Profiles of resilience resources among spousal caregivers.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY

Aging & Mental Health Pub Date : 2024-09-25 DOI:10.1080/13607863.2024.2407169

Hyojin Choi, Kristin Litzelman

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引用次数: 0

Abstract

Objectives: Resilience resources play a significant role in a caregiver's adaptation process. Previous studies have primarily focused on the effects of individual resilience resources. This study aimed to examine diverse patterns of how those multiple resources simultaneously operate in a caregiving situation with the person-centered approach.

Method: This study utilized data from the Health and Retirement Study. Participants were eligible if they completed the Left-Behind questionnaire at two consecutive timepoints (2014 and 2016; or 2016 and 2018) and provided care for their spouse with limitations in activities of daily living (n = 692).

Results: Latent profile analysis identified three distinct groups among spousal caregivers: (1) Lack of Resilience Resources (17%), (2) Low Psychological and Cognitive Resources, but Having Moderate Support (21%), and (3) Strong Resilience Resources (62%). Spousal caregivers having functional limitations (Odds = 0.37, p = 0.016) and greater depressive symptoms (Odds = 0.59, p = 0.000), and high ongoing caregiving stress (Odds = 0.37, p = 0.007) were less likely to be in 'Strong Resilience Resources' than 'Lack of Resilience Resources'.

Conclusion: The findings highlight the importance of taking a holistic view of resilience resources. It provides insights into potentially vulnerable groups and caregivers' adaptation process, thereby contributing to the development of interventions or policies aimed at enhancing the resilience resources of family caregivers.

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配偶照顾者的复原力资源概况。

目的：抗逆力资源在照顾者的适应过程中发挥着重要作用。以往的研究主要关注个体抗逆力资源的影响。本研究旨在通过以人为本的方法，研究在护理过程中这些多重资源如何同时发挥作用的不同模式：本研究利用了健康与退休研究（Health and Retirement Study）中的数据。如果参与者在两个连续的时间点（2014 年和 2016 年；或 2016 年和 2018 年）填写了 "留守者 "问卷，并为其日常生活活动受限的配偶提供照料，则符合条件（n = 692）：潜在特征分析在配偶照顾者中发现了三个不同的群体：（1）缺乏复原力资源（17%），（2）心理和认知资源较低，但有适度支持（21%），以及（3）复原力资源较强（62%）。与 "缺乏抗逆力资源 "相比，有功能限制（Odds = 0.37，p = 0.016）和更多抑郁症状（Odds = 0.59，p = 0.000）以及持续护理压力大（Odds = 0.37，p = 0.007）的配偶照顾者属于 "强抗逆力资源 "的可能性较低：研究结果强调了从整体上看待抗逆力资源的重要性。结论：研究结果凸显了从整体角度看待抗逆力资源的重要性，有助于深入了解潜在的弱势群体和照顾者的适应过程，从而有助于制定旨在增强家庭照顾者抗逆力资源的干预措施或政策。

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

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.