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患者-照料者互动中的代词使用:与照料者福祉的关联。

Pronoun Use during Patient-Caregiver Interactions: Associations with Caregiver Well-Being.

机构信息

Department of Psychology, University of California, Berkeley, California, USA.

VA Puget Sound Healthcare System, Seattle Division, Seattle, Washington, USA.

出版信息

Dement Geriatr Cogn Disord. 2020;49(2):202-209. doi: 10.1159/000508095. Epub 2020 Jul 1.

Abstract

INTRODUCTION

Caring for a spouse with dementia can be extremely challenging. Many caregivers experience profound declines in well-being; however, others remain healthy.

OBJECTIVE

This study determined whether the personal pronouns used in interactions between persons with dementia (PWDs) and their spousal caregivers were associated with caregiver well-being.

METHODS

Fifty-eight PWDs and their spousal caregivers engaged in a 10-min conversation about an area of disagreement in a laboratory setting. Verbatim transcripts of the conversation were coded using text analysis software, and caregivers and PWDs each received scores for (a) I-pronouns, (b) you-pronouns, and (c) we-pronouns. Caregivers' well-being was assessed using a composite measure of depression, anxiety, burden, and strain.

RESULTS

Results revealed that less use of we-pronouns by caregivers and PWDs and greater use of I-pronouns by PWDs were -associated with lower caregiver well-being.

CONCLUSIONS

These findings indicate that less use of pronouns that refer to the couple (we-pronouns used by either partner) and greater use of pronouns that refer to the PWD (I-pronouns used by the PWD) are indicative of caregivers at heightened risk for lower well-being.

摘要

简介

照顾患有痴呆症的配偶可能极具挑战性。许多照顾者的幸福感会大幅下降,但也有一些照顾者保持健康。

目的

本研究旨在确定痴呆症患者(PWD)及其配偶照顾者之间互动中使用的人称代词是否与照顾者的幸福感有关。

方法

58 名 PWD 及其配偶在实验室环境中就分歧领域进行了 10 分钟的对话。使用文本分析软件对对话的逐字记录进行编码,并为照顾者和 PWD 分别计算了(a)我代词、(b)你代词和(c)我们代词的分数。照顾者的幸福感采用抑郁、焦虑、负担和压力的综合衡量标准进行评估。

结果

结果表明,照顾者和 PWD 较少使用我们代词,PWD 较多使用我代词与照顾者较低的幸福感相关。

结论

这些发现表明,较少使用指代夫妻的代词(双方使用的我们代词)和较多使用指代 PWD 的代词(PWD 使用的我代词)表明照顾者处于幸福感较低的风险之中。

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