痴呆症家庭照顾者的矛盾情绪和关系质量:与抑郁症状的关联。

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Laura Mérida-Herrera, Isabel Cabrera, Inés García-Batalloso, Laura Gallego-Alberto, Javier Olazarán, Andrés Losada-Baltar, María Márquez-González
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引用次数: 0

摘要

目的:研究发现,痴呆症家庭照顾者的矛盾情绪与照顾者与痴呆症行为和心理症状相关的压力(BPSD 相关压力)和抑郁症状有关。矛盾的情绪还可能影响照顾者对与痴呆症患者(PLwD)关系质量的感知,但对这一变量的研究还很少。本研究分析了矛盾情绪在照护者BPSD相关压力、与痴呆症患者关系的感知质量以及抑郁症状之间的关联中的作用:方法:建立了一个理论模型,并在 390 个家庭照顾者样本中进行了测试:结果:测试得出的模型与数据非常吻合,解释了抑郁症状变异的 24%。研究发现,照顾者与 BPSD 相关的压力、矛盾情绪和抑郁症状之间存在明显的关联。此外,通过对关系质量的感知,还发现了矛盾情绪与抑郁症状之间的间接影响:结论:痴呆症家庭照顾者的矛盾情绪与照顾者的 BPSD 相关压力、对较低关系质量的感知以及较高的抑郁症状有关:临床意义:在对痴呆症家庭照顾者进行干预时,针对照顾者的矛盾情绪和关系质量进行干预可减少他们的痛苦。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ambivalent Feelings and Relationship Quality in Dementia Family Caregivers: Associations with Depressive Symptomatology.

Objectives: Ambivalent feelings in dementia family caregivers have been found to be related to caregivers´ stress associated with the behavioral and psychological symptoms of dementia (BPSD-related stress), and depressive symptoms. Ambivalent feelings may also affect caregivers´ perceived quality of the relationship with the person living with dementia (PLwD), but this variable has been scarcely studied. This study analyzes the role of ambivalent feelings in the association between caregivers' BPSD-related stress, perceived quality of the relationship with the PLwD, and depressive symptomatology.

Methods: A theoretical model was developed and tested in a sample of 390 family caregivers.

Results: The obtained tested model had an excellent fit to the data, explaining 24% of the variance of depressive symptomatology. A significant association was found between caregivers' BPSD-related stress, ambivalent feelings, and depressive symptomatology. Also, an indirect effect in the association between ambivalent feelings and depressive symptomatology was found through the perceived quality of the relationship.

Conclusions: Ambivalent feelings in dementia family caregivers are associated with caregivers' BPSD-related stress, perception of a lower relationship quality, and higher depressive symptomatology.

Clinical implications: Targeting caregivers' ambivalent feelings and the quality of the relationship in interventions for dementia family caregivers may decrease their distress.

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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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