Development and initial validation of an inventory to assess grief in caregivers of persons with Alzheimer's disease
Development and initial validation of an inventory to assess grief in caregivers of persons with Alzheimer's disease
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DOI：
10.1093/geront/42.6.751
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发表时间：
2002-12-01
期刊：
影响因子：
5.7
通讯作者：
Meuser, TM
中科院分区：
文献类型：
--
作者：
Marwit, SJ;Meuser, TM
目的：本研究的目的是开发一个经验为基础的，心理测量的声音仪器的评估与阿尔茨海默氏症患者的照顾者的悲伤。设计和方法：从45名成年子女和42名配偶照顾者中获得了184份针对个人悲伤反应的声明，这些声明来自16个焦点小组，分别代表早期、中期、晚期和死后阶段。这些被提交给第二个样本的83名成年子女和83名配偶照顾者，他们根据他们目前的经验对他们进行评级。还进行了贝克抑郁量表，预期悲伤量表，照顾者压力指数，照顾者幸福感量表的基本需求，和感知的社会支持家庭问卷。结果如下：因素分析结果显示，50个项目的规模包含三个因素：个人牺牲的负担，内心的悲伤和渴望，担心和感到孤立。Cronbach的α得分范围从0.90到0.96，表明每个因素以及它们的组合总数具有较高的内部一致性可靠性。每个因素与其他措施的相关性提供了有效性的证据，特别是当评估的照顾者悲伤模型的背景下。含义：结果表明，照顾者的悲伤既不是一个单一的，也不是一个静态的结构和规模吸，因为这可能是适当的支持，临床和研究环境中使用。
Purpose: The purpose of this study was to develop an empirically based, psychometrically sound instrument for the assessment of grief in caregivers of persons with Alzheimer's disease. Design and Methods: A total of 184 statements addressing personal grief reactions were obtained from 45 adult child and,42 spouse caregivers in 16 focus groups representing early, middle, late, and post-death stages. These were presented to a second sample of 83 adult child and 83 spouse caregivers, who rated them according to their current experience. Also administered were the Beck Depression Inventory, the Anticipatory Grief Scale, the Caregiver Strain Index, the Caregiver Well-Being Scale-Basic Needs, and the Perceived Social Support-Family Questionnaire. Results: Factor analysis resulted in a 50-item scale containing three factors: Personal Sacrifice Burden, Heartfelt Sadness and Longing, and Worry and Felt Isolation. Cronbach's alpha scores ranged from .90 to .96, indicating high internal consistency reliability for each factor as well as for their combined total. Correlations of each factor with other measures provide evidence of validity, especially when assessed in the context of the caregiver grief model. Implications: Results suggest that caregiver grief is neither a unitary nor a static construct and that a scale suck as this may be appropriate for use in supportive, clinical, and research settings.