Daily interactions with care recipients and cardiovascular reactivity among dementia caregivers: The buffering role of friend interactions

IF 13 1区医学 Q1 CLINICAL NEUROLOGY

Alzheimer's & Dementia Pub Date : 2025-05-15 DOI:10.1002/alz.70281

Yee To Ng, Anna Kratz, Angela Turkelson, Kira Birditt

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引用次数: 0

Abstract

INTRODUCTION

Caregiver–care recipient (CR) interactions are central to caregiving, yet little is known about dementia caregivers’ daily experiences with CRs. This study examines within-day effects of time interacting with CRs and interaction quality on caregivers’ heart rate (HR) and whether friend interactions buffer these effects.

METHODS

Dementia caregivers (N = 221) completed baseline interviews and 5-day ecological momentary assessments (EMAs), reporting time and interaction quality with CRs and friend interactions every 3 hours while wearing heart monitors.

RESULTS

Within-day analyses revealed time with CRs was associated with increased HR, primarily due to negative interactions. Friend interactions buffered the adverse effects of time interacting with CR and negative CR interactions on elevated HR. Moreover, positive CR interactions were linked to lower HR when paired with friend interactions.

DISCUSSION

Findings provide insights into interventions that reduce negative exchanges within the caregiver–CR dyad and friend-based programs, which could enhance cardiovascular health among dementia caregivers.

Highlights

More time interacting with the care recipient (CR) was associated with an elevated heart rate (HR).
Negative daily experiences with CRs are more salient in contributing to caregivers’ cardiovascular strain.
Friend interactions can temporarily buffer the adverse effects mentioned above.
Positive CR interactions linked to lower HR when paired with friend interactions.
Socializing with friends can be beneficial, even if some interactions are negative.

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与照顾者的日常互动和痴呆照顾者的心血管反应：朋友互动的缓冲作用

照顾者与受照顾者（CR）的互动是护理的核心，然而人们对痴呆症照顾者与CR的日常体验知之甚少。本研究探讨了时间与护理人员互动和互动质量对护理人员心率（HR）的影响，以及朋友互动是否缓冲了这些影响。方法221名痴呆护理人员在佩戴心脏监护仪的情况下完成基线访谈和5天生态瞬时评估（EMAs），每3小时报告一次与cr的互动时间和互动质量。结果：日内分析显示，cr时间与HR增加相关，主要是由于负相互作用。朋友相互作用缓冲了时间与CR相互作用的不利影响，以及负CR相互作用对HR升高的影响。此外，当与朋友互动时，积极的人际关系互动与较低的人力资源相关。讨论：研究结果为减少护理人员- cr二元和基于朋友的项目中的负面交流的干预措施提供了见解，这可能会增强痴呆症护理人员的心血管健康。与护理对象（CR）互动的时间越长，心率（HR）越高。与cr的负面日常经历在促进护理者心血管紧张方面更为突出。朋友之间的互动可以暂时缓冲上述不利影响。积极的人际关系互动与较低的人力资源相关，当与朋友互动配对时。与朋友交往是有益的，即使有些互动是消极的。

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

Alzheimer's & Dementia 医学-临床神经学

CiteScore

14.50

自引率

5.00%

发文量

299

审稿时长

3 months

期刊介绍： Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.