Is sense of coherence helpful in coping with caregiver burden for dementia?
Is sense of coherence helpful in coping with caregiver burden for dementia?
复制标题
连贯感有助于应对痴呆症护理人员的负担吗？
DOI：
10.1111/psyg.12050
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发表时间：
2014
期刊：
影响因子：
2
通讯作者：
Ikeda M.
中科院分区：
文献类型：
--
作者：
Matsushita M;Ishikawa T;Koyama A;Hasegawa N;Ichimi N;Yano H;Hashimoto M;Fujise N;Ikeda M.
背景一致感（SOC）与各种健康问题的风险降低相关，并且被认为是与科普压力的能力相关的主要因素。在本研究中，我们研究了照顾者的负担和SOC之间的关联照顾者到persons with dementia.MethodsParticipants包括274照顾者或家庭成员的社区居住的老年痴呆症患者。为了评估患者的认知功能，由接受过良好访谈参与者培训的临床心理学家进行神经心理学测试（例如，简易精神状态检查、临床痴呆评级）;测试使用半结构化访谈方案。高级神经科医生和精神科医生也独立评估患者的痴呆状态。为了评估SOC和照顾者负担，社会福利顾问从SOC量表的13个项目版本和简短的8个项目的Zarit照顾者负担访谈（ZBI）的日文版本中提出问题。结果在78名老年痴呆认知障碍受试者的照顾者中，ZBI评分与SOC显著相关（r=-0.38，P = 0.001）。多元回归分析显示SOC评分（β=-0.42，P = 0.001）和简易精神状态检查量表评分（β=-0.28，P = 0.009）与ZBI评分显著相关（F（2，76）= 10.51，P = 0.001）。在ZBI中，SOC与个人紧张密切相关（β=-0.41，P < 0.001;F（3，75）= 8.53，P < 0.001）。结论SOC较强的照顾者可能不太容易因负担而经历个人紧张。这些结果表明，加强SOC将有助于减少个人的应变。
BackgroundSense of coherence (SOC) is associated with a reduced risk of various health problems and is thought to be a major factor related to the ability to cope with stress. In the present study, we examined the association between caregiver burden and SOC among caregivers to persons with dementia.MethodsParticipants included 274 caregivers or family members of community‐dwelling elderly dementia patients. To assess the cognitive function of patients, neuropsychological tests (e.g. Mini‐Mental State Examination, Clinical Dementia Rating) were conducted by a clinical psychologist who was well trained in interviewing participants; the tests used a semi‐structured interview protocol. Senior neurologists and psychiatrists also independently evaluated the dementia status of patients. To assess the SOC and caregiver burden, a social welfare counsellor asked questions from a 13‐item version of the SOC scale and the short, eight‐item Japanese version of the Zarit Caregiver Burden Interview (ZBI).ResultsAmong 78 caregivers of elderly subjects with cognitive impairment due to dementia, the ZBI score was significantly associated with SOC (r= −0.38,P= 0.001). Multiple regression analyses revealed that SOC scores (β= −0.42,P< 0.001) and Mini‐Mental State Examination scores (β= −0.28,P= 0.009) were significantly associated with ZBI scores (F(2, 76)= 10.51,P< 0.001). SOC was closely associated with personal strain in the ZBI (β= −0.41,P< 0.001;F(3, 75)= 8.53,P< 0.001).ConclusionCaregivers with a strong SOC may be less prone to experiencing personal strain from their burden. These results suggest that reinforcement of SOC would contribute to reducing the personal strain.