足智多谋作为痴呆症状及照料者反应对照料者心理健康影响的中介因素
Resourcefulness as a Mediator of the Effects of Dementia Symptoms and Caregiver Reactions on Caregiver Mental Health.
作者信息
Zauszniewski Jaclene A, Burant Christopher J
机构信息
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
出版信息
Issues Ment Health Nurs. 2020 Jun;41(6):486-493. doi: 10.1080/01612840.2019.1693670. Epub 2020 Apr 7.
Abstract
In this secondary analysis of 138 community-dwelling women caregivers of persons with dementia, we examined whether caregiver resourcefulness mediated the effects of both the frequency of and reactions to their care recipients' memory-related, depressive, and disruptive symptoms of dementia on caregiver depressive symptoms. Caregiver resourcefulness mediated the effects of care recipient depressive symptoms on caregiver depressive symptoms, and the effects of caregiver actions to depressive and disruptive symptoms on caregiver depressive symptoms. The findings suggest the potential benefit of teaching resourcefulness skills to reduce depressive symptoms of caregivers whose care recipients frequently exhibited depressive or disruptive symptoms associated with dementia.
摘要
在对138名患有痴呆症患者的社区女性照料者进行的二次分析中，我们研究了照料者的应变能力是否介导了照料对象与痴呆症相关的记忆、抑郁和破坏性行为症状的频率及反应对照料者抑郁症状的影响。照料者的应变能力介导了照料对象抑郁症状对照料者抑郁症状的影响，以及照料者针对抑郁和破坏性行为症状采取的行动对照料者抑郁症状的影响。研究结果表明，对于照料对象频繁出现与痴呆症相关的抑郁或破坏性行为症状的照料者，教授其应变能力技能可能有助于减轻他们的抑郁症状。
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