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接受和承诺疗法可改善痴呆症患者家庭照料者的工作-照护界面。

Acceptance and commitment improve the work-caregiving interface among dementia family caregivers.

机构信息

Faculty of Psychology.

出版信息

Psychol Aging. 2022 Sep;37(6):749-765. doi: 10.1037/pag0000698. Epub 2022 Jul 7.

Abstract

Although working dementia family caregivers experience negative (i.e., work-family conflict; WFC) and positive (i.e., work-family enrichment; WFE) aspects of balancing work and caregiving, little is known about factors that alleviate negative aspects and enhance positive aspects of the work-caregiving interface. The purpose of this study was to examine the moderating effect of acceptance and commitment to personal values, which are transdiagnostic in nature and key concepts of acceptance and commitment therapy, on the relationships between work/caregiving demands and WFC and between work/caregiving resources and WFE among working dementia family caregivers. Data were drawn from a three-wave 6-month interval longitudinal survey of Japanese working dementia family caregivers ( = 747). Hierarchical linear modeling was used to examine the main effect of acceptance and commitment to personal values on WFC/WFE, and their moderating effect on relationships between work/caregiving demands and WFC, and work/caregiving resources (job control, supervisor/coworker support, organizational support, caregiving support) and WFE. Acceptance was negatively associated with WFC and weakened the positive relationship between work/caregiving demands and WFC. Commitment to personal values was negatively associated with WFC and positively associated with WFE. Commitment to personal values weakened the positive relationships between work/caregiving demands and WFC and moderated the relationship between caregiving support and WFE. The findings suggest that acceptance may be effective in alleviating WFC and commitment to personal values contributes to alleviating WFC and increasing WFE. Acceptance and commitment therapy may help to improve the work-caregiving interface among dementia family caregivers. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

虽然从事痴呆症家庭护理工作的人会体验到工作与家庭的冲突(即 WFC)和工作与家庭的丰富(即 WFE)这两个方面,但人们对缓解 WFC 负面影响和增强 WFE 积极影响的因素知之甚少。本研究旨在检验接纳和承诺个人价值观的调节作用,接纳和承诺个人价值观是一种跨诊断的、接纳和承诺疗法的关键概念,它可以调节工作/照护需求与 WFC 之间的关系,以及工作/照护资源与 WFE 之间的关系。研究数据来自一项针对日本在职痴呆症家庭护理人员的三波、六个月间隔的纵向调查(n = 747)。分层线性模型用于检验接纳和承诺个人价值观对 WFC/WFE 的主要影响,以及它们对工作/照护需求与 WFC 之间的关系,以及工作/照护资源(工作控制、主管/同事支持、组织支持、照护支持)与 WFE 之间关系的调节作用。接纳与 WFC 呈负相关,削弱了工作/照护需求与 WFC 之间的正相关关系。对个人价值观的承诺与 WFC 呈负相关,与 WFE 呈正相关。对个人价值观的承诺削弱了工作/照护需求与 WFC 之间的正相关关系,并调节了照护支持与 WFE 之间的关系。研究结果表明,接纳可能有助于缓解 WFC,而对个人价值观的承诺有助于缓解 WFC 和增加 WFE。接纳和承诺疗法可能有助于改善痴呆症家庭护理人员的工作与家庭关系。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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