Mitrani Victoria B, Feaster Daniel J, McCabe Brian E, Czaja Sara J, Szapocznik Jose
Center for Family Studies, Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1425 N.W. 10th Avenue, Miami, FL 33136, USA.
Gerontologist. 2005 Aug;45(4):445-55. doi: 10.1093/geront/45.4.445.
This study adapted the Structural Family Systems Ratings (SFSR), an observational measure of family interactions, for dementia caregivers. This article presents the development of the SFSR-Dementia Caregiver adaptation (SFSR-DC) and examines relationships between specific family-interaction patterns and caregiver distress.
The families of 177 Cuban American and White non-Hispanic American caregivers of dementia patients were assessed at baseline, 6, 12, and 18 months. Structural family theory and clinical experience were used to identify family interaction patterns believed to be related to caregiver emotional functioning. Factor analysis was used to refine subscales and develop a multiscale measure.
Six reliable subscales were related to caregiver distress and included in the SFSR-DC. There were two second-order factors. The SFSR-DC was provisionally cross-validated and showed invariance across the two ethnic groups.
The SFSR-DC provides a method for examining specific and multiple interaction patterns in caregiver families and thus can advance knowledge regarding the role of the family in the stress processes of caregiving. These findings support the relevance of family interactions in caregiver distress and suggest that a treatment approach aimed at supporting family closeness and conflict resolution and reducing negativity might enhance caregiver well-being.
本研究对用于痴呆症照料者的家庭互动观察测量工具——结构家庭系统评定量表（SFSR）进行了改编。本文介绍了SFSR-痴呆症照料者改编版（SFSR-DC）的开发过程，并探讨了特定家庭互动模式与照料者困扰之间的关系。
对177名古巴裔美国人和非西班牙裔白人痴呆症患者照料者的家庭在基线、6个月、12个月和18个月时进行了评估。运用结构家庭理论和临床经验来确定被认为与照料者情绪功能相关的家庭互动模式。采用因子分析来完善分量表并开发一种多维度测量工具。
六个可靠的分量表与照料者困扰相关，并被纳入SFSR-DC。存在两个二阶因子。SFSR-DC进行了初步交叉验证，并显示在两个种族群体中具有不变性。
SFSR-DC提供了一种方法来检查照料者家庭中特定和多种互动模式，从而可以推进关于家庭在照料压力过程中作用的知识。这些发现支持了家庭互动与照料者困扰的相关性，并表明一种旨在支持家庭亲密关系、解决冲突和减少消极情绪的治疗方法可能会提高照料者的幸福感。
