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痴呆症照料者的照料者自我效能感、种族和亲属关系差异

Caregiver self-efficacy, ethnicity, and kinship differences in dementia caregivers.

作者信息

Depp Colin, Sorocco Kristen, Kasl-Godley Julia, Thompson Larry, Rabinowitz Yaron, Gallagher-Thompson Dolores

机构信息

Older Adult and Family Center, VA Medical Center and Stanford University School of Medicine, Mail Code 182C/MP, 795 Willow Road, Menlo Park, CA 94025, USA.

出版信息

Am J Geriatr Psychiatry. 2005 Sep;13(9):787-94. doi: 10.1176/appi.ajgp.13.9.787.

Abstract

OBJECTIVE

The authors sought to determine the effect of kinship status (daughters versus wives) and ethnicity (Hispanic/Latino versus Caucasian) on self-efficacy to perform tasks relevant to caregiving in a sample of family caregivers for people with memory problems.

METHODS

Baseline data were collected from 238 female caregivers who participated in an intervention program. Ethnic and kin relationship groups were compared on measures of caregiver self-efficacy, acculturation within the Hispanic/Latino sample, and the relationship of self-efficacy to key outcome variables.

RESULTS

Hispanics/Latinos reported higher self-efficacy on two of three self-efficacy subscales (Responding to Disruptive Behaviors and Controlling Negative Thoughts About Caregiving). Daughters reported higher self-efficacy on all three self-efficacy scales. Among Hispanics/Latinos, acculturation did not relate strongly to self-efficacy. Caucasian and spousal caregivers appeared to make more generalized appraisals about caregiving.

CONCLUSION

Higher self-efficacy among Hispanic/Latino caregivers may relate to cultural values about caregiving and/or ethnic differences in appraisal. Wives may be more at risk for low self-efficacy, which may relate to greater role frustration and distress. This study highlights the heterogeneity among caregivers in their experience of caregiving.

摘要

目的

作者试图在患有记忆问题者的家庭照护者样本中,确定亲属关系状况(女儿与妻子)和种族(西班牙裔/拉丁裔与白种人)对执行与照护相关任务的自我效能感的影响。

方法

从参与一项干预项目的238名女性照护者处收集基线数据。对种族和亲属关系组在照护者自我效能感、西班牙裔/拉丁裔样本中的文化适应程度,以及自我效能感与关键结果变量之间的关系等指标上进行比较。

结果

西班牙裔/拉丁裔在三个自我效能感分量表中的两个(应对破坏性行为和控制对照护的负面想法)上报告了更高的自我效能感。女儿在所有三个自我效能感量表上报告了更高的自我效能感。在西班牙裔/拉丁裔中,文化适应与自我效能感的关联并不强烈。白种人和配偶照护者似乎对照护做出了更普遍的评价。

结论

西班牙裔/拉丁裔照护者中较高的自我效能感可能与关于照护的文化价值观和/或评价中的种族差异有关。妻子可能更易出现自我效能感低的情况,这可能与更大的角色挫折感和痛苦有关。本研究突出了照护者在照护经历中的异质性。

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