Positive aspects of caregiving as a moderator of treatment outcome over 12 months
Positive aspects of caregiving as a moderator of treatment outcome over 12 months
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DOI：
10.1037/0882-7974.22.2.361
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发表时间：
2007-06-01
影响因子：
3.7
通讯作者：
Burgio, Louis D.
中科院分区：
文献类型：
--
作者：
Hilgeman, Michelle M.;Allen, Rebecca S.;Burgio, Louis D.
作者在增强阿尔茨海默病护理者健康资源 I 项目的一个原始站点中，研究了护理积极方面 (PAC) 作为 12 个月内治疗结果调节因素的影响。他们使用多级随机系数回归分析来预测阿尔茨海默病护理人员随时间变化的 PAC、抑郁、行为困扰和日常护理负担（N = 243；平均年龄 = 60.89，SD = 14.19）。他们发现随时间变化的 PAC 可以通过随时间变化的日常护理负担来预测。他们还发现，时变 PAC 对抑郁、行为困扰和日常护理负担有显着影响。值得注意的是，PAC X X 期治疗对日常护理负担有效果，因此支持较少 PAC 的个人从 12 个月的干预中受益最多。针对阿尔茨海默氏症护理等慢性压力源而积极评估护理体验（即 PAC）的倾向可能会影响个人对干预措施的反应并从中受益，而只有日常护理负担会影响在 12 个月内从护理中寻找乐趣的倾向。未来的干预研究应该评估个体 PAC，以便更好地根据护理需求制定干预措施。
The authors examined the influence of positive aspects of caregiving (PAC) as a moderator of treatment outcome across 12 months in 1 of the original sites of the Resources for Enhancing Alzheimer's Caregiver Health I project. They used multilevel random coefficients regression analysis to predict time-varying PAC, depression, behavioral bother, and daily care burden in Alzheimer's caregivers (N = 243; mean age = 60.89, SD = 14.19). They found that time-varying PAC was predicted by time-varying daily care burden. They also found significant effects of time-varying PAC for depression, behavioral bother, and daily care burden. Notably, a PAC X Phase X Treatment effect was found for daily care burden, such that individuals who endorsed less PAC benefited most from the intervention across 12 months. The tendency to positively appraise the caregiving experience (i.e., PAC) in response to chronic stressors such as Alzheimer's caregiving may affect individuals' responsiveness to, and benefit from, interventions, whereas only daily care burden affected the tendency to find enjoyment in caregiving across 12 months. Future intervention research should assess individual PAC in order to better tailor interventions to caregiving needs.