Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA.
Arch Psychiatr Nurs. 2009 Dec;23(6):412-22. doi: 10.1016/j.apnu.2008.12.004. Epub 2009 Mar 26.
This study examined the effects of risk and protective factors on resilience in 60 women family members of adults with serious mental illness. Both the risk factors constituting caregiver burden (strain, stigma, client dependence, and family disruption) and protective factors, including eight positive cognitions were found to predict two indicators of resilience: resourcefulness and sense of coherence. The effects of caregiver burden on resourcefulness and sense of coherence were mediated by positive cognitions, lending support to resilience theory and suggesting the need to develop interventions to encourage positive thinking among women caregivers of adults with mental illness.
本研究考察了风险和保护因素对 60 名成年精神疾病患者女性家庭成员的适应力的影响。构成照顾者负担(压力、污名、客户依赖和家庭破裂)的风险因素以及包括八种积极认知在内的保护因素均被发现可以预测适应力的两个指标:应对能力和感知的组织性。照顾者负担对应对能力和感知的组织性的影响被积极认知所中介,这为适应力理论提供了支持,并表明需要制定干预措施来鼓励患有精神疾病的成年女性照顾者的积极思维。