The Moderating Role of Pain Self-efficacy in the Relationships Among Caregiver Burden and Care Recipient Pain and Neuropsychiatric Symptoms in a Sample of Persons With Dementia.

Alzheimer disease and associated disorders Pub Date : 2022-01-01 DOI:10.1097/WAD.0000000000000451

Karlee S Patrick, John T Martin, Kimberly R Chapman, Jason R Anderson, Mary B Spitznagel

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引用次数: 1

Abstract

Past research suggests relationships among dementia caregiver burden and care recipient pain and neuropsychiatric symptoms, but no prior work has examined the influence of pain self-efficacy on these associations. A sample of 502 dementia caregivers completed an online protocol assessing caregiver burden and care recipient neuropsychiatric symptoms, presence of pain, and pain self-efficacy in this cross-sectional, observational study. The indirect effect of neuropsychiatric symptoms on the relationship between pain and caregiver burden was significant. Pain self-efficacy significantly moderated the effect of pain on neuropsychiatric symptoms (P=0.04) and the direct association between pain and caregiver burden (P=0.004), but did not moderate the indirect effect. Future research should explore how pain influences neuropsychiatric symptoms, and whether improvement in pain self-efficacy in dementia care recipients attenuates the influence of pain on neuropsychiatric symptoms and caregiver burden in other samples.

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痴呆患者疼痛自我效能感在照顾者负担、受照顾者疼痛和神经精神症状关系中的调节作用

过去的研究表明，痴呆症照顾者负担与照顾者疼痛和神经精神症状之间存在关系，但之前没有研究疼痛自我效能感对这些关联的影响。在这项横断面观察性研究中，502名痴呆症护理人员完成了一项在线协议，评估护理人员负担和护理对象的神经精神症状、疼痛的存在和疼痛自我效能。神经精神症状对疼痛和照顾者负担之间关系的间接影响是显著的。疼痛自我效能显著调节疼痛对神经精神症状的影响(P=0.04)和疼痛与照顾者负担的直接关系(P=0.004)，但不调节间接影响。未来的研究应探讨疼痛如何影响神经精神症状，以及痴呆护理接受者疼痛自我效能的改善是否会减轻疼痛对其他样本中神经精神症状和照顾者负担的影响。

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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Alzheimer disease and associated disorders

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