Rosas-Santiago F J, Marván M L, Lagunes-Córdoba R
Instituto de Investigaciones Psicológicas, Universidad Veracruzana, Xalapa, México.
J Psychiatr Ment Health Nurs. 2017 Oct;24(8):563-569. doi: 10.1111/jpm.12403. Epub 2017 Jun 29.
WHAT IS KNOWN ON THE SUBJECT?: Informal caregivers of psychiatric patients are vulnerable to many disturbances associated with the stress related to their activity. Caregivers who show a coping style focused on problem-solving report less psychological distress, and this approach positively influences the recovery process of the psychiatric patient. There are some questionnaires to measure coping styles in caregivers of psychiatric patients, but most of them do not have the minimum psychometric properties that a scale must fulfil. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: The authors present an adapted and validated scale for measuring both active and passive coping strategies used by informal caregivers to face daily stressful situations with psychiatric patients. The study is an example of how scales can be adapted to small samples (n < 200). WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The scale could be helpful for generating strategies to support the family caregiver, as well as for measuring the results of interventions. The scale could also be used to identify how coping styles of informal caregivers are related to recovery process of psychiatric patients.
Background The recovery process of a psychiatric patient is related to his primary informal caregiver's style of coping with stress. There is insufficient literature on validations of instruments that measure coping styles in this population. Objective To adapt and validate a scale to measure coping strategies in primary informal caregivers. Method The adapted scale was based on the Extreme Coping Scale of López-Vázquez and Marván. Items from that scale were adapted for application to informal caregivers. The scale was administered to 122 primary informal caregivers of patients from two psychiatric institutions in Mexico. Psychometric analyses were performed to determine the scale's properties. Results The scale was composed of 20 items (six less than in the original scale) and two factors: (i) active coping (Cronbach's alpha = .837) and (ii) passive coping (Cronbach's alpha = .718). Discussion The findings are discussed in the light of the importance of studying the relationship between coping styles and the well-being of both informal caregivers and psychiatric patients. Implications for practice The scale could be used by health practitioners and researchers to generate strategies to support the family caregiver, as well as to measure the results of interventions.
关于该主题已知的信息有哪些？：精神科患者的非正式照料者容易受到许多与他们活动相关的压力所带来的干扰。表现出以解决问题为重点的应对方式的照料者报告的心理困扰较少，并且这种方式对精神科患者的康复过程有积极影响。有一些问卷用于测量精神科患者照料者的应对方式，但其中大多数不具备量表必须满足的最低心理测量学特性。本文对现有知识的补充是什么？：作者提出了一种经过改编和验证的量表，用于测量非正式照料者在面对与精神科患者的日常压力情况时所采用的主动和被动应对策略。该研究是一个如何将量表适用于小样本（n < 200）的例子。对实践有哪些启示？：该量表有助于制定支持家庭照料者的策略，以及测量干预结果。该量表还可用于确定非正式照料者的应对方式与精神科患者康复过程之间的关系。
背景 精神科患者的康复过程与其主要非正式照料者应对压力的方式有关。关于测量该人群应对方式的工具验证的文献不足。目的 改编并验证一个量表，以测量主要非正式照料者的应对策略。方法 改编后的量表基于洛佩斯 - 巴斯克斯和马尔万的极端应对量表。该量表的项目经过改编以适用于非正式照料者。该量表被施用于墨西哥两个精神科机构中患者的122名主要非正式照料者。进行了心理测量分析以确定该量表的特性。结果 该量表由20个项目（比原始量表少6个）和两个因子组成：（i）主动应对（克朗巴赫α系数 = 0.837）和（ii）被动应对（克朗巴赫α系数 = 0.718）。讨论 根据研究应对方式与非正式照料者和精神科患者幸福感之间关系的重要性对研究结果进行了讨论。对实践的启示 该量表可被健康从业者和研究人员用于制定支持家庭照料者的策略，以及测量干预结果。
