Tyler Carmen M, Henry Richard S, Perrin Paul B, Watson Jack, Villaseñor Teresita, Lageman Sarah K, Smith Erin R, Curiel Genoveva Rizo, Avila Judith, Jimenez Maldonado Miriam E, Soto-Escageda Jose A
Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA.
Neurol Res Int. 2020 Feb 14;2020:7906547. doi: 10.1155/2020/7906547. eCollection 2020.
Only scant literature has focused on social support in Parkinson's disease (PD) caregivers, and no studies to date have examined resilience in this population, despite both variables having been shown to be important in other caregiving populations. As a result, the purpose of the current study was to construct and validate a theoretical structural equation model whereby social support is associated with higher levels of resilience in PD caregivers and increased resilience is related to decreased mental health symptoms. Two hundred fifty three PD caregivers from two clinics in the United States and Mexico completed self-report measures of these constructs. Results suggested that the hypothesized pattern was robustly supported with the structural equation model showing generally good fit indices. Higher levels of social support were associated with increased resilience, which in turn was associated with reduced mental health symptoms. Resilience partially mediated social support's effect on mitigating mental health symptoms. The model explained 11% of the variance in resilience and 35% in mental health symptoms. These findings have implications for future research on the development and tailoring of interventions to improve social support, resilience, and mental health in PD caregivers.
仅有极少的文献关注帕金森病（PD）照料者的社会支持，而且迄今为止尚无研究考察该人群的心理韧性，尽管这两个变量在其他照料人群中已被证明很重要。因此，本研究的目的是构建并验证一个理论结构方程模型，即社会支持与PD照料者更高水平的心理韧性相关，而心理韧性的增强与心理健康症状的减轻相关。来自美国和墨西哥两家诊所的253名PD照料者完成了这些构念的自我报告测量。结果表明，假设的模式得到了有力支持，结构方程模型显示出总体良好的拟合指数。更高水平的社会支持与增强的心理韧性相关，而心理韧性又与减轻的心理健康症状相关。心理韧性部分介导了社会支持对减轻心理健康症状的影响。该模型解释了心理韧性中11%的方差变异以及心理健康症状中35%的方差变异。这些发现对未来关于开发和定制干预措施以改善PD照料者的社会支持、心理韧性和心理健康的研究具有启示意义。
