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认知加工、心理韧性及家庭功能对阿尔茨海默病患者家庭照料者创伤后成长的影响

Cognitive processing, resilience, and family functioning as contributors to posttraumatic growth in family caregivers of patients with Alzheimer's disease.

作者信息

Jackson Daija A, Maurin Elana, Fedio Alison A

机构信息

Department of Clinical Psychology, The Chicago School, Washington, DC, USA.

Department of Behavioral Health, Brooke Army Medical Center, San Antonio, TX, USA.

出版信息

Aging Ment Health. 2025 Apr;29(4):598-605. doi: 10.1080/13607863.2024.2414050. Epub 2024 Oct 10.

Abstract

OBJECTIVES

The present study examined the existence of posttraumatic growth (PTG) and its association with cognitive processing, resilience, and family functioning in family caregivers of patients with Alzheimer's disease (AD).

METHOD

Family caregivers ( = 114) were surveyed using measures of cognitive processing, resilience, family functioning, and PTG. Data were analyzed using descriptive statistics, Pearson correlations, and multiple regression analyses.

RESULTS

The average PTG score in the sample was 48.6 (SD = 18.7; range 14-105). Race, education level, severity of the patient's AD, cognitive processing, resilience, and family functioning explained 25.8% of the variance in PTG ( [9, 95] = 5.025,  < 0.001). Race was significantly correlated with PTG; specifically, non-White caregivers reported higher PTG than White caregivers ( < 0.05). When controlling for race and education level, mild AD, intrusive rumination, and family satisfaction were significant predictors of PTG ( < 0.05). However, deliberate rumination, resilience, and family communication were not significant predictors PTG ( > 0.05).

CONCLUSION

These findings provide insight into factors that may influence the development of PTG in family caregivers of patients with AD. Results may inform intervention strategies to mitigate the negative consequences of caregiving and promote PTG in this caregiver population.

摘要

目的

本研究调查了创伤后成长(PTG)的存在情况及其与阿尔茨海默病(AD)患者家庭照顾者的认知加工、心理韧性和家庭功能的关系。

方法

使用认知加工、心理韧性、家庭功能和PTG的测量工具对114名家庭照顾者进行了调查。数据采用描述性统计、Pearson相关性分析和多元回归分析。

结果

样本中的PTG平均得分为48.6(标准差=18.7;范围14-105)。种族、教育水平、患者AD的严重程度、认知加工、心理韧性和家庭功能解释了PTG变异的25.8%(F[9, 95]=5.025,p<0.001)。种族与PTG显著相关;具体而言,非白人照顾者报告的PTG高于白人照顾者(p<0.05)。在控制种族和教育水平后,轻度AD、侵入性反刍和家庭满意度是PTG的显著预测因素(p<0.05)。然而,刻意反刍、心理韧性和家庭沟通不是PTG的显著预测因素(p>0.05)。

结论

这些发现为可能影响AD患者家庭照顾者PTG发展的因素提供了见解。研究结果可为干预策略提供参考,以减轻照顾的负面影响,并促进这一照顾者群体的PTG。

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