痴呆症患者护理人员的代词使用:使用自然语言样本的文本分析与痴呆症严重程度的关联。

IF 1.4 Q4 CLINICAL NEUROLOGY
Alissa Bernstein Sideman, Jenna L Wells, Jennifer Merrilees, Suzanne M Shdo, Claire I Yee, Katherine L Possin, Robert W Levenson
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引用次数: 1

摘要

痴呆症患者的家庭照顾者承担着广泛的社会、身体、情感和经济责任。然而,对照顾者与plwd之间的关系和人际关系了解较少。我们检查了照顾者代词的使用,作为照顾者和PLWD之间的联系的一个指标,以及它与照顾者和PLWD的健康和福祉的关联。方法:要求PLWD的护理人员(N = 320)描述最近一次他们在护理中感到与PLWD有联系。对回答进行转录和编码,以按类别(we-代词、i -代词和they-代词)量化代词的使用。照顾者也报告了他们的抑郁、负担、老年痴呆症的严重程度和婚姻满意度。68名护理人员在最初调查的24个月后重复了同样的调查。结果:在两个时间点,当PLWD的痴呆更严重时,护理人员使用的我们代词更少。配偶照顾者比非配偶照顾者使用更多的“我们”代词和更少的“我和他们”代词。配偶关系与痴呆严重程度之间存在交互作用,配偶照顾者在痴呆严重程度与我们代词的使用之间表现出更强的负相关。代词类别与照顾者负担或抑郁之间没有关联。讨论:随着痴呆症变得越来越严重,护理人员可能会感到与PLWD越来越脱节,这反映在我们代词的使用上。本研究强调了通过文本分析来探索关系联系的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pronoun Use among Caregivers of People Living with Dementia: Associations with Dementia Severity Using Text Analysis of a Natural Language Sample.

Pronoun Use among Caregivers of People Living with Dementia: Associations with Dementia Severity Using Text Analysis of a Natural Language Sample.

Introduction: Family caregivers of persons living with dementia (PLWDs) have extensive social, physical, emotional, and financial responsibilities. However, less is known about the relationship and interpersonal connection between caregivers and PLWDs. We examined caregiver pronoun use, as an index of the connection between the caregiver and PLWD and its associations with the caregiver's and PLWD's health and well-being.

Methods: Caregivers of PLWDs (N = 320) were asked to describe a recent time they felt connected to the PLWD in their care. Responses were transcribed and coded to quantify pronoun use by category (we-pronouns, I-pronouns, and they-pronouns). Caregivers also reported on their depression, burden, and the PLWD's dementia severity and marital satisfaction. Sixty-eight caregivers repeated the same survey 24 months after the initial survey.

Results: Caregivers used less we-pronouns when the PLWD's dementia was more severe, at both timepoints. Spousal caregivers used more we-pronouns and less I- and they-pronouns than nonspousal caregivers. There was an interaction between spousal relationship and dementia severity, such that spousal caregivers exhibited a stronger negative association between dementia severity and we-pronoun use. There were no associations between pronoun category and caregiver burden or depression.

Discussion: Caregivers may feel increasingly disconnected from the PLWD as their dementia becomes more severe, as reflected by less we-pronoun usage. This study highlights the opportunity to explore relationship connection through text analysis.

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来源期刊
Dementia and Geriatric Cognitive Disorders Extra
Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health
CiteScore
4.30
自引率
0.00%
发文量
18
审稿时长
9 weeks
期刊介绍: This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .
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