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绝症患者照料者负担的不同维度对复杂性悲伤风险的预测作用。

Predictive role of different dimensions of burden for risk of complicated grief in caregivers of terminally ill patients.

作者信息

Lai Carlo, Luciani Massimiliano, Morelli Emanuela, Galli Federico, Cappelluti Roberta, Penco Italo, Aceto Paola, Lombardo Luigi

机构信息

1Dynamic and Clinical Psychology Department, Sapienza University of Rome, Rome, Italy.

出版信息

Am J Hosp Palliat Care. 2014 Mar;31(2):189-93. doi: 10.1177/1049909113490227. Epub 2013 May 20.

Abstract

The aim of the study was to test whether high levels of caregiver burden, as other confirmed predictors, are associated with the risk of prolonged grief disorder in caregivers of terminally ill patients. A predictive study was carried out in order to test the hypothesis. A demographic schedule, the Prolonged Grief 12 (PG-12), the Toronto Alexithymia Scale, Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, and Caregiver Burden Inventory were administered to 60 caregivers of 51 patients who were admitted in Hospice. In the regression analysis, difficulty in recognizing emotions, total burden, depression, and developmental burden dimension were significant predictors of PG-12 levels. Findings showed that feeling of deprivation of existential expectations represents the greater risk factor for the prolonged grief disorder, among the burden dimensions.

摘要

该研究的目的是检验与其他已证实的预测因素一样,高水平的照料者负担是否与绝症患者照料者发生持续性悲伤障碍的风险相关。为了验证这一假设,开展了一项预测性研究。对入住临终关怀机构的51名患者的60名照料者进行了人口统计学调查表、持续性悲伤12项量表(PG - 12)、多伦多述情障碍量表、汉密尔顿焦虑评定量表、汉密尔顿抑郁评定量表和照料者负担量表的测评。在回归分析中,情绪识别困难、总负担、抑郁和发展性负担维度是PG - 12水平的显著预测因素。研究结果表明,在负担维度中,存在期望缺失感是持续性悲伤障碍的更大风险因素。

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