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痴呆症照料者的个人价值观承诺与内疚感

Commitment to personal values and guilt feelings in dementia caregivers.

作者信息

Gallego-Alberto Laura, Losada Andrés, Márquez-González María, Romero-Moreno Rosa, Vara Carlos

机构信息

Psychology Department,Universidad Rey Juan Carlos de Madrid,Madrid,Spain.

Biological and Health Psychology Department,Universidad Autónoma de Madrid,Madrid,Spain.

出版信息

Int Psychogeriatr. 2017 Jan;29(1):57-65. doi: 10.1017/S1041610216001393. Epub 2016 Sep 9.

DOI:10.1017/S1041610216001393
PMID:27609481
Abstract

BACKGROUND

Caregivers' commitment to personal values is linked to caregivers' well-being, although the effects of personal values on caregivers' guilt have not been explored to date. The goal of this study is to analyze the relationship between caregivers´ commitment to personal values and guilt feelings.

METHOD

Participants were 179 dementia family caregivers. Face-to-face interviews were carried out to describe sociodemographic variables and assess stressors, caregivers' commitment to personal values and guilt feelings. Commitment to values was conceptualized as two factors (commitment to own values and commitment to family values) and 12 specific individual values (e.g. education, family or caregiving role). Hierarchical regressions were performed controlling for sociodemographic variables and stressors, and introducing the two commitment factors (in a first regression) or the commitment to individual/specific values (in a second regression) as predictors of guilt.

RESULTS

In terms of the commitment to values factors, the analyzed regression model explained 21% of the variance of guilt feelings. Only the factor commitment to family values contributed significantly to the model, explaining 7% of variance. With regard to the regression analyzing the contribution of specific values to caregivers' guilt, commitment to the caregiving role and with leisure contributed negatively and significantly to the explanation of caregivers' guilt. Commitment to work contributed positively to guilt feelings. The full model explained 30% of guilt feelings variance. The specific values explained 16% of the variance.

CONCLUSION

Our findings suggest that commitment to personal values is a relevant variable to understand guilt feelings in caregivers.

摘要

背景

照顾者对个人价值观的坚守与照顾者的幸福感相关,尽管个人价值观对照顾者内疚感的影响迄今尚未得到探讨。本研究的目的是分析照顾者对个人价值观的坚守与内疚感之间的关系。

方法

研究对象为179名痴呆症患者的家庭照顾者。通过面对面访谈来描述社会人口统计学变量,并评估压力源、照顾者对个人价值观的坚守以及内疚感。对价值观的坚守被概念化为两个因素(对自身价值观的坚守和对家庭价值观的坚守)以及12种具体的个人价值观(如教育、家庭或照顾角色)。进行分层回归分析,控制社会人口统计学变量和压力源,并将两个坚守因素(在第一次回归中)或对个人/具体价值观的坚守(在第二次回归中)作为内疚感的预测因素引入。

结果

就价值观坚守因素而言,所分析的回归模型解释了内疚感方差的21%。只有对家庭价值观的坚守因素对模型有显著贡献,解释了7%的方差。关于分析具体价值观对照顾者内疚感贡献的回归,对照顾角色的坚守和对休闲的坚守对照顾者内疚感的解释有显著的负向贡献。对工作的坚守对内疚感有正向贡献。完整模型解释了内疚感方差的30%。具体价值观解释了16%的方差。

结论

我们的研究结果表明,对个人价值观的坚守是理解照顾者内疚感的一个相关变量。

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