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照顾患有痴呆症的家庭成员所面临的麻烦与欣慰之事。

Hassles and uplifts of giving care to a family member with dementia.

作者信息

Kinney J M, Stephens M A

机构信息

Gerontology Program, College of Health and Human Services, Bowling Green State University, Ohio 43403.

出版信息

Psychol Aging. 1989 Dec;4(4):402-8. doi: 10.1037//0882-7974.4.4.402.

Abstract

The role of daily caregiving stressors (hassles) and small caregiving satisfactions (uplifts) in the well-being of 60 family caregivers was investigated. Hassles and uplifts in 4 domains of caregiving were examined, and direct effects of hassles, uplifts on caregivers' social and psychological well-being, as well as the interactive and net effects of hassles and uplifts, were assessed. Hassles associated with care recipients' behavior demonstrated strongest associations with well-being. Women and caregivers to socially responsive yet behaviorally inappropriate care recipients reported more behavior and cognitive hassles. Uplifts associated with assistance in activities of daily living and with care recipients' behavior were related to well-being, with more uplifts related to greater, rather than less, depression. More intensely involved caregivers reported more of these uplifts. Net effects in the hypothesized direction were found, but no interactive effects emerged.

摘要

研究了日常照料压力源(烦心事)和微小照料满足感(愉悦事)对60名家庭照料者幸福感的影响。考察了照料4个领域中的烦心事和愉悦事,并评估了烦心事、愉悦事对照料者社会和心理健康的直接影响,以及烦心事和愉悦事的交互作用和净效应。与受照料者行为相关的烦心事与幸福感的关联最为强烈。照料社交反应灵敏但行为不适当的受照料者的女性和照料者报告了更多行为和认知方面的烦心事。与日常生活活动协助及受照料者行为相关的愉悦事与幸福感有关,愉悦事越多,抑郁程度越高而非越低。参与程度更高的照料者报告的这类愉悦事更多。发现了假设方向上的净效应,但未出现交互作用。

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