Miron Anca M, Groves Christopher L, Thompson Ashley E, McFadden Susan H, Bowers Haley R, DeBraal Jordyn M
Department of Psychology, 200882University of Wisconsin Oshkosh, Oshkosh, WI, USA.
218995Department of Psychology, University of Minnesota Duluth, Duluth, MN, USA.
Int J Aging Hum Dev. 2023 Jun;96(4):447-470. doi: 10.1177/00914150221106075. Epub 2022 Jun 9.
Research on interpersonal interaction dynamics in relationships between persons with dementia and their family caregivers has been limited. We examine the role of these dynamics in decisions to transition a family member from home care to congregate care, with a particular focus on the role of fear of incompetence. Fear of incompetence is the fear of being unable to interact, communicate in a meaningful way, or take care of a close family member with dementia. In this study ( = 350 family caregivers), perceived negative changes in the family member with dementia predicted increased perceived dependency, which predicted both increased caregiver burden and greater fear of incompetence in caregivers, which, in turn, predicted stronger care transition desire. Strategies should be aimed not only at reducing dependency of the care recipient but also teaching family caregivers interaction skills that decrease their fear of interactional incompetence and thus promote home care continuation.
对痴呆症患者与其家庭护理人员之间人际关系互动动态的研究一直有限。我们研究了这些动态在决定将家庭成员从家庭护理过渡到集体护理中的作用，特别关注对无能力的恐惧所起的作用。对无能力的恐惧是指害怕无法与患有痴呆症的亲密家庭成员进行互动、有意义地交流或照顾他们。在这项研究中（n = 350名家庭护理人员），痴呆症患者家庭成员察觉到的负面变化预示着感知到的依赖性增加，而这又预示着护理人员负担加重以及对无能力的恐惧加剧，进而预示着更强的护理过渡意愿。策略不仅应旨在减少受护理者的依赖性，还应教导家庭护理人员互动技能，以减少他们对互动无能力的恐惧，从而促进家庭护理的持续。
