Acceptance and commitment improve the work-caregiving interface among dementia family caregivers.
Acceptance and commitment improve the work-caregiving interface among dementia family caregivers.
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接受和承诺改善了痴呆症家庭护理人员之间的工作与护理界面。
DOI：
10.1037/pag0000698
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发表时间：
2022
影响因子：
3.7
通讯作者：
Morimoto Hiroshi
中科院分区：
文献类型：
--
作者：
Kishita Naoko;Morimoto Hiroshi;Marquez-Gonzalez Maria;Barrera-Caballero Samara;Vara-Garcia Carlos;Van Hout Elien;Contreras Milena;Losada-Baltar Andres;Morimoto Hiroshi
尽管职业性痴呆症家庭照顾者经历了平衡工作和照看的负面(即，工作-家庭冲突；WFC)和积极(即，工作-家庭充实；WFE)，但人们对减轻工作-照看界面的负面因素和加强积极方面的因素知之甚少。本研究的目的是考察接受和承诺对个人价值观的调节作用，这些价值观是跨诊断性质的，是接受和承诺治疗的关键概念，对工作痴呆症家庭照顾者的工作/照顾需求与WFC之间的关系以及工作/照顾资源与WFE之间的关系进行了研究。数据来自对日本职业性痴呆症家庭照顾者(N=747)的三波间隔6个月的纵向调查。采用分层线性模型研究了接受和承诺个人价值观对WFC/WFE的主效应，以及它们对工作/照看需求与WFC、工作/照看资源(工作控制、主管/同事支持、组织支持、照看支持)和WFE之间关系的调节作用。接纳与WFC呈负相关，削弱了工作/照料需求与WFC的正向关系。对个人价值的承诺与WFC负相关，与WFE正相关。对个人价值观的承诺削弱了工作/照看需求与WFC之间的正向关系，并缓和了照看支持与WFE之间的关系。研究结果表明，接受可能会有效地缓解WFC，而对个人价值观的承诺有助于缓解WFC和增加WFE。接纳和承诺疗法可能有助于改善痴呆症家庭照顾者之间的工作-照看界面。
Although working dementia family caregivers experience negative (ie, work–family conflict; WFC) and positive (ie, work–family enrichment; WFE) aspects of balancing work and caregiving, little is known about factors that alleviate negative aspects and enhance positive aspects of the work–caregiving interface. The purpose of this study was to examine the moderating effect of acceptance and commitment to personal values, which are transdiagnostic in nature and key concepts of acceptance and commitment therapy, on the relationships between work/caregiving demands and WFC and between work/caregiving resources and WFE among working dementia family caregivers. Data were drawn from a three-wave 6-month interval longitudinal survey of Japanese working dementia family caregivers (N= 747). Hierarchical linear modeling was used to examine the main effect of acceptance and commitment to personal values on WFC/WFE, and their moderating effect on relationships between work/caregiving demands and WFC, and work/caregiving resources (job control, supervisor/coworker support, organizational support, caregiving support) and WFE. Acceptance was negatively associated with WFC and weakened the positive relationship between work/caregiving demands and WFC. Commitment to personal values was negatively associated with WFC and positively associated with WFE. Commitment to personal values weakened the positive relationships between work/caregiving demands and WFC and moderated the relationship between caregiving support and WFE. The findings suggest that acceptance may be effective in alleviating WFC and commitment to personal values contributes to alleviating WFC and increasing WFE. Acceptance and commitment therapy may help to improve the work–caregiving interface among dementia family caregivers.