Contributors to and mediators of psychological well-being for informal caregivers
Contributors to and mediators of psychological well-being for informal caregivers
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DOI：
10.1093/geronb/54b.1.p12
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发表时间：
1999-01-01
影响因子：
6.2
通讯作者：
Chang, BH
中科院分区：
文献类型：
--
作者：
Yates, ME;Tennstedt, S;Chang, BH
本文探讨了照顾者压力源与照顾者幸福感之间的关系，在一个具有代表性的社区样本中，以残疾老年人及其非正式照顾者为样本，采用路径分析的方法，考察了压力源和潜在中介因素对照顾者心理幸福感结果的直接和间接影响。抑郁的主要压力源的潜在中介因素包括掌握程度、情绪支持、照顾者与照顾者之间的关系质量、正式服务使用和角色超负荷。研究结果表明，照顾者压力源(护理需要)通过影响照顾者提供护理的时间和由此产生的照顾者对角色过载的感知而间接导致照顾者抑郁。照顾者/照顾者关系的质量在照顾者压力源与照顾者超负荷和抑郁之间的关系中起中介作用。最后，无论主要压力源的水平如何，掌握程度或情绪支持水平较高的照顾者患抑郁症的风险较低。这些发现可以用来指导前瞻性照顾者干预的设计。
This article explores the relationships between caregiving stressors and caregiver well-being in a representative community sample of disabled elders and their informal caregivers, The direct and indirect effects of stressors and potential mediators on the outcome of caregiver psychological well-being, as measured by depression, were examined using path analysis. Potential mediators of the primary stressors on depression included mastery, emotional support, quality of relationship between the caregiver and Le care recipient formal service use and role overload. Findings indicate that the caregiving stressors (needs for care) led to caregiver depression indirectly through their effect on hours of care provided and the resulting caregiver perception of role overload. Quality of the caregiver/care recipient relationship mediated the relationship of the caregiving stressors and caregiver overload and depression. Finally, regardless of the level of primary stressors, caregivers with high levels of mastery or emotional support were at lower risk of depression. These findings can lie used to inform the design of proactive caregiver interventions.