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残疾儿童家庭照顾者感知歧视与情绪困扰:关联污名和自我效能的中介作用

Perceived discrimination and emotional distress among family caregivers of children with physical disabilities: The mediational role of affiliate stigma and self-efficacy.

机构信息

Department of Methodology of Behavioral Sciences.

Department of Social and Organizational Psychology.

出版信息

Am J Orthopsychiatry. 2021;91(3):367-374. doi: 10.1037/ort0000534. Epub 2021 Apr 29.

DOI:10.1037/ort0000534
PMID:33914558
Abstract

The main objective of this research is to examine the consequences of perceived discrimination in family caregivers of people with physical disabilities. Through path analysis, we test the association between caregivers' perceived discrimination and their anxiety and depression and the mediating role that affiliate stigma and self-efficacy may play. We proposed a model that has not been tested previously in the literature on caregivers of people with physical disabilities. The sample includes 186 Spanish fathers (35%) or mothers (65%) raising children with physical disabilities. Descriptive statistics and Pearson's correlation coefficients were calculated and structural equation modeling was used to examine the mediating effect. Results show that caregivers' perceived discrimination is positively associated with their affiliate or internalized stigma that in turn is harmful to their anxiety and depression. However, caregivers' self-efficacy plays a mediating role in the relation between affiliate stigma and caregivers' anxiety and depression. These results may be useful for designing interventions to improve the psychological well-being of the parents of children with physical disabilities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

本研究的主要目的是探讨身体残疾人士家庭照顾者感知歧视的后果。通过路径分析,我们检验了照顾者感知歧视与他们的焦虑和抑郁之间的关联,以及附属耻辱感和自我效能感可能发挥的中介作用。我们提出了一个以前在身体残疾人士照顾者文献中未被检验的模型。样本包括 186 名西班牙父亲(35%)或母亲(65%),他们抚养有身体残疾的孩子。计算了描述性统计和皮尔逊相关系数,并使用结构方程模型来检验中介效应。结果表明,照顾者感知歧视与他们的附属耻辱感或内化耻辱感呈正相关,而附属耻辱感又对他们的焦虑和抑郁产生负面影响。然而,照顾者的自我效能感在附属耻辱感与照顾者焦虑和抑郁之间的关系中起着中介作用。这些结果可能有助于设计干预措施,以改善身体残疾儿童父母的心理健康。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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