Department of Psychology, Texas A&M University, Corpus Christi, 78412, USA.
Alzheimer Dis Assoc Disord. 2009 Oct-Dec;23(4):389-94. doi: 10.1097/WAD.0b013e3181b6f74d.
The purpose of the current study was to explore the moderating effect of 3 domains of caregiver self-efficacy on the relationship between exogenous caregiving stressors (care recipient memory and behavioral problems) and depression.
Moderator analyses were used to analyze data for 256 caregivers of elder relatives with dementia recruited at the Palo-Alto site of the National REACH (Resources for Enhancing Alzheimer's Caregiver Health) Project. Significant interactions between the stressor and self-efficacy indicated a potential moderating effect. Post hoc analyses were then conducted to determine the nature of the interaction(s).
Self-efficacy for managing disruptive behaviors and self-efficacy for controlling upsetting thoughts had a direct effect on depression. Self-efficacy for responding to disruptive behaviors moderated the relationship between care recipient memory and behavioral problems and symptoms of depression.
Self-efficacy may be an important clinical tool for identifying the caregivers who are most vulnerable to depression. Self-efficacy for responding to disruptive behaviors may be especially helpful in identifying caregivers at the greatest risk for depression when care recipient memory and behavior problems are high.
本研究旨在探讨照顾者自我效能的 3 个领域对外部照顾压力源（照顾对象的记忆和行为问题）与抑郁之间关系的调节作用。
采用调节分析方法，对 256 名在国家 REACH（增强阿尔茨海默病照顾者健康资源）项目帕洛阿尔托站点招募的老年痴呆症老年亲属的照顾者进行数据分析。压力源和自我效能之间的显著相互作用表明存在潜在的调节作用。然后进行事后分析以确定相互作用的性质。
应对破坏性行为的自我效能和控制不安想法的自我效能对抑郁有直接影响。应对破坏性行为的自我效能调节了照顾对象的记忆和行为问题与抑郁症状之间的关系。
自我效能可能是识别最易患抑郁的照顾者的重要临床工具。当照顾对象的记忆和行为问题较高时，应对破坏性行为的自我效能可能特别有助于识别处于最大抑郁风险的照顾者。
