Modeling caregiver adaptation over time: The longitudinal impact of behavior problems
Modeling caregiver adaptation over time: The longitudinal impact of behavior problems
复制标题
DOI：
10.1037/0882-7974.15.3.437
复制
发表时间：
2000-09-01
影响因子：
3.7
通讯作者：
Zarit, SH
中科院分区：
文献类型：
--
作者：
Gaugler, JE;Davey, A;Zarit, SH
虽然横断面研究已经建立了护理需求和照顾者适应的各种指标之间的联系，很少有研究已经检查了随着时间的推移，照顾对象的问题行为的影响。本分析确定的重要性，行为问题时，预测率的变化，主观压力（角色超载和角色囚禁）和抑郁症。使用痴呆症照顾者的4波纵向数据（N = 137），作者拟合了照顾需求的个体生长曲线模型（即，行为问题、日常生活依赖性活动和认知障碍）、主观压力和抑郁。随后的结构方程模型发现，行为问题的增加最有可能预测角色过载的增加。研究结果强调了行为问题对个体情绪适应的长期有害影响。
Although cross-sectional research has established the link between care demands and various indicators of caregiver adaptation, few studies have examined the impact of care recipients' problematic behavior over time. The present analysis determines the importance of behavior problems when predicting rates of change in subjective stressors (role overload and role captivity) and depression. Using 4-wave longitudinal data (N = 137) on dementia caregivers, the authors fit individual growth curve models for care demands (i.e., behavior problems, activities of daily living dependencies, and cognitive impairment), subjective stressors, and depression. Subsequent structural equation models found that increases in behavior problems were most likely to predict increases in role overload. The findings emphasize the deleterious long-term impact of behavior problems on individuals' emotional adaptation to caregiving.