Degree of Rurality is not Related to Dementia Caregiver Distress, Burden, and Coping in a Predominantly Rural Sample
Degree of Rurality is not Related to Dementia Caregiver Distress, Burden, and Coping in a Predominantly Rural Sample
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DOI：
10.1177/0733464812450071
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发表时间：
2013-12-01
影响因子：
3
通讯作者：
Morgan, Debra G.
中科院分区：
文献类型：
--
作者：
O'Connell, Megan E.;Germaine, Nicole;Morgan, Debra G.
早期的研究表明，地理位置对痴呆症患者的非正式照顾者很重要：农村照顾者往往依赖于更多的非正式支持，可能比城市照顾者报告更多的心理困扰和负担。获得服务的差别可能是这些调查结果的基础，但农村化的程度通常是用人口规模来衡量的。相比之下，目前的文章衡量的农村化程度与标准化规模的大都市中心。在一个大样本中，我们发现大都市访问与自我报告的照顾者苦恼（N = 272;简明症状量表），负担（N = 234; Zarit负担访谈）和应对（N = 46; Jalowiec应对量表）之间的无意义和微不足道的关联。无效结果可能与使用代理变量进行痴呆相关护理人员支持有关（即，进入大都市中心的程度）。在未来的研究中，直接措施，获得适当的痴呆症相关服务应用于研究照顾者的结果。
Earlier research suggests that geographic location matters for informal caregivers of persons with dementia: rural caregivers tend to rely on more informal supports and may report more psychological distress and burden than urban caregivers. Differential access to services may underlie these findings, but degree of rurality is typically measured with population size. In contrast, the current article measured degree of rurality with standardized scale of access to metropolitan centers. In a large sample we found nonsignificant and trivial associations between metropolitan access with self-reported caregiver distress, (N = 272; Brief Symptom Inventory), burden (N = 234; Zarit Burden Interview), and coping (n = 46; Jalowiec Coping Scale). The null findings were likely related to the use of a proxy variable for dementia-related caregiver supports (i.e., degree of access to metropolitan centers). In future research, direct measures of access to appropriate dementia related services should be used to study caregiver outcomes.