家庭照护者在价值观方面的进步可调节痴呆症行为症状、照护者负担和抑郁症状之间的关联。

IF 1.2 4区 医学 Q3 GERONTOLOGY
Elizabeth B Fauth, Joshua R Novak, Jacob Gossner, Ty B Aller, Heather H Kelley, Michael E Levin
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引用次数: 0

摘要

越来越多的痴呆症照护者干预措施以接受为基础,如接受与承诺疗法。这些干预措施促进了心理灵活性和基于价值的生活等心理技能。但人们对这些概念如何在已确立的照护者压力过程中相互作用还知之甚少。我们研究了一个调节中介模型(N = 161 名痴呆症照护者;PROCESS 程序;SPSS 4.1 版),该模型通过照护者负担(简短负担清单)中介,以 BPSD 频率(修订版记忆和行为问题清单)预测抑郁症状(10 项 CES-D)。调节因素是价值观问卷,我们还控制了性别、护理时间、年龄、收入和教育程度。结果:我们发现,BPSD 通过照顾者负担对抑郁症状所产生的间接影响,会因价值观的进步而减弱(调节中介作用在 p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family Caregivers' Progress Toward Values Moderates the Associations between Behavioral Symptoms of Dementia, Caregiver Burden, and Depressive Symptoms.

Increasingly, dementia caregiver interventions are informed by acceptance-based approaches such as Acceptance and Commitment Therapy. These interventions promote psychological skills like psychological flexibility and value-based living. Less is known how these constructs interact within well-established caregiver stress processes. We examined a moderated mediation model (N = 161 dementia caregivers; PROCESS Procedure; SPSS Release 4.1), with BPSD frequency (Revised Memory and Behavior Problems Checklist) predicting depressive symptoms (10-item CES-D), mediated via caregiver burden (short Burden inventory). The moderator was the Values Questionnaire, and we controlled for gender, caregiver duration, age, income, and education. Results: revealed that the indirect effect of BPSD on depressive symptoms through caregiver burden was weakened through higher progress toward values (moderated mediation significant at p < .05). Committed action toward values signify caregivers' success at balancing care-related stress with other priorities. Interventions that build skills in values-based living have promise for caregivers, offering healthier ways to adjust to being a caregiver.

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来源期刊
CiteScore
4.10
自引率
5.00%
发文量
48
期刊介绍: These are some of the broad questions with which the International Journal of Aging and Human Development is concerned. Emphasis is upon psychological and social studies of aging and the aged. However, the Journal also publishes research that introduces observations from other fields that illuminate the "human" side of gerontology, or utilizes gerontological observations to illuminate in other fields.
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