Hope Mediates Stress to Reduce Burden in Family Caregivers of Persons with Alzheimer's Disease.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Jocelyn Shealy McGee, Edward C Polson, Dennis R Myers, Angela McClellan, Rebecca Meraz, Weiming Ke, Holly Carlson Zhao
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引用次数: 0

Abstract

The experience of burden among family caregivers of persons with Alzheimer's disease and other forms of dementia may be deleterious for their health and well-being. Little is known, however, about the degree to which internal positive psychological resources, such as hope, influence burden perceptions in this population. The current study is novel in that it examined how multiple dimensions of hope, hope-agency and hope-pathway, influenced burden in a sample of one-hundred and fifty-five family caregivers of persons with Alzheimer's disease. The stress process model was used as the theoretical framework for variable specification in this study. Hope was conceptualized using Snyder and colleagues' hope theory. Supporting our first hypothesis, we found that burden was negatively associated with hope-agency, r = -0.33, p < 0.001 and hope-pathway, r = -0.24, p < 0.01. Multiple regression was used to determine if hope-agency and hope-pathway independently contributed to burden. Analysis revealed that hope-agency but not hope-pathway influenced burden when other key variables were taken into consideration. Findings from mediation analysis affirmed that hope-agency had a small but significant mediation effect between stress and burden in this sample. This study provides evidence for the relevance of assessing multiple dimensions of hope when working with caregivers of persons with Alzheimer's. Although replication studies are warranted, the current study confirms a need for further development and refinement of hope-bolstering behavioral interventions which may mediate stress and burden in this population. These interventions should be systematically assessed for efficacy and effectiveness via implementation studies in real-world settings.

希望能缓解压力,减轻阿尔茨海默病患者家庭照顾者的负担。
阿尔茨海默氏症和其他形式痴呆症患者的家庭照顾者所承受的负担可能会损害他们的健康和幸福。然而,人们对内部积极心理资源(如希望)在多大程度上影响这类人群的负担感知知之甚少。本研究的新颖之处在于,它研究了希望的多个维度(希望-机构和希望-途径)如何影响阿尔茨海默病患者家庭照顾者的负担。本研究采用压力过程模型作为变量说明的理论框架。希望的概念采用了斯奈德及其同事的希望理论。我们发现,负担与希望-机构(r = -0.33,p < 0.001)和希望-途径(r = -0.24,p < 0.01)呈负相关,这支持了我们的第一个假设。我们使用多元回归法来确定希望-机构和希望-途径是否对负担有独立的影响。分析表明,当考虑到其他关键变量时,希望-机构而非希望-途径对负担有影响。中介分析的结果证实,在该样本中,希望-机构在压力和负担之间具有微小但显著的中介效应。这项研究证明,在与阿尔茨海默氏症患者的照顾者合作时,对希望的多个维度进行评估是有意义的。尽管还需要进行复制研究,但目前的研究证实,有必要进一步开发和完善可调节该人群压力和负担的希望激励行为干预措施。这些干预措施应该通过在现实环境中的实施研究来系统地评估其效力和有效性。
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来源期刊
Geriatrics
Geriatrics 医学-老年医学
CiteScore
3.30
自引率
0.00%
发文量
115
审稿时长
20.03 days
期刊介绍: • Geriatric biology • Geriatric health services research • Geriatric medicine research • Geriatric neurology, stroke, cognition and oncology • Geriatric surgery • Geriatric physical functioning, physical health and activity • Geriatric psychiatry and psychology • Geriatric nutrition • Geriatric epidemiology • Geriatric rehabilitation
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