Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with Alzheimer's disease
Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with Alzheimer's disease
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DOI：
10.1037/0022-006x.64.1.121
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发表时间：
1996-02-01
影响因子：
5.9
通讯作者：
Isobe, TL
中科院分区：
文献类型：
--
作者：
Haley, WE;Roth, DL;Isobe, TL
阿尔茨海默病(AD)患者的家庭照顾者通常有很高的心理压力。黑人照顾者报告的抑郁症通常比白人照顾者少，但这种差异背后的过程鲜为人知。采用应激过程模型对123名白人和74名黑人阿尔茨海默病和其他进行性痴呆患者的家庭照顾者进行了研究。黑人护理者评估患者的问题压力较小，报告称在管理护理问题方面比白人护理者有更高的自我效能感和更少的抑郁。白人和黑人照顾者在应对反应上也有显著差异，但在社会支持方面没有显著差异。结构方程分析表明，白人和黑人照顾者的压力过程的相关结构相似。照顾压力源和种族并不通过直接途径影响幸福感，但它们通过评估、社会支持和活动以及应对的影响来中介。讨论了解释黑人照顾者更好地适应的可能的文化机制。
Family caregivers of patients with Alzheimer's disease (AD) commonly have high levels of psychological distress. Black caregivers often report less depression than White caregivers, but the process underlying this difference is poorly understood. With the use of a stress process model, 123 White and 74 Black family caregivers of patients with AD and other progressive dementias were studied. Black caregivers appraised patient problems as less stressful and reported higher self-efficacy in managing caregiving problems and less depression than did White caregivers. White and Black caregivers also differed significantly in coping responses but not in social supports. Structural equation analyses indicated that the correlational structure of the stress process was similar in White and Black caregivers. Caregiving stressors and race did not affect well-being through direct paths, but they were mediated by effects for appraisal, social support and activity, and coping. Possible cultural mechanisms explaining the better adjustment among Black caregivers are discussed.