Hilgeman Michelle M, Allen Rebecca S, DeCoster Jamie, Burgio Louis D
Department of Psychology, University of Alabama, Tuscaloosa, AL 35487-0348, USA.
Psychol Aging. 2007 Jun;22(2):361-71. doi: 10.1037/0882-7974.22.2.361.
The authors examined the influence of positive aspects of caregiving (PAC) as a moderator of treatment outcome across 12 months in 1 of the original sites of the Resources for Enhancing Alzheimer's Caregiver Health I project. They used multilevel random coefficients regression analysis to predict time-varying PAC, depression, behavioral bother, and daily care burden in Alzheimer's caregivers (N = 243; mean age = 60.89, SD = 14.19). They found that time-varying PAC was predicted by time-varying daily care burden. They also found significant effects of time-varying PAC for depression, behavioral bother, and daily care burden. Notably, a PAC x Phase x Treatment effect was found for daily care burden, such that individuals who endorsed less PAC benefited most from the intervention across 12 months. The tendency to positively appraise the caregiving experience (i.e., PAC) in response to chronic stressors such as Alzheimer's caregiving may affect individuals' responsiveness to, and benefit from, interventions, whereas only daily care burden affected the tendency to find enjoyment in caregiving across 12 months. Future intervention research should assess individual PAC in order to better tailor interventions to caregiving needs.
作者在“增强阿尔茨海默病照料者健康资源I”项目的一个原始地点，研究了照料积极方面（PAC）作为12个月治疗结果调节因素的影响。他们使用多层随机系数回归分析来预测阿尔茨海默病照料者（N = 243；平均年龄 = 60.89，标准差 = 14.19）随时间变化的PAC、抑郁、行为困扰和日常照料负担。他们发现，随时间变化的日常照料负担可预测随时间变化的PAC。他们还发现随时间变化的PAC对抑郁、行为困扰和日常照料负担有显著影响。值得注意的是，发现PAC×阶段×治疗对日常照料负担有影响，即认可PAC较少的个体在12个月的干预中受益最大。面对诸如阿尔茨海默病照料等慢性应激源时，积极评价照料经历（即PAC）的倾向可能会影响个体对干预的反应及从中获得的益处，而在12个月期间，只有日常照料负担会影响在照料中获得乐趣的倾向。未来的干预研究应评估个体的PAC水平，以便更好地根据照料需求调整干预措施。
