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照顾配偶的依恋取向与阿尔茨海默病患者的身心健康。

Caregiving spouses' attachment orientations and the physical and psychological health of individuals with Alzheimer's disease.

机构信息

Social and Behavioral Sciences, Yale School of Public Health, Yale School of Medicine, New Haven, CT, USA.

出版信息

Aging Ment Health. 2013;17(4):508-16. doi: 10.1080/13607863.2012.747080. Epub 2012 Dec 7.

DOI:10.1080/13607863.2012.747080
PMID:23215899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3596494/
Abstract

OBJECTIVE

Attachment theory is a useful framework for understanding how caregiving dyads regulate emotions and maintain feelings of security in reaction to a loved one's chronic illness. In this study we examined the extent to which the attachment orientations (anxiety and avoidance) of persons with Alzheimer's disease (AD) and their spousal caregivers were associated with each partner's report of the physical and psychological health symptoms of the person with AD.

METHOD

Fifty-eight individuals with AD and their spousal caregivers each completed a 12-item self-report measure of trait attachment orientation and rated the physical and psychological health symptoms of the person with AD over the past two weeks. Data from the persons with AD were used after determining that they were able to provide reliable responses.

RESULTS

As predicted, individuals with AD who were high in anxious attachment self-reported more physical and psychological symptoms, particularly when their caregivers were high in anxious attachment. Also, caregivers perceived more physical symptoms in individuals with AD who were high in avoidant attachment.

CONCLUSION

This study highlights the importance of considering the attachment security of both caregivers and persons with AD when considering how each partner views the psychological and physical health symptoms of the person with AD. Our results have implications for providing care-recipients and caregivers with improved, tailored care.

摘要

目的

依恋理论是理解照顾者对子如何调节情绪以及对所爱的人患有慢性疾病做出反应时保持安全感的有用框架。在这项研究中,我们考察了阿尔茨海默病(AD)患者及其配偶照顾者的依恋倾向(焦虑和回避)与每位伴侣对 AD 患者身体和心理健康症状的报告程度之间的关系。

方法

58 名 AD 患者及其配偶照顾者每人完成了一份 12 项特质依恋倾向的自我报告量表,并在过去两周内对 AD 患者的身体和心理健康症状进行了评分。在确定 AD 患者能够提供可靠的反应后,使用了他们的数据。

结果

正如预期的那样,依恋焦虑程度较高的 AD 患者报告的身体和心理症状较多,尤其是当他们的照顾者依恋焦虑程度较高时。此外,回避依恋程度较高的 AD 患者的照顾者感知到更多的身体症状。

结论

这项研究强调了在考虑每个伴侣如何看待 AD 患者的心理和身体健康症状时,考虑照顾者和 AD 患者的依恋安全性的重要性。我们的研究结果为为护理接受者和护理者提供改进的、量身定制的护理提供了启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/3596494/21b6bb9145ea/nihms419772f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/3596494/64929d0b9563/nihms419772f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/3596494/21b6bb9145ea/nihms419772f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/3596494/64929d0b9563/nihms419772f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/3596494/21b6bb9145ea/nihms419772f2.jpg

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