a Department of Psychiatry , Rhode Island Hospital , Providence , RI , USA.
b Department of Psychiatry & Human Behavior , Alpert Medical School of Brown University , Providence , RI , USA.
Aging Ment Health. 2019 Mar;23(3):352-356. doi: 10.1080/13607863.2017.1423029. Epub 2018 Jan 8.
Guilt is a core feature of dementia caregivers' experiences following placement. This study describes and validates a new assessment tool for monitoring caregiver adjustment after placement.
Forty-six items addressing ambivalence and guilt about placement were tested with 170 dementia caregivers (M age = 56.79, SD = 13.19; 69.4% female; 54.7% adult child).
Using principal axis factor analysis, 10 items were retained that showed acceptable internal consistency (Cronbach's alpha of 0.92). Construct validity was established in a subset of the sample (n = 53) with measures of depression (r = 0.53), burden (r = 0.48), conflict with staff (r = 0.47), and well-being (r = -0.30).
This scale may be used to identify caregivers at risk for adjustment problems following placement and to monitor adjustment over time.
内疚是痴呆症照顾者在安置后经历的核心特征。本研究描述并验证了一种新的评估工具，用于监测安置后照顾者的适应情况。
对 170 名痴呆症照顾者（M 年龄=56.79，SD=13.19；69.4%为女性；54.7%为子女）进行了 46 项关于安置的矛盾心理和内疚感的测试。
使用主成分因子分析，保留了 10 项具有可接受内部一致性（Cronbach's alpha 为 0.92）的项目。在样本的一个子集（n=53）中，使用抑郁（r=0.53）、负担（r=0.48）、与工作人员的冲突（r=0.47）和幸福感（r=-0.30）的测量方法，确立了结构效度。
该量表可用于识别安置后有适应问题风险的照顾者，并监测随时间的适应情况。
