors.initials: J
authors.lastname: Mariscal Bernal
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology; D003863:Depression / Q000175:diagnosis / Q000209:etiology; D006233:Persons with Disabilities / Q000523:psychology; D004644:Emotions; D005260:Female; D006701:Home Nursing; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D010361:Patients; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D012307:Risk Factors; D012944:Social Support