Stress Process Model for Individuals With Dementia
Stress Process Model for Individuals With Dementia
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DOI：
10.1093/geront/gnp162
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发表时间：
2010-06-01
期刊：
影响因子：
5.7
通讯作者：
Whitlatch, Carol J.
中科院分区：
文献类型：
--
作者：
Judge, Katherine S.;Menne, Heather L.;Whitlatch, Carol J.
目的：痴呆症（IWD）患者在管理和应对疾病方面面临特殊挑战。痴呆症的经历可能会受到症状的病因、阶段和严重程度、先前存在的和相关的慢性病以及可用的非正式和正式支持服务的影响。虽然有几项研究已经检查了IWD的疾病经历的特定功能，但很少有人利用概念模型来概述全球疾病经历和由此产生的压力源，这些压力源从症状发作开始，随着时间的推移而扩散，并持续到认知丧失的后期阶段。在Pearlin及其同事的工作基础上（1990年，照顾和压力过程：概念及其措施的概述。The Gerontologist，30，583-594），这篇文章提出了一个压力过程模型（SPM）的IWD概念化和检查IWD的疾病经验。含义：拟定的IWD SPM可作为指南，以（a）考虑和理解IWD疾病经历的短期和长期复杂性，（B）通过概述疾病经历中的关键压力源以及通过设定压力源和结局之间的关系来研究特定假设，以及（c）帮助制定干预措施，以预防或减少负面压力源，并增强与父母一起生活的积极体验。精神错乱的疾病
Purpose: Individuals with dementia (IWDs) face particular challenges in managing and coping with their illness. The experience of dementia may be affected by the etiology, stage, and severity of symptoms, preexisting and related chronic conditions, and available informal and formal supportive services. Although several studies have examined particular features of IWD's illness experience, few draw upon a conceptual model that outlines the global illness experience and the resulting stressors that commence with symptom onset, proliferate over time, and continue through the later stages of cognitive loss. Building on the work of Pearlin and colleagues (1990, Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30, 583-594), this article proposes a stress process model (SPM) for IWDs that conceptualizes and examines the illness experience of IWDs. Implications: The proposed SPM for IWDs serves as a guide to (a) consider and understand the short- and long-term complexities of the illness experience for IWDs, (b) investigate specific hypotheses by outlining key stressors in the illness experience and by positing relationships among stressors and outcomes, and (c) help inform the development of interventions to prevent or reduce the negative stressors and enhance the positive experiences of living with a dementing illness.