Association of commitment to values on family caregivers’ depression: Examination of the stress process model

Koji Abe, Shiho Nagano
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Abstract

Objectives

This study aims to focus on personal values, a key component of acceptance and commitment therapy (ACT), and to examine their role in the stress process model of famil caregivers.

Methods

A screening survey of 6000 people aged 65 years and older was conducted, and data from 247 family caregivers who met the inclusion criteria were analyzed. The hypothesis model included the cognitive and daily functioning of individuals with dementia, behavioral and psychological symptoms of dementia, caregivers’ personal values, and depression.

Results

Structural equation modeling showed that the stress process model of caregivers with personal values fit the data very well. Both aspects of caregiver behavior, progress and obstruction toward acting in accordance with personal values, significantly affected caregiver depression.

Conclusions

One of the main components of ACT, progressive and obstructive behaviors toward personal values, was significantly associated with family caregiver depression. The personal values of family caregivers are important for maintaining their mental health.
方法 对 6000 名 65 岁及以上的老人进行了筛查调查,并对 247 名符合纳入标准的家庭照顾者的数据进行了分析。假设模型包括痴呆症患者的认知和日常功能、痴呆症的行为和心理症状、照顾者的个人价值观和抑郁。结果结构方程模型显示,照顾者的压力过程模型与个人价值观非常吻合。结论 ACT 的主要组成部分之一,即对个人价值观的进步和阻碍行为与家庭照顾者抑郁有显著相关性。家庭照顾者的个人价值观对保持他们的心理健康非常重要。
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