表达性情绪介导了痴呆症患者照顾者关系亲密度与心理症状之间的关联。
Expressed emotion mediates the association between caregiver relationship closeness and psychological symptoms in people with dementia.
作者信息
Liu Xiaoji, Mo Wenping, Kanaya Reiko, Shigenobu Kazue, Takiue Keigo, Koujiya Eriko, Takeya Yasushi, Yamakawa Miyae
机构信息
Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.
Department of Behavioural Neurology and Neuropsychiatry, Osaka University United Graduate School of Child Development, Osaka, Japan.
出版信息
Psychogeriatrics. 2025 Mar;25(2):e70000. doi: 10.1111/psyg.70000.
AIM
This study examines whether expressed emotion (EE) mediates the association between caregiver relationship closeness and behavioural and psychological symptoms of dementia (BPSD).
METHODS
We recruited 64 families with dementia in Osaka and collected data for 3 months. Caregiver-patient relationship closeness was assessed using the Relationship Closeness Scale (RCS), and BPSD was measured with the Neuropsychiatric Inventory Questionnaire (NPI-Q). EE was evaluated using the Family Attitude Scale (FAS).
RESULTS
The results indicated significant correlations between EE, relationship closeness, and BPSD, showing that higher caregiver intimacy levels were associated with lower aggression in dementia people. Mediation analysis revealed that EE significantly and mainly mediated the relationship between RCS and BPSD.
CONCLUSIONS
The findings underscore the importance of interventions focused on improving caregiver-patient relationships and managing caregiver emotional expressions to mitigate BPSD. These insights are valuable for developing targeted support programs for dementia care.
目的
本研究旨在探讨情感表达（EE）是否介导了照顾者与患者关系亲密度与痴呆行为和心理症状（BPSD）之间的关联。
方法
我们在大阪招募了64个患有痴呆症的家庭，并收集了3个月的数据。使用关系亲密度量表（RCS）评估照顾者与患者的关系亲密度，并用神经精神科问卷（NPI-Q）测量BPSD。使用家庭态度量表（FAS）评估情感表达。
结果
结果表明，情感表达、关系亲密度和BPSD之间存在显著相关性，表明照顾者与患者之间较高的亲密程度与痴呆患者较低的攻击性相关。中介分析显示，情感表达显著且主要介导了RCS与BPSD之间的关系。
结论
研究结果强调了干预措施的重要性，这些干预措施侧重于改善照顾者与患者的关系以及管理照顾者的情感表达，以减轻BPSD。这些见解对于制定针对性的痴呆症护理支持计划具有重要价值。
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