Profiles of psychological flexibility and caregiving experience in dementia family caregivers: A latent profile analysis

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology Pub Date : 2024-04-19 DOI:10.1002/jclp.23696

Hiroshi Morimoto

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引用次数: 0

Abstract

Objectives

To explore the profiles of psychological flexibility among dementia family caregivers and examine their associations with psychological well-being and caregiving factors.

Methods

Participants were 521 dementia family caregivers in Japan. Latent profile analysis was conducted to explore the profiles of psychological flexibility. The analyses examined differences in depression, anxiety, life satisfaction, and work-family conflict/enrichment between the profiles, and whether sociodemographic variables and caregiving stressors predict the profile.

Results

Four distinct profiles were identified: high psychological flexibility (14.2%), moderate psychological flexibility with high commitment (24.7%), moderate psychological flexibility with low commitment (48.0%), and low psychological flexibility (13.1%). The low psychological flexibility profile exhibited the highest scores of depression, anxiety and work–family conflict, followed by the moderate psychological flexibility with low/high commitment profiles, and the high psychological flexibility profile. The high psychological flexibility and moderate psychological flexibility with high commitment profiles exhibited higher life satisfaction than the moderate psychological flexibility with low commitment profile. Caregiving stressors, marital status, and caregiver status predicted the profile.

Conclusion

Enhancing defusion and acceptance, rather than increasing commitment to personal values, may be beneficial in supporting distressed caregivers. Having more caregiving stressors, being single/divorced/bereaved, and being a primary caregiver may be useful indicators of decreased psychological flexibility among dementia family caregivers.

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痴呆症家庭照护者的心理灵活性和照护经验概况：潜在特征分析

目的探讨痴呆症家庭照顾者的心理灵活性特征，并研究其与心理健康和照顾因素之间的关联。方法被试是日本的 521 名痴呆症家庭照顾者。研究人员对日本的 521 名痴呆症家庭照护者进行了潜在特征分析，以探索他们的心理灵活性特征。结果发现了四种不同的心理弹性特征：高心理弹性（14.2%）、中等心理弹性和高承诺（24.7%）、中等心理弹性和低承诺（48.0%）以及低心理弹性（13.1%）。低心理弹性者在抑郁、焦虑和工作与家庭冲突方面的得分最高，其次是中等心理弹性、低/高投入者和高心理弹性者。高心理弹性和高承诺的中度心理弹性比低承诺的中度心理弹性表现出更高的生活满意度。结论增强化解和接受能力，而不是增强对个人价值观的承诺，可能对支持处于困境中的照顾者有益。护理压力较大、单身/离婚/丧偶以及主要护理者可能是痴呆症家庭护理者心理灵活性下降的有用指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.