Gold D P, Cohen C, Shulman K, Zucchero C, Andres D, Etezadi J
Department of Psychology, Concordia University, Montreal, Canada.
Int J Aging Hum Dev. 1995;41(3):183-201. doi: 10.2190/RGYJ-5KA2-7THX-7BQ5.
A sample of 118 caregivers, maintaining relatives with dementia at home, were interviewed and completed questionnaires at initial and follow-up assessment six months later. All dependents received a cognitive assessment. The results of LISREL analysis of the data supported a model of caregiving in which negative outcomes of burden and impaired health reduced positive outcomes of enjoyment of aspects of caregiving. Caregivers with larger social support networks were more satisfied with their support, reducing feelings of impaired health, although as caregiving became more difficult, satisfaction with support decreased. The retrospective perception of the premorbid relationship as more difficult lead to the appraisal of the patient's symptoms as presently being more extensive and increased burden. Women caregivers reported both greater feelings of burden and more aspects of caregiving as enjoyable.
对118名在家照料患有痴呆症亲属的照料者进行了访谈，并在初始评估时以及六个月后的随访评估中让他们填写问卷。所有受照料者都接受了认知评估。对数据进行的LISREL分析结果支持了一种照料模式，即负担和健康受损的负面结果会降低照料过程中各方面乐趣的正面结果。社交支持网络较大的照料者对其获得的支持更满意，这减轻了他们的健康受损感，不过随着照料变得更加困难，对支持的满意度会下降。对病前关系回顾性地认为更困难，会导致对患者当前症状评估为更严重，进而增加负担。女性照料者表示负担感更强，但也有更多照料方面能带来乐趣。
