Social support, social problem-solving abilities, and adjustment of family Caregivers of stroke survivors
Social support, social problem-solving abilities, and adjustment of family Caregivers of stroke survivors
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DOI：
10.1016/j.apmr.2005.09.019
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发表时间：
2006-03-01
影响因子：
4.3
通讯作者：
Giger, JN
中科院分区：
文献类型：
--
作者：
Grant, JS;Elliott, TR;Giger, JN
中风幸存者的社会支持、社会问题解决能力和家庭照顾者的适应。ARCH Phys Med Rehabil 2006；87：343-50.目的：确定社会支持和社会问题解决能力在预测中风幸存者家庭照顾者适应中的贡献。设计：描述.地点：美国东南部的两家康复机构(1家私立，1家州立)。参与者：52名中风幸存者的家庭照顾者(女性28人，男性24人)。干预：不适用。主要观察指标：预测变量为社会支持和解决社会问题的能力。衡量照顾者适应的结果指标是抑郁症状、幸福感和一般健康状况。受试者在出院前1-2天、出院后5周、9周和13周完成这些测量。结果：轨迹分析表明，较高的社会支持水平与较低的照顾者抑郁症状水平以及较高的幸福感和总体健康水平相关，与社会问题的解决无关。较大的负面问题导向与较高的抑郁症状水平和较低的幸福感水平相关。更积极的问题导向与总体健康的更大增长相关。这种积极关系的强度或斜率随着时间的推移而减小。结论：社会支持和情绪集中的社会问题解决成分问题导向独立地促进了照顾者的适应。提供社会支持和帮助照顾者培养更多适应问题解决能力的干预措施可能是有益的。
Social support, social problem-solving abilities, and adjustment of family caregivers of stroke survivors. Arch Phys Med Rehabil 2006;87:343-50.Objective: To determine contributions of social support and social problem-solving abilities in prediction of adjustment of family caregivers of stroke survivors.Design: Descriptive.Setting: Two rehabilitation facilities (1 private, 1 state) in the southeastern United States.Participants: Fifty-two family caregivers (46 women, 6 men) of stroke survivors (28 women, 24 men).Interventions: Not applicable.Main Outcome Measures: Predictor variables were social support and social problem-solving abilities. Outcome measures of caregiver adjustment were depressive symptomatology, well-being, and general health. Participants completed C, these measures 1 to 2 days before discharge from inpatient rehabilitation and at 5, 9, and 13 weeks postdischarge in the home.Results: Trajectory analysis indicated higher levels of social support were associated with lower levels of caregiver depressive symptomatology and higher levels of well-being and general health, independent of social problem solving. A greater negative problem orientation was associated with higher levels of depressive symptomatology and lower levels of well-being. A more positive problem orientation was associated with greater increases in general health. The strength or slope of this positive relation lessened over time.Conclusions: Social support and the emotion-focused component of social problem solving, problem orientation, independently contribute to caregiver adjustment. Interventions that provide social support and assist caregivers to develop more adaptive abilities toward problem solving may be beneficial.