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年龄在不同压力源与智力残疾人亲属生活质量关系中的调节作用。

The moderating role of age in the relationship between different stressors and the quality of life of the relatives of people with intellectual disabilities.

机构信息

Department of Personality, Psychological Assessment and Treatment, University of Deusto, Apdo. 1, 48080, Bilbao, Biscay, Spain.

出版信息

Qual Life Res. 2019 Nov;28(11):2969-2978. doi: 10.1007/s11136-019-02239-0. Epub 2019 Jun 27.

DOI:10.1007/s11136-019-02239-0
PMID:31250337
Abstract

PURPOSE

The level of support needed for adaptive functioning and behavioral problems of individuals with intellectual disabilities (ID) can be a source of stress for caregivers. The aim of this study was to explore the moderating role of caregivers' age on the associations between these stressors and quality of life (QoL) of the family caregivers. As these sources of stress in people with ID can coexist, the triple interaction between stressors and age was also examined.

METHODS

208 relatives (mean age = 50.98 years, SD = 12.86) of people with ID participated in the research. Participants answered a questionnaire with sociodemographic variables, measures of stressors (level of support for adaptive functioning of the people with ID and behavioral problems) and measures of QoL (WHOQOL-BREF).

RESULTS

The association between the level of support needed for adaptive functioning and lower QoL was only significant among older relatives, whereas the association between behavioral problems and lower QoL was only significant among younger relatives. A three-way interaction between behavioral problems, level of support needed, and age indicated that the association between the level of support for adaptive functioning and QoL in older relatives was greater when there were higher levels of behavioral problems.

CONCLUSIONS

The role of caregivers' age in their QoL differs depending on the nature of the stressor, and an accumulation of stressors can have a particularly negative impact on older caregivers. Interventions should be adapted for caregivers of different ages and take into account the particular sources of stress they have to cope with.

摘要

目的

智障人士(ID)适应功能和行为问题所需的支持水平可能会给照顾者带来压力。本研究旨在探讨照顾者年龄对这些压力源与家庭照顾者生活质量(QoL)之间关系的调节作用。由于 ID 人群中的这些压力源可能同时存在,因此还检查了压力源和年龄之间的三重相互作用。

方法

208 名 ID 人士的亲属(平均年龄=50.98 岁,SD=12.86)参加了研究。参与者回答了一份问卷,其中包括社会人口统计学变量、压力源(ID 适应功能支持水平和行为问题)和 QoL(WHOQOL-BREF)测量。

结果

仅在年龄较大的亲属中,适应功能支持水平与较低的 QoL 之间存在显著关联,而在年龄较小的亲属中,行为问题与较低的 QoL 之间存在显著关联。行为问题、适应功能支持水平和年龄之间的三向交互作用表明,当行为问题水平较高时,适应功能支持水平与年龄较大的亲属 QoL 之间的关联更大。

结论

照顾者年龄对其 QoL 的影响取决于压力源的性质,压力源的积累可能对年龄较大的照顾者产生特别不利的影响。干预措施应针对不同年龄的照顾者进行调整,并考虑到他们必须应对的特定压力源。

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