Pendergrass Anna, Hautzinger Martin, Elliott Timothy R, Schilling Oliver, Becker Clemens, Pfeiffer Klaus
Department of Psychology, Eberhard Karls University.
Department of Educational Psychology, Texas A&M University.
Rehabil Psychol. 2017 May;62(2):81-88. doi: 10.1037/rep0000118. Epub 2017 Feb 6.
Depressive symptoms are a common problem among family caregivers of stroke survivors. The purpose of this study was to examine the association between care recipient's impairment and caregiver depression, and determine the possible mediating effects of caregiver negative problem-orientation, mastery, and leisure time satisfaction. The evaluated model was derived from Pearlin's stress process model of caregiver adjustment.
We analyzed baseline data from 122 strained family members who were assisting stroke survivors in Germany for a minimum of 6 months and who consented to participate in a randomized clinical trial. Depressive symptoms were measured with the Center for Epidemiological Studies Depression Scale. The cross-sectional data were analyzed using path analysis.
The results show an adequate fit of the model to the data, χ2(1, N = 122) = 0.17, p = .68; comparative fit index = 1.00; root mean square error of approximation: p < .01; standardized root mean square residual = 0.01. The model explained 49% of the variance in the caregiver depressive symptoms. Results indicate that caregivers at risk for depression reported a negative problem orientation, low caregiving mastery, and low leisure time satisfaction. The situation is particularly affected by the frequency of stroke survivor problematic behavior, and by the degree of their impairments in activities of daily living.
The findings provide empirical support for the Pearlin's stress model and emphasize how important it is to target these mediators in health promotion interventions for family caregivers of stroke survivors. (PsycINFO Database Record
抑郁症状是中风幸存者家庭照顾者中常见的问题。本研究的目的是检验受照顾者的功能障碍与照顾者抑郁之间的关联，并确定照顾者消极问题取向、掌控感和休闲时间满意度可能的中介作用。所评估的模型源自Pearlin的照顾者调整压力过程模型。
我们分析了122名在德国协助中风幸存者至少6个月且同意参与一项随机临床试验的紧张家庭成员的基线数据。使用流行病学研究中心抑郁量表测量抑郁症状。采用路径分析对横断面数据进行分析。
结果表明模型与数据拟合良好，χ2(1, N = 122) = 0.17, p = .68；比较拟合指数 = 1.00；近似误差均方根：p < .01；标准化残差均方根 = 0.01。该模型解释了照顾者抑郁症状中49%的变异。结果表明有抑郁风险的照顾者报告了消极的问题取向、较低的照顾掌控感和较低的休闲时间满意度。这种情况尤其受到中风幸存者问题行为的频率以及他们日常生活活动功能障碍程度的影响。
这些发现为Pearlin的压力模型提供了实证支持，并强调了在针对中风幸存者家庭照顾者的健康促进干预中针对这些中介因素的重要性。（PsycINFO数据库记录
