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“我感到内疚”。探索痴呆症患者的家庭照顾者的内疚相关动态。

"I Feel Guilty". Exploring Guilt-Related Dynamics in Family Caregivers of People with Dementia.

机构信息

Biological and Health Psychology Department, Universidad Autónoma de Madrid, Madrid, Spain.

Clinical Psychology Area, Universidad Rey Juan Carlos de Madrid, Madrid, Spain.

出版信息

Clin Gerontol. 2022 Oct-Dec;45(5):1294-1303. doi: 10.1080/07317115.2020.1769244. Epub 2020 Jun 4.

DOI:10.1080/07317115.2020.1769244
PMID:32496935
Abstract

: Family caregivers of people with dementia often report feelings of guilt. However, the number of studies analyzing guilt and the factors associated with its appearance are scarce. The aim of this study is to explore the subjective experience of guilt in the family care of people with dementia.: A qualitative analysis of the narratives of 13 family caregivers of people with dementia about their feelings of guilt was done.: Seven categories for understanding guilt in caregiving were obtained: guilt derived from actions themselves; guilt derived from one's limitations; guilt for feeling negative emotions; guilt associated with the change in the relationship with the person cared for; guilt for neglecting other areas; guilt induced by the person cared for, and guilt induced by others. The results showed the existence of cases in which guilt is absent by distress-avoiding processes.: Guilt is a relevant variable in understanding caregiver distress, and its analysis is necessary for therapeutic work in the field of care.: Psychological interventions aimed at family caregivers should include specific techniques in order to address guilt feelings.

摘要

: 痴呆症患者的家庭照顾者经常会感到内疚。然而,分析内疚感及其出现相关因素的研究数量很少。本研究旨在探讨痴呆症患者家庭照顾中的主观内疚体验。: 对 13 名痴呆症患者家庭照顾者关于其内疚感的叙述进行了定性分析。: 得出了理解照顾中内疚感的七个类别:源自行为本身的内疚感;源自自身局限性的内疚感;因感到负面情绪而产生的内疚感;与被照顾者关系变化相关的内疚感;因忽视其他领域而产生的内疚感;因被照顾者而产生的内疚感;以及因他人而产生的内疚感。结果表明,存在通过避免痛苦来消除内疚感的情况。: 内疚感是理解照顾者痛苦的一个重要变量,因此有必要对护理领域的治疗工作进行分析。: 针对家庭照顾者的心理干预措施应该包括特定的技术,以解决内疚感。

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