Family boundary ambiguity predicts Alzheimer's outcomes
Family boundary ambiguity predicts Alzheimer's outcomes
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DOI：
10.1080/00332747.1999.11024882
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发表时间：
1999-12-01
影响因子：
2.4
通讯作者：
Mortimer, J
中科院分区：
文献类型：
--
作者：
Caron, W;Boss, P;Mortimer, J
本研究探讨照顾者和病人的关系特点，在阿尔茨海默氏症的行为问题的病因。72名护理人员和患者进行了两次评估，间隔12个月。交叉滞后面板分析被用来测试单向或相互之间的因果关系的照顾者变量，病人的损害措施，和病人的行为问题。看护者远离患者（关闭）预测行为问题的频率增加，包括活动障碍，偏执和焦虑。这些行为反过来又导致护理人员对患者的关闭增加。在这项研究中发现的相互因果关系表明，功能失调的家庭互动可能是患者行为问题和照顾者痛苦的基础。
THIS study examines caregiver and patient relationship characteristics in the etiology of behavior problems in Alzheimer's disease. Seventy-two caregivers and patients were assessed twice, 12 months apart. Cross lag panel analysis was used to test for one-way or reciprocal causal links among caregiver variables, patient impairment measures, and patient behavior problems. Caregiver distancing from patients (closeout) predicted increases in the frequency of behavior problems, including activity disturbances, paranoia, and anxiety. These behaviors in turn led to increased closeout of the patient by the caregiver. The reciprocal causal associations found in this study suggest that dysfunctional family interactions may underlie patient behavior problems and caregiver distress.