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压力源与照顾者的抑郁:自我效能感、社会支持和解决问题能力的多重中介因素

Stressors and Caregivers' Depression: Multiple Mediators of Self-Efficacy, Social Support, and Problem-Solving Skill.

作者信息

Tang Fengyan, Jang Heejung, Lingler Jennifer, Tamres Lisa K, Erlen Judith A

机构信息

a School of Social Work , University of Pittsburgh , Pittsburgh , Pennsylvania , USA.

出版信息

Soc Work Health Care. 2015;54(7):651-68. doi: 10.1080/00981389.2015.1054058.

Abstract

Caring for an older adult with memory loss is stressful. Caregiver stress could produce negative outcomes such as depression. Previous research is limited in examining multiple intermediate pathways from caregiver stress to depressive symptoms. This study addresses this limitation by examining the role of self-efficacy, social support, and problem solving in mediating the relationships between caregiver stressors and depressive symptoms. Using a sample of 91 family caregivers, we tested simultaneously multiple mediators between caregiver stressors and depression. Results indicate that self-efficacy mediated the pathway from daily hassles to depression. Findings point to the importance of improving self-efficacy in psychosocial interventions for caregivers of older adults with memory loss.

摘要

照顾患有记忆丧失的老年人压力很大。照顾者的压力可能会产生诸如抑郁等负面结果。以往的研究在考察从照顾者压力到抑郁症状的多个中间途径方面存在局限性。本研究通过考察自我效能感、社会支持和问题解决在调节照顾者压力源与抑郁症状之间关系中的作用来解决这一局限性。我们以91名家庭照顾者为样本,同时测试了照顾者压力源与抑郁之间的多个中介因素。结果表明,自我效能感介导了从日常烦恼到抑郁的途径。研究结果指出了在针对患有记忆丧失的老年人的照顾者的心理社会干预中提高自我效能感的重要性。

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