Bangerter Lauren R, Liu Yin, Kim Kyungmin, Zarit Steven H
Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Department of Human Development and Family Studies, Utah State University, Logan, USA.
Aging Ment Health. 2021 Jan;25(1):46-52. doi: 10.1080/13607863.2019.1681934. Epub 2019 Oct 31.
Adult day services (ADS) provide respite for dementia caregivers and directly reduce exposure to behavioral and psychological symptoms of dementia (BPSD). This study examines the psycho-behavioral mechanism on how daily ADS use may benefit caregivers' daily affect through its impact on the distress associated with BPSD stressor exposure. The sample consists of dementia caregivers ( = 173) who participated in an ADS intervention across 8 days. Multilevel structural equation modeling was conducted to examine the within- and between-person mediating effects of BPSD distress on the direct associations between daily ADS use and daily negative and positive affect. ADS days were associated with lower daily negative affect and higher daily positive affect; the significant within-person effect of ADS use on daily affect was mediated by daily BPSD distress. Findings highlight the association between daily ADS use and caregiver affective well-being. This understanding is important for designing respite and other interventions to help dementia caregivers manage the daily stress of caregiving.
成人日间服务（ADS）为痴呆症照料者提供喘息机会，并直接减少接触痴呆症行为和心理症状（BPSD）的机会。本研究探讨了日常使用ADS如何通过影响与BPSD应激源暴露相关的痛苦，从而使照料者的日常情绪受益的心理行为机制。样本包括173名痴呆症照料者，他们参加了为期8天的ADS干预。采用多水平结构方程模型来检验BPSD痛苦在日常ADS使用与日常消极和积极情绪的直接关联中所起的个体内和个体间中介作用。ADS日与较低的日常消极情绪和较高的日常积极情绪相关；ADS使用对日常情绪的显著个体内效应通过每日BPSD痛苦起中介作用。研究结果突出了日常ADS使用与照料者情感幸福感之间的关联。这种认识对于设计喘息服务和其他干预措施以帮助痴呆症照料者应对日常照料压力非常重要。
