a Faculty of Psychology , Hiroshima International University , Higashi-Hiroshima , Japan.
b Medical Center of Dementing Illness , Yokufukai Hospital , Suginami , Japan.
Aging Ment Health. 2018 Aug;22(8):999-1007. doi: 10.1080/13607863.2017.1334192. Epub 2017 Jun 1.
This study examined the moderation effect of different dimensions of self-efficacy on the way in which various types of interrole conflict mediate between caregiving demands and the mental health of employed family caregivers.
Using a moderated mediation approach, we examined the moderation effect of self-efficacy on interrole conflict's mediation between caregiving demands and mental health (psychological strain and quality of life) in a sample of Japanese employed family caregivers who regularly provide care at home (263 males aged 53.14 ± 8.28 years and 116 females aged 47.92 ± 9.77 years).
Increased self-efficacy in managing dementia and in self-care were correlated with lower caregiving demands and better mental health among family caregivers. Self-efficacy in managing dementia was also positively correlated with increased interrole conflict. Increased caregiving demands were related to higher psychological strain in those with higher (+1SD), but not lower (-SD) self-efficacy in managing dementia.
Self-efficacy does not play a protective role in managing the effect of caregiving demands on interrole conflict. It also does not appear to protect against any indirect effects of caregiving demands on the mental health of employed family caregivers.
本研究考察了自我效能感不同维度对各种角色冲突在照顾需求与在职家庭照顾者心理健康之间的中介作用的调节效应。
我们使用调节中介方法,在一个定期在家提供照顾的日本在职家庭照顾者样本中(263 名男性年龄为 53.14±8.28 岁,116 名女性年龄为 47.92±9.77 岁),考察了自我效能感对照顾需求与心理健康(心理压力和生活质量)之间的角色冲突中介作用的调节效应。
管理痴呆症和自我护理方面的自我效能感增强与照顾者的照顾需求降低和心理健康状况改善相关。管理痴呆症的自我效能感也与角色冲突的增加呈正相关。照顾需求的增加与管理痴呆症自我效能感较高(+1SD)的个体的心理压力增加有关,但与自我效能感较低(-SD)的个体无关。
自我效能感在管理照顾需求对角色冲突的影响方面没有起到保护作用。它似乎也不能防止照顾需求对在职家庭照顾者心理健康的任何间接影响。