Heo Grace Jeongim, Koeske Gary
Department of Social Work, Youngstown State University, Youngstown, OH 44555, USA.
J Appl Gerontol. 2013 Aug;32(5):582-604. doi: 10.1177/0733464811433484. Epub 2012 Mar 22.
Alzheimer's disease (AD) and other dementias are one of the most critical public health problems in elderly population. Using baseline data from the Resources for Enhancing Alzheimer's Caregiver Health (REACH) II study, this study examined the relationship between religious coping, burden appraisal, depression, and race among 211 African American, 220 White, and 211 Hispanic caregivers, using structural equation modeling (SEM). Caregiver burden appraisal mediated the effect of religious coping on depression with higher religious coping resulting in lowering caregiver burden appraisal and thereby reducing depression. The results also showed that religious coping mediation model was best supported by African Americans. Greater understanding of religious coping and its role in the caregiving process helps researchers discover better ways to assist racially diverse caregivers in dealing with burdens of AD caregiving.
阿尔茨海默病(AD)和其他痴呆症是老年人群中最关键的公共卫生问题之一。本研究利用增强阿尔茨海默病照顾者健康资源(REACH)II研究的基线数据,采用结构方程模型(SEM),对211名非裔美国照顾者、220名白人照顾者和211名西班牙裔照顾者的宗教应对、负担评估、抑郁和种族之间的关系进行了研究。照顾者负担评估介导了宗教应对对抑郁的影响,更高的宗教应对导致照顾者负担评估降低,从而减轻抑郁。结果还表明,宗教应对中介模型在非裔美国人中得到了最好的支持。对宗教应对及其在照顾过程中的作用有更深入的了解,有助于研究人员找到更好的方法来帮助不同种族的照顾者应对AD照顾的负担。