阿尔茨海默病引发的攻击行为：对照料者应对方式及适应力的影响

Alzheimer's aggression: influences on caregiver coping and resilience.

作者信息

Wilks Scott E, Little Kristina G, Gough Heather R, Spurlock Wanda J

机构信息

School of Social Work, Louisiana State University, Baton Rouge, LA 70803, USA.

出版信息

J Gerontol Soc Work. 2011 Apr;54(3):260-75. doi: 10.1080/01634372.2010.544531.

DOI:10.1080/01634372.2010.544531

PMID:21462058

Abstract

This study assessed impact of Alzheimer's patients' aggressive behavior (AD aggression) on caregiver coping strategies (task-, emotion-, and avoidance-focused) and caregiver resilience, and examined whether coping strategy moderated the AD aggression-caregiver resilience relationship. Informal caregivers across Louisiana (N = 419) completed surveys with measures of demographics, AD aggression, caregiver coping strategies, and caregiver resilience. Task-focused coping positively related to resilience. Aggression negatively predicted caregiver resilience. Emotion- and avoidance-focused coping strategies separately interacted with aggression and increased its negative relationship to caregiver resilience. Task-focused coping showed no moderation. Implications for social work professionals are discussed.

摘要

本研究评估了阿尔茨海默病患者的攻击行为（AD攻击）对照顾者应对策略（任务聚焦、情绪聚焦和回避聚焦）及照顾者心理韧性的影响，并检验了应对策略是否调节了AD攻击与照顾者心理韧性之间的关系。路易斯安那州的非正式照顾者（N = 419）完成了关于人口统计学、AD攻击、照顾者应对策略和照顾者心理韧性的调查。任务聚焦应对与心理韧性呈正相关。攻击行为对照顾者心理韧性有负向预测作用。情绪聚焦和回避聚焦应对策略分别与攻击行为相互作用，并增强了其与照顾者心理韧性的负向关系。任务聚焦应对未显示出调节作用。文中讨论了对社会工作专业人员的启示。