Majerovitz S D
Division of Geriatrics, Winthrop-University Hospital, Mineola, New York 11501, USA.
Psychol Aging. 1995 Sep;10(3):447-57. doi: 10.1037//0882-7974.10.3.447.
This study examined the role of family adaptability in moderating the impact of caregiving on psychological adjustment and the relationship between adaptability and marital roles for 54 spouse caregivers to patients with dementia. Greater memory and behavior problems were related to greater burden and depression. For caregivers who were lower in adaptability, longer hours of care were related to greater depression. For caregivers higher in adaptability, hours of care were unrelated to depression. Cluster analysis identified a subset of caregivers lower in adaptability, with a partner who was severely demented, who endorsed a spouse role. These caregivers were the most depressed in the sample. Implications for service providers and suggestions for future research are discussed.
本研究调查了家庭适应性在调节痴呆症患者配偶照顾行为对心理调适的影响中的作用，以及适应性与婚姻角色之间的关系，研究对象为54名痴呆症患者的配偶照顾者。记忆和行为问题越严重，照顾负担和抑郁程度越高。对于适应性较低的照顾者，照顾时间越长，抑郁程度越高。对于适应性较高的照顾者，照顾时间与抑郁无关。聚类分析确定了一个适应性较低、配偶严重痴呆且认同配偶角色的照顾者子集。这些照顾者是样本中抑郁程度最高的。文中讨论了对服务提供者的启示以及对未来研究的建议。
