Health profiles of spouse caregivers: The role of active coping and the risk for developing prolonged grief symptoms.
Health profiles of spouse caregivers: The role of active coping and the risk for developing prolonged grief symptoms.
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DOI：
10.1016/j.socscimed.2020.113455
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Caserta MS
中科院分区：
文献类型：
--
作者：
Miller LM;Utz RL;Supiano K;Lund D;Caserta MS
研究目的：1）探讨癌症患者临终关怀期间照顾者身心健康状况的差异，2）探讨与照顾者不同身心健康状况相关的背景因素和影响因素; 3）以确定相关的照顾者配置文件的风险发展为长期的grief symptoms.Design & methodsThis研究是一个二级分析的配偶/合作伙伴（n = 198）参与了癌症护理者研究。潜在的配置文件的混合模型被用来表征照顾者的健康配置文件之前收集的数据，他们的配偶的死亡。回归分析被用来确定照顾者的健康状况对发展长期悲伤症状的风险的影响结果确定了两种健康状况，其中一种由少数照顾者组成（n = 49; 25%的人表现出更高的焦虑和抑郁症状，更大的健康影响，更多的自我报告的健康问题，更难满足日常活动的身体需求。在调整后的模型中，观察到健康状况较差的照顾者的积极应对水平显着降低（p< 0.001）。此外，根据随后的丧亲数据，照顾者的损失前健康状况是一个重要的预测发展长期悲伤症状（p= 0.018），控制照顾者的年龄（p= 0.040）和积极应对量（p= 0.049），照顾者的健康状况在积极应对与长期悲伤症状之间的关系中起中介作用。不应分开考虑;照顾者在整个生命过程中利用获得的资源和应对方式来适应丧亲之痛，最终获得提供临终关怀的经验。旨在支持照顾者和丧失亲人者的干预措施应侧重于在紧张的生活过渡期间保持身心健康，特别是在他们为临终配偶提供照顾期间。
Study aims1) To characterize distinct profiles of cancer caregivers’ physical and mental health during the end-of-life caregiving period; 2) to identify the background and antecedent factors associated with the distinct profiles of caregivers; 3) to determine the relevance of caregiver profiles to the risk for developing prolonged grief symptoms.Design & methodsThis study was a secondary analysis of spouses/partners (n = 198) who participated in the Cancer Caregiver Study. Latent profile mixture modeling was used to characterize caregiver health profiles from data collected prior to their spouse's death. Regression analyses were used to determine the impact of caregiver health profiles on the risk of developing prolonged grief symptoms (PG-13 scale).ResultsTwo health profiles were identified, one of which was comprised of a minority of caregivers (n = 49; 25%) who exhibited higher anxiety and depressive symptoms, greater health impact from caregiving, more self-reported health problems, and greater difficulty meeting physical demands of daily activities. Caregivers who were observed in this poorer health profile had significantly lower levels of active coping (p< 0.001) in adjusted models. Additionally, according to subsequent bereavement data, caregivers' preloss health profile was a significant predictor of developing prolonged grief symptoms (p= 0.018), controlling for caregivers’ age (p= 0.040) and amount of active coping (p= 0.049), and there was a mediating effect of caregiver health on the relationship between active coping and prolonged grief symptoms.ConclusionsCaregiving and bereavement should not be considered separately; caregivers adapt to bereavement with the resources and coping attained throughout the life course, culminating in the experience of providing end-of-life care. Interventions aimed at supporting caregivers and bereaved persons should focus on maintaining physical and mental health during stressful life transitions, and especially during the period in which they are providing care to a spouse at end-of-life.
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影响因子：
3.8
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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DOI：
10.1016/s0140-6736(03)14820-9
发表时间：
2003-11-15
期刊：
Lancet (London, England)
影响因子：
--
作者：
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通讯作者：
Hill, Joal
影响因子：
3.4
作者：
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