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情绪调节策略与痴呆症照护者的心理健康:性别调节作用。

Emotion Regulation Strategies and Mental Health in Dementia Caregivers: The Moderating Role of Gender.

机构信息

Department of Psychology and the Institute of Personality and Social Research, University of California, Berkeley, California, USA.

Department of Psychology and the Interdisciplinary Program in Neuroscience, Georgetown University, Washington, District of Columbia, USA.

出版信息

Dement Geriatr Cogn Disord. 2024;53(3):128-134. doi: 10.1159/000538398. Epub 2024 Apr 22.

Abstract

INTRODUCTION

Providing care for a loved one with dementia can engender intense emotions that contribute to symptoms of anxiety and depression. Caregivers often attempt to regulate their emotions using strategies like cognitive reappraisal (CR; changing how they think about the situation) or expressive suppression (ES; hiding their emotions). However, men and women caregivers may differ in their use of these strategies. The current study examines gender differences in reported CR and ES usage and their associations with depression and anxiety in dementia caregivers.

METHODS

We combined data from three independent studies of informal dementia caregivers (total N = 460) who reported on their use of CR, ES, and symptoms of anxiety and depression.

RESULTS

Women caregivers reported greater use of CR and less use of ES compared to men. Gender moderated the association between CR and depression, such that greater use of CR in women was associated with fewer depressive symptoms, but not for men. Gender did not significantly moderate the association between ES and depression, or between either emotion regulation strategy and anxiety.

CONCLUSION

Findings of a unique relationship between greater CR use and less depression among women CGs, although correlational, suggest that utilizing CR may be particularly helpful for reducing depression in women caregivers. These results underscore the need for further research to determine how best to support the mental well-being of dementia caregivers.

摘要

简介

照顾患有痴呆症的亲人会产生强烈的情绪,这些情绪会导致焦虑和抑郁症状。照顾者通常会尝试使用认知重评(CR;改变对情况的看法)或表达抑制(ES;隐藏自己的情绪)等策略来调节自己的情绪。然而,男性和女性照顾者在使用这些策略方面可能存在差异。本研究考察了报告的 CR 和 ES 使用与痴呆症照顾者的抑郁和焦虑之间的性别差异及其相关性。

方法

我们结合了三个独立的非正规痴呆症照顾者研究的数据(总 N = 460),这些研究报告了他们对 CR、ES 和焦虑和抑郁症状的使用情况。

结果

与男性相比,女性照顾者报告说更多地使用 CR 和更少地使用 ES。性别调节了 CR 与抑郁之间的关系,即女性更多地使用 CR 与较少的抑郁症状相关,但对男性则不然。性别并未显著调节 ES 与抑郁之间的关系,或两种情绪调节策略与焦虑之间的关系。

结论

虽然是相关研究,但女性 CG 中使用更多的 CR 与较少的抑郁之间存在独特关系的发现表明,使用 CR 可能对减轻女性照顾者的抑郁特别有帮助。这些结果强调了需要进一步研究,以确定如何最好地支持痴呆症照顾者的心理健康。

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