Elliott Timothy R, Shewchuk Richard M
Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, 35233-7330, USA.
Br J Health Psychol. 2003 May;8(Pt 2):149-63. doi: 10.1348/135910703321649132.
We examined the relation of social problem-solving abilities to distress experienced by family members assuming a caregiving role for a loved one who had recently incurred a severe physical disability. Family members completed measures of problem-solving, depression and health, while their loved one participated in an inpatient rehabilitation programme. Correlational analyses indicated that a negative problem orientation was significantly predictive of caregiver distress, regardless of the degree of physical impairment of the care recipient. Women reported more distress on several measures than men, and disability severity was also associated with depression and impaired social functioning. Family members with a greater negative orientation may be at risk to develop psychological and health problems upon assuming a caregiver role. These results are discussed in light of theoretical models of social problem-solving, and implications are presented for psychological interventions and for health policy concerning family caregivers and their care recipients.
我们研究了社会问题解决能力与为近期遭受严重身体残疾的亲人承担照料角色的家庭成员所经历的痛苦之间的关系。家庭成员完成了问题解决、抑郁和健康状况的测量,而他们的亲人则参与了住院康复项目。相关分析表明,无论受照料者身体损伤的程度如何,消极的问题取向都能显著预测照料者的痛苦。在几项测量中,女性报告的痛苦比男性更多,而且残疾严重程度也与抑郁和社会功能受损有关。具有更强消极取向的家庭成员在承担照料者角色时可能有出现心理和健康问题的风险。我们根据社会问题解决的理论模型对这些结果进行了讨论,并针对心理干预以及有关家庭照料者及其受照料者的健康政策提出了建议。