Pronoun Use during Patient-Caregiver Interactions: Associations with Caregiver Well-Being.

Pronoun Use during Patient-Caregiver Interactions: Associations with Caregiver Well-Being.
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DOI:
10.1159/000508095
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发表时间:
2020
影响因子:
2.4
通讯作者:
Levenson RW
Levenson RW
中科院分区:
医学4区
文献类型:
--
作者:
Connelly DE;Verstaen A;Brown CL;Lwi SJ;Levenson RW

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照顾患有痴呆症的配偶可能极具挑战性。许多护理人员的幸福感严重下降;然而,其他人仍然健康。这项研究确定了痴呆症患者(PWD)与其配偶照顾者之间互动中使用的人称代词是否与照顾者的幸福感相关。 58 名残疾人和他们的配偶照顾者在实验室环境中就一个分歧领域进行了 10 分钟的对话。使用文本分析软件对对话的逐字记录进行编码,护理人员和残疾人分别获得(a)我代词、(b)你代词和(c)我们代词的分数。使用抑郁、焦虑、负担和压力的综合衡量标准来评估护理人员的幸福感。结果显示,看护者和残疾人较少使用“我们”代词,而看护者较多使用“我”代词和“你”代词,则与较低的看护者幸福感相关。这些研究结果表明,较少使用指称夫妻的代词(我们-任何一方使用的代词)和更多使用指代残疾人的代词(患者我-代词和护理人员你-残疾人使用的代词)表明护理人员面临较高的幸福感下降风险。
Caring for a spouse with dementia can be extremely challenging. Many caregivers experience profound declines in well-being; however, others remain healthy. This study determined whether the personal pronouns used in interactions between persons with dementia (PWDs) and their spousal caregivers were associated with caregiver well-being. Fifty-eight PWDs and their spousal caregivers engaged in a 10-minute conversation about an area of disagreement in a laboratory setting. Verbatim transcripts of the conversation were coded using text analysis software and caregivers and PWDs each received scores for (a) I-pronouns, (b) you-pronouns, and (c) we-pronouns. Caregivers’ well-being was assessed using a composite measure of depression, anxiety, burden and strain. Results revealed that less use of we-pronouns by caregivers and PWDs and greater use of I-pronouns by PWDs and you-pronouns by caregivers were associated with lower caregiver well-being. These findings indicate that less use of pronouns that refer to the couple (we-pronouns used by either partner) and greater use of pronouns that refer to the PWD (patient I-pronouns and caregiver you-pronouns used by the PWD) are indicative of caregivers at heightened risk for lower well-being.
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