Mockler D, Riordan J, Murphy M
Department of Psychology, Institute of Psychiatry, London, UK.
Int J Geriatr Psychiatry. 1998 May;13(5):310-4. doi: 10.1002/(sici)1099-1166(199805)13:5<310::aid-gps765>3.0.co;2-6.
The study investigated psychosocial factors associated with the use/non-use of services by primary carers of people with dementia (caring for relative/friend with dementia). The factors considered were individual differences, health, stress, family/social support, years of caring, age of carers/person with dementia, gender and level of behavioural disturbance presented by the person with dementia. The participants were referred to the study by health services, social services representatives and GPs. The carers (N = 50) were divided into two groups (service user/non-user). The findings indicated that primary carers in the non-user service group scored significantly higher on a measure (sense of coherence; SOC) estimating an individual's ability to deal with stressful situations. The individual's ability to deal with caring responsibilities was associated with a reduction in the level of diagnosable psychiatric disorder or 'caseness' and the non-use of services. None of the other factors considered were found to be significantly different between the two career groups. However, a significant inverse association between health, stress and individual ability to deal with stressful situations was found when the two career groups were combined.
该研究调查了与痴呆症患者的主要照料者（照料患有痴呆症的亲属/朋友）使用/不使用服务相关的社会心理因素。所考虑的因素包括个体差异、健康状况、压力、家庭/社会支持、照料年限、照料者/痴呆症患者的年龄、性别以及痴呆症患者出现的行为障碍程度。参与者由医疗服务机构、社会服务代表和全科医生转介至该研究。照料者（N = 50）被分为两组（服务使用者/非使用者）。研究结果表明，非服务使用者组的主要照料者在一项评估个体应对压力情况能力的量表（连贯感；SOC）上得分显著更高。个体应对照料责任的能力与可诊断的精神障碍水平或“患病情况”的降低以及不使用服务有关。在两个照料者组之间，未发现所考虑的其他因素存在显著差异。然而，当将两个照料者组合并时，发现健康状况、压力与个体应对压力情况的能力之间存在显著的负相关。
