A longitudinal study of coping and burnout among Japanese family caregivers of frail elders.
A longitudinal study of coping and burnout among Japanese family caregivers of frail elders.
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DOI：
10.1080/13607860802224318
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发表时间：
2008-07
影响因子：
3.4
通讯作者：
Hougham GW
中科院分区：
文献类型：
--
作者：
Okabayashi H;Sugisawa H;Takanashi K;Nakatani Y;Sugihara Y;Hougham GW
摘要本研究旨在探讨日本体弱长者家庭照护者应对策略与倦怠的因果关系。对居住在东京郊区的546名护理人员进行了基线和1年随访访谈。采用新改进的测量方法，测量了照顾者的五种应对策略（保持自己的步调、积极接受照顾角色、转移、非正式支持寻求和正式支持寻求）和照顾者倦怠，以及一些混杂因素。在控制了这些混杂因素后，交叉滞后效应模型的结果显示，采用转移应对策略降低了照顾者的倦怠，而倦怠的增加降低了照顾者对照顾角色的积极接受。适应性回避应对策略转移对照顾者心理健康的有益影响在本双波纵向研究中得到证实。“转移”的工作机制似乎是通过阻止照顾者的压力源完全溢出到照顾者的个人生活中。此外，我们还表明，防止照顾者心理健康的下降（即倦怠的增加）使照顾者更容易接受照顾者的角色，因此，老年照顾者更有能力接受高质量的照顾。
The purpose of this study is to clarify causal relations between coping strategies and burnout in family caregivers of frail elders in Japan. Baseline and 1-year follow-up interviews were conducted with 546 caregivers living in suburban Tokyo. Using newly refined measures, five coping strategies of caregivers (Keeping Their Own Pace, Positive Acceptance of Caregiving Role, Diversion, Informal Support Seeking, and Formal Support Seeking), and caregiver burnout were measured, as well as several confounding factors. After controlling for these confounding factors, results of cross-lagged effects modelling showed that adoption of a Diversion coping strategy decreased caregiver burnout, while increases in burnout decreased caregiver Positive Acceptance of Caregiving Role. The beneficial effect of an Adaptive Avoidance Coping strategy, Diversion, on caregiver mental health was confirmed in this two-wave longitudinal study. The mechanism by which Diversion appears to work is by containing caregiving stressors from completely spilling over into caregivers’ personal lives. In addition, we also show that preventing a decline in caregiver mental health (i.e. an increase in burnout) allowed caregivers to more easily embrace the caregiving role and, as a result, elder care-recipients were better positioned to receive high quality care.
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影响因子：
3.7
作者：
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通讯作者：
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