The Interplay Among Mindfulness, Caregiver Burden, and Mental Health in Family Members of Individuals With Dementia
The Interplay Among Mindfulness, Caregiver Burden, and Mental Health in Family Members of Individuals With Dementia
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DOI：
10.1037/pro0000181
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发表时间：
2018-04-01
影响因子：
1.5
通讯作者：
Brown, Caitlin A.
中科院分区：
文献类型：
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作者：
de Mamani, Amy Weisman;Weintraub, Marc J.;Brown, Caitlin A.
照顾痴呆症患者通常会导致高水平的感知负担，整体心理健康状况较差，生活质量（QoL）降低。使用106名痴呆症照顾者的样本，我们研究了照顾者客观和主观负担（来自负担评估量表），正念（来自五方面正念问卷）和心理健康潜在变量（以贝克抑郁量表，贝克焦虑量表，抑郁和焦虑压力量表和生活质量量表为指标）之间的关联。正如预期的那样，我们发现较低的负担和更大的正念与更好的心理健康有关。与研究假设以及Lazarus和Folkman（1984）提出的压力-评估-应对模型一致，我们发现主观负担部分介导了客观负担和心理健康结果之间的关系。具体而言，主观评价的bestiving似乎间接影响之间的关联的具体成本bestiving和痴呆症照顾者的心理结果。这一发现表明，潜在的负面心理结果，以改善解决照顾者的评价的照顾经验。最后，我们假设正念会缓和负担（客观和主观）与心理健康结果之间的关联，这样在更注意的人中，负担对心理健康的影响较小。这一假设没有得到支持。因此，虽然更多的正念似乎与更好的心理健康有关，但更多的正念似乎并不能减轻负担对心理健康的影响。研究和临床意义进行了讨论。
Caring for a person with dementia often results in high levels of perceived burden, poorer overall mental health, and a reduced quality of life (QoL). Using a sample of 106 dementia caregivers, we examined associations among caregiver objective and subjective burden (from the Burden Assessment Scale), mindfulness (from The Five Facet Mindfulness Questionnaire) and a mental health latent variable (with the Beck Depression Inventory, the Beck Anxiety Inventory, the Depression and Anxiety Stress Scale, and the Quality of Life Inventory as indicators). As expected, we found that lower levels of burden and greater mindfulness were associated with better mental health. Also in line with study hypotheses and with the stress-appraisal-coping model developed by Lazarus and Folkman (1984), we found that subjective burden partially mediates the relationship between objective burden and mental health outcomes. Specifically, subjective appraisals of caregiving appeared to indirectly affect the association between the concrete costs of caregiving and psychological outcomes in dementia caregivers. This finding suggests the potential for negative psychological outcomes to be improved by addressing caregivers' appraisals of the caregiving experience. Finally, we hypothesized that mindfulness would moderate the association between burden (objective and subjective) and mental health outcomes such that in people who are more mindful, burden has less of an impact on mental health. This hypothesis was not supported. Thus, while greater mindfulness does appear to be associated with better mental health, being more mindful does not appear to dampen the effect of burden on mental health. Research and clinical implications are discussed.