Alspaugh M E, Stephens M A, Townsend A L, Zarit S H, Greene R
Department of Psychology, Kent State University, Ohio 44242-0001, USA.
Psychol Aging. 1999 Mar;14(1):34-43. doi: 10.1037//0882-7974.14.1.34.
The present study examined how patterns of risk for depression over 1 year in 188 dementia caregivers (consistently asymptomatic, n = 88; consistently symptomatic, n = 40; changing risk, n = 60) could be predicted by objective (behavior problems of the relative) and subjective (role captivity and overload) primary stress. Results reveal that all primary stressors differentiated caregivers who remained at low levels of symptomatology over the course of 1 year from those who were at risk for experiencing a depressive disorder. In addition, caregivers' subjective experience of role captivity predicted the chronicity of risk. Findings extend prior caregiving research on patterns of depressive symptomatology by highlighting the relationship between subjective primary stressors and stability and change in caregivers' mental health.
本研究考察了188名痴呆症照料者(始终无症状者,n = 88;始终有症状者,n = 40;风险变化者,n = 60)在1年中抑郁风险模式如何通过客观(亲属的行为问题)和主观(角色受限和负担过重)主要压力因素进行预测。结果显示,所有主要压力因素都能区分出在1年中症状水平一直较低的照料者和有患抑郁症风险的照料者。此外,照料者对角色受限的主观体验预测了风险的持续性。研究结果通过强调主观主要压力因素与照料者心理健康的稳定性和变化之间的关系,扩展了先前关于抑郁症状模式的照料研究。