Predicting longitudinal changes in caregiver physical and mental health: a stress process model.
Predicting longitudinal changes in caregiver physical and mental health: a stress process model.
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预测护理人员身心健康的纵向变化：压力过程模型。
DOI：
10.1037//0278-6133.17.2.190
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Ford,GR
中科院分区：
文献类型：
--
作者：
Goode,KT;Haley,WE;Roth,DL;Ford,GR
阿尔茨海默氏症家庭照顾者(N=122)报告了基线和一年随访时的身心健康以及压力过程变量。对压力过程模型的分层回归分析表明，主要应激源(如患者自我护理和行为问题)的增加并不直接影响心理和身体健康结果变量的变化。然而，对直接、中介和调节效应模型的分析表明，心理社会资源变量(评估、应对反应和社会支持)通过几种机制与照顾者的结果有关。特别是，随着时间的推移，对压力源的良性评估、方法应对的使用以及更高水平的社会支持与更积极的照顾者健康结果相关。
Alzheimer’s family caregivers (N= 122) reported on physical and mental health, as well as stress process variables, at baseline and at a 1-year follow-up. Hierarchical regression analyses of stress process models revealed that increases in primary stressors (eg, patient self-care and behavioral problems) did not directly affect changes in the mental and physical health outcome variables. However, analyses of models of direct, mediated, and moderated effects revealed that psychosocial resource variables (appraisals, coping responses, and social support) were related to caregiver outcomes over time through several mechanisms. In particular, benign appraisals of stressors, the use of approach coping, and greater levels of social support were associated with more positive caregiver health outcomes over time.