Self-Compassion, Coping Strategies, and Caregiver Burden in Caregivers of People with Dementia
Self-Compassion, Coping Strategies, and Caregiver Burden in Caregivers of People with Dementia
复制标题
DOI：
10.1080/07317115.2018.1461162
复制
发表时间：
2019-01-01
影响因子：
2.8
通讯作者：
Marczak, Magdalena
中科院分区：
文献类型：
--
作者：
Lloyd, Joanna;Muers, Jane;Marczak, Magdalena
目的：照顾痴呆症患者可能会对照顾者产生负面影响，这种现象称为照顾者负担。应对策略影响与工作相关的压力的影响。具体来说，使用情绪集中的策略与较低的负担水平有关，而功能失调的策略与负担增加有关。自我同情的概念与积极的结果和对照顾者最有利的应对策略有关。然而，到目前为止，还没有研究过照顾者的自我同情。因此，本研究旨在探讨失智症照顾者自我同情、因应策略与照顾者负担的关系。方法：横断面调查数据收集自73名从诊断后支持服务和照顾者支持团体招募的痴呆症患者的非正式照顾者。结果如下：自我同情被发现是负相关的照顾者的负担和功能失调的应对策略和积极的情绪为重点的应对策略。功能失调策略介导了自我同情和照顾者负担之间的关系，而情绪集中的策略没有。结论：自我关怀水平较高的照顾者报告的负担水平较低，这至少部分是由于使用功能失调的应对策略。临床意义：发展自我同情的干预措施可能是对挣扎中的照顾者的一种有用的干预。
Objective: Caring for someone with dementia can have negative consequences for caregivers, a phenomenon known as caregiver burden. Coping strategies influence the impact of caregiving-related stress. Specifically, using emotion-focused strategies has been associated with lower levels of burden, whereas dysfunctional strategies have been related to increased burden. The concept of self-compassion has been linked to both positive outcomes and the coping strategies that are most advantageous to caregivers. However, as yet, no research has studied self-compassion in caregivers. Therefore, the aim of this study was to explore the relationship between self-compassion, coping strategies and caregiver burden in dementia caregivers. Method: Cross-sectional survey data was collected from 73 informal caregivers of people with dementia recruited from post-diagnostic support services and caregiver support groups. Results: Self-compassion was found to be negatively related to caregiver burden and dysfunctional coping strategies and positively related to emotion-focused coping strategies. Dysfunctional strategies mediated the relationship between self-compassion and caregiver burden, whereas emotion-focused strategies did not. Conclusion: Caregivers with higher levels of self-compassion report lower levels of burden and this is at least partly due to the use of less dysfunctional coping strategies. Clinical Implications: Interventions that develop self-compassion could represent a useful intervention for struggling caregivers.