Well-being, appraisal, and coping in African-American and Caucasian dementia caregivers: findings from the REACH study
Well-being, appraisal, and coping in African-American and Caucasian dementia caregivers: findings from the REACH study
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DOI：
10.1080/13607860410001728998
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发表时间：
2004-07-01
影响因子：
3.4
通讯作者：
Ory, M
中科院分区：
文献类型：
--
作者：
Haley, WE;Gitlin, LN;Ory, M
虽然有相当大的兴趣在种族差异的痴呆症患者的家庭照顾，大多数研究到目前为止，要么忽略了种族多样性或基于少数照顾者主要从单一网站的研究得出的结论。目前的研究利用来自REACH（增强阿尔茨海默氏症护理人员健康的资源）多站点研究的四个站点的参与者来比较种族的幸福感，评估和宗教应对。来自四个城市（伯明翰，孟菲斯，波士顿和费城）的非裔美国人（n=295）和白人（n=425）痴呆症照顾者进行了比较，他们的人口统计学，照顾对象的特点，精神和身体健康，心理社会应对资源，包括评估和宗教应对。非裔美国人的照顾者报告说，较低的焦虑，更好的福祉，较少使用精神药物，更良性的评估压力和感知的好处，和更大的宗教应对和参与，比白人照顾者。自评健康没有种族差异，但非洲裔美国人的照顾者比白人照顾者报告更多的不健康行为。一些结果特定于研究中心，可能是由于招募策略、入选/排除标准和地区差异的差异。调整协变量，包括照顾者的关系，照顾对象，性别，年龄，社会经济地位，和照顾对象的行为问题，改变这些差异很少。结果进行了讨论，其相关性的心理社会干预方案，种族多样的照顾者。
Although there has been considerable interest in racial differences in family caregiving for persons with dementia, most research to date has either ignored racial diversity or based conclusions on small numbers of caregivers drawn primarily from single site studies. The current study utilized participants from four sites of the REACH (Resources for Enhancing Alzheimer's Caregiver Health) multi-site study to compare well-being, appraisal, and religious coping by race. African-American (n=295) and Caucasian (n=425) dementia caregivers from four cities (Birmingham, Memphis, Boston, and Philadelphia) were compared in their demographics, care recipient characteristics, mental and physical health, and psychosocial coping resources including appraisal and religious coping. African-American caregivers reported lower anxiety, better well-being, less use of psychotropic medications, more benign appraisals of stress and perceived benefits of caregiving, and greater religious coping and participation, than Caucasian caregivers. Self-rated health did not differ by race, but African-American caregivers reported more unhealthy behaviors than Caucasian caregivers. Some results were specific to site, possibly due to differences in recruitment strategies, inclusion/exclusion criteria, and regional differences. Adjustment for covariates, including caregiver relationship to the care recipient, gender, age, socioeconomic status, and care recipient behavioral problems, altered few of these differences. Results are discussed in terms of their relevance to psychosocial intervention programs for ethnically diverse caregivers.