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多发性硬化症(MS)护理中益处发现量表的编制:一项关于益处发现与适应之间关系的纵向研究。

Development of the benefit finding in multiple sclerosis (MS) caregiving scale: a longitudinal study of relations between benefit finding and adjustment.

作者信息

Pakenham Kenneth I, Cox Stephen

机构信息

School of Psychology, The University of Queensland, Queensland, Australia.

出版信息

Br J Health Psychol. 2008 Nov;13(Pt 4):583-602. doi: 10.1348/135910707X250848.

DOI:10.1348/135910707X250848
PMID:18854061
Abstract

UNLABELLED

Benefit finding (BF) is a meaning-making construct that has been shown to predict carer and care recipient adjustment.

PURPOSE

This longitudinal study investigated the dimensions, stability, and validity of the benefit finding in multiple sclerosis caregiving (BFiMSCare) scale.

METHODS

Participants were 232 carers of persons with MS and their care recipients. Questionnaires were completed at Time 1 and 12 months later (Time 2).

RESULTS

Factor analysis of the BFiMSCare scale revealed six psychometrically sound factors: enriched relationship; spiritual growth; family relations growth; life-style gains; inspiration; and relationship opportunities. Results of regression analyses indicated that the Time 1 BFiMSCare factors and the total score accounted for significant amounts of variance in each of the Time 1 positive adjustment outcomes (life satisfaction, positive affect, dyadic adjustment) and in Time 2 positive affect and dyadic adjustment. The BFiMSCare total score predicted all Time 2 adjustment domains (positive affect, dyadic adjustment, care recipient adjustment ratings of carer) except life satisfaction and distress, whereas the six factors as a block predicted positive affect and life satisfaction.

CONCLUSIONS

Findings delineate the dimensional structure of BF in caregiving and the differential links between BF dimensions and adjustment, and have implications for the measurement of BF.

摘要

未标注

益处发现(BF)是一种意义建构,已被证明可预测照料者和受照料者的适应情况。

目的

这项纵向研究调查了多发性硬化症照料中益处发现量表(BFiMSCare)的维度、稳定性和效度。

方法

参与者为232名多发性硬化症患者的照料者及其受照料者。在第1时间点和12个月后(第2时间点)完成问卷调查。

结果

BFiMSCare量表的因素分析揭示了六个心理测量学上合理的因素:关系丰富;精神成长;家庭关系成长;生活方式收获;启发;以及关系机会。回归分析结果表明,第1时间点的BFiMSCare因素和总分在第1时间点的每个积极适应结果(生活满意度、积极情绪、二元适应)以及第2时间点的积极情绪和二元适应中占显著比例的方差。BFiMSCare总分预测了第2时间点除生活满意度和痛苦之外的所有适应领域(积极情绪、二元适应、受照料者对照料者的适应评分),而六个因素作为一个整体预测了积极情绪和生活满意度。

结论

研究结果描绘了照料中BF的维度结构以及BF维度与适应之间的差异联系,并对BF的测量具有启示意义。

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