Goode K T, Haley W E, Roth D L, Ford G R
Department of Psychology, University of Alabama at Birmingham, 35294, USA.
Health Psychol. 1998 Mar;17(2):190-8. doi: 10.1037//0278-6133.17.2.190.
Alzheimer's family caregivers (N = 122) reported on physical and mental health, as well as stress process variables, at baseline and at a 1-year follow-up. Hierarchical regression analyses of stress process models revealed that increases in primary stressors (e.g., patient self-care and behavioral problems) did not directly affect changes in the mental and physical health outcome variables. However, analyses of models of direct, mediated, and moderated effects revealed that psychosocial resource variables (appraisals, coping responses, and social support) were related to caregiver outcomes over time through several mechanisms. In particular, benign appraisals of stressors, the use of approach coping, and greater levels of social support were associated with more positive caregiver health outcomes over time.
122名阿尔茨海默病患者的家庭护理人员在基线和1年随访时报告了他们的身心健康状况以及压力过程变量。压力过程模型的分层回归分析显示，主要压力源（如患者的自我护理和行为问题）的增加并未直接影响身心健康结果变量的变化。然而，对直接、中介和调节效应模型的分析表明，社会心理资源变量（评估、应对反应和社会支持）通过多种机制与护理人员的长期结果相关。特别是，对压力源的良性评估、采用积极应对方式以及更高水平的社会支持与护理人员更积极的健康结果长期相关。
