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痴呆症患者家庭照顾者的个人价值观特征:与矛盾情绪以及焦虑和抑郁症状的关系。

Personal values profiles in dementia family caregivers: their association with ambivalent feelings and anxious and depressive symptoms.

机构信息

Department of Psychology, Universidad Rey Juan Carlos, Alcorcón, Spain.

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

出版信息

Aging Ment Health. 2021 Nov;25(11):2160-2168. doi: 10.1080/13607863.2020.1821169. Epub 2020 Sep 21.

Abstract

OBJECTIVE

Culture-related variables, such as personal values, have been suggested as important in stress processes, such as family caregiving of people with dementia. Personal values may be categorized into two dimensions: family and own personal values. Drawing upon the Sociocultural Stress and Coping model, the objective of this study is to analyze differences between caregivers depending on their values profiles.

METHOD

Participants were 333 family caregivers of a spouse or a parent with dementia. Caregivers chose their two most important values, apart from caregiving, from a list of eight family-related and non-family-related values (own values). Therefore, three values profiles were possible: Family-values profile (FVP: the two values are family related), Mixed-values profile (MVP: one family related value and one own value), and Own-values profile (OVP: two own values were selected). In addition to values, sociodemographic variables, commitment and satisfaction with caregiving value and with chosen values, ambivalent feelings, and anxiety and depression symptomatology were assessed. ANOVA analyses were conducted.

RESULTS

The analyses suggest that caregivers in the FVP had lower levels of anxiety and ambivalent feelings and a higher commitment to and satisfaction with their chosen values than the other profiles. No differences were found for commitment and satisfaction with the caregiving value.

CONCLUSION

Caregivers' value profiles seem to play an important role in the effects of stress over psychological health. Possible explanations of these effects about potential role conflicts and a higher commitment to values are discussed.

摘要

目的

文化相关变量,如个人价值观,被认为在与压力相关的过程中很重要,如照顾痴呆患者的家庭。个人价值观可以分为两个维度:家庭价值观和个人价值观。本研究旨在根据个人价值观的不同,分析家庭照顾者之间的差异。

方法

研究对象为 333 名配偶或父母患有痴呆症的家庭照顾者。除了照顾患者外,照顾者从家庭相关和非家庭相关的 8 个价值观中(个人价值观)选择了他们的两个最重要的价值观。因此,可能有三种价值观:家庭价值观(FVP:两个价值观都与家庭有关)、混合价值观(MVP:一个家庭相关的价值观和一个个人价值观)和个人价值观(OVP:选择了两个个人价值观)。除了价值观外,社会人口统计学变量、对照顾者价值和所选择价值观的承诺和满意度、矛盾情绪以及焦虑和抑郁症状也被评估。进行了方差分析。

结果

分析表明,FVP 中的照顾者焦虑和矛盾情绪水平较低,对所选价值观的承诺和满意度较高,而其他两个组则没有差异。对照顾者价值的承诺和满意度没有差异。

结论

照顾者的价值观可能在压力对心理健康的影响中发挥重要作用。讨论了这些影响的可能解释,包括潜在的角色冲突和对价值观的更高承诺。

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