Northern Michigan University, Marquette, MI, USA.
Omega (Westport). 2021 Mar;82(4):548-569. doi: 10.1177/0030222818821024. Epub 2018 Dec 28.
The purpose of this descriptive study was to identify whether meaning reconstruction was associated with indicators of bereavement adaptation in 66 spouses and adult child caregivers of person's with Alzheimer's disease. A cross-sectional mixed-methods design was used. Hierarchical regression models were used to examine whether meaning making predicted grief, depression, and positive and states of mind in the sample. Qualitative interviews were conducted to gain further knowledge about ways in which Alzheimer's disease caregivers construct meaning during bereavement. The majority of participants reported experiencing positive aspects of meaning reconstruction. Benefit-finding and identity change contributed to reductions in grief, and benefit-finding contributed to positive states of mind. Being a spouse and female gender contributed to increased grief and depression. Bereaved caregivers who are at risk for high levels of grief should be targeted for grief therapy interventions that foster meaning making.
本描述性研究的目的是确定意义重建是否与 66 名阿尔茨海默病患者的配偶和成年子女照顾者在丧亲适应方面的指标相关。采用了横断面混合方法设计。分层回归模型用于检验意义构建是否可以预测样本中的悲伤、抑郁、积极情绪和心理状态。进行了定性访谈，以进一步了解阿尔茨海默病照顾者在丧亲过程中构建意义的方式。大多数参与者报告说经历了意义重建的积极方面。发现益处和身份变化有助于减轻悲伤，而发现益处有助于积极的心理状态。作为配偶和女性则增加了悲伤和抑郁的风险。应该针对那些有高悲伤风险的丧亲照顾者进行悲伤治疗干预，以促进意义构建。
