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根据心理社会和资源变量描述痴呆症护理人员的特征。亲属关系的重要性。

Profiles of Dementia Caregivers according to Psychosocial and Resource Variables. Importance of Kinship.

机构信息

Universidad Rey Juan Carlos (Spain).

Universidad Autónoma de Madrid (Spain).

出版信息

Span J Psychol. 2024 May 21;27:e15. doi: 10.1017/SJP.2024.15.

Abstract

The present study aims to analyze the existence of different profiles in family caregivers of people with dementia according to psychosocial and resource variables. In addition, it aims to study whether there is a greater representation of each kinship group in each of the profiles and if there are differences in emotional distress among such profiles considering the kinship with the care-recipient. Participants 288 family dementia caregivers, divided into four kinship groups (wives, husbands, sons and daughters). Psychosocial (familism, dysfunctional thoughts and experiential avoidance), resource (leisure activities and social support) and outcomes (depressive, anxious and guilt symptomatology) variables were collected. A hierarchical cluster analysis using Ward's method, an exploratory factor analysis of two fixed factors and contingency tables were performed. Five clusters were obtained: , , , and Results suggested that clusters associated with lower distress were the Low psychosocial vulnerability-High resources and the High psychosocial vulnerability-High resources. Clusters associated with higher distress were the Low psychosocial vulnerability-Low resources and Mixed. High levels of dysfunctional thoughts, familism and experiential avoidance do not always have a maladaptive function. This could depend on sociocultural and resource variables such as the kinship with the caregiver or perceived social support. The identification of profiles of family caregivers potentially needing protection and vulnerable to psychological distress could help to increase the effectiveness of interventions aimed at this population.

摘要

本研究旨在根据心理社会和资源变量分析痴呆症患者家属照顾者的不同特征。此外,还旨在研究在每个特征中是否有更多的亲属群体代表,以及在考虑与照顾接受者的亲属关系时,这些特征在情绪困扰方面是否存在差异。参与者为 288 名家庭痴呆症照顾者,分为四个亲属群体(妻子、丈夫、儿子和女儿)。收集了心理社会(家庭主义、功能失调思维和体验回避)、资源(休闲活动和社会支持)和结果(抑郁、焦虑和内疚症状)变量。使用 Ward 法进行层次聚类分析、两个固定因素的探索性因子分析和列联表。得到了五个聚类:、、、和 。结果表明,与较低压力相关的聚类是低心理社会脆弱性-高资源和高心理社会脆弱性-高资源。与较高压力相关的聚类是低心理社会脆弱性-低资源和混合。高水平的功能失调思维、家庭主义和体验回避并不总是具有适应不良的功能。这可能取决于社会文化和资源变量,例如与照顾者的亲属关系或感知到的社会支持。确定需要保护和易受心理困扰影响的家庭照顾者特征,可以帮助提高针对这一人群的干预措施的有效性。

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