Adverse Childhood Experiences Reported by Spouses of Persons Living With Dementia and Their Association With Care-Related Strain.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-06-01 Epub Date: 2025-03-31 DOI:10.3928/00989134-20250321-01

Kylee Deterding, Lyndsey Anderson, Allison Lindauer

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引用次数: 0

Abstract

Purpose: To explore the association between adverse childhood experiences (ACEs) and care-related strain among spouses of persons living with dementia (PLWD).

Method: Data from spouses (N = 30) of PLWD were included in a cross-sectional analysis examining whether childhood adversity, as measured by the Adverse Childhood Experiences Questionnaire (ACE-10), was associated with reports of care-related strain, as measured by the Zarit Burden Interview (ZBI-12).

Results: Care-related strain was moderate (mean = 17), and there was a significant difference between ZBI-12 scores of spouses with no ACEs (n = 10, mean = 11.3) versus those with ≥1 ACE (n = 18, mean = 20.17) (p = 0.01, 95% confidence interval [-15.37, -2.36]). Multiple linear regression analysis indicated there was a significant association between ACE-10 and ZBI-12 scores (p = 0.006), even when controlling for role captivity (p < 0.001).

Conclusion: ACEs may influence the degree of care-related strain experienced by spouses of PLWD based on these preliminary results. Future research is needed to understand mechanisms and potential interventions for heightened appraisal of strain among spousal caregivers with ACEs. [Journal of Gerontological Nursing, 51(6), 17-21.].

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痴呆症患者配偶报告的不良童年经历及其与护理相关压力的关系

目的：探讨痴呆患者配偶不良童年经历（ace）与护理相关压力的关系。方法：将来自PLWD配偶（N = 30）的数据纳入横断面分析，以检验童年逆境（由不良童年经历问卷（ACE-10）测量）是否与Zarit负担访谈（ZBI-12）测量的护理相关压力报告相关。结果：护理相关压力为中度（平均= 17），无ACE组（n = 10，平均= 11.3）与ACE组（n = 18，平均= 20.17）ZBI-12评分差异有统计学意义（p = 0.01, 95%可信区间[-15.37,-2.36]）。多元线性回归分析表明，ACE-10和ZBI-12评分之间存在显著关联（p = 0.006），即使在控制角色囚禁（p < 0.001）的情况下也是如此。结论：基于这些初步结果，ace可能会影响PLWD配偶的护理相关紧张程度。未来的研究需要了解机制和潜在的干预措施，以提高应激障碍配偶照顾者的压力评估。老年护理杂志，xx(xx), xx-xx。

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 gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.