Emotion-focused dyadic coping styles used by family carers of people with dementia during the COVID-19 pandemic.
Emotion-focused dyadic coping styles used by family carers of people with dementia during the COVID-19 pandemic.
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DOI：
10.1177/14713012231173812
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发表时间：
2023-08
期刊：
影响因子：
--
通讯作者：
DETERMIND team
中科院分区：
文献类型：
--
作者：
Colclough C;Miles E;Rusted J;Perach R;Hicks B;Dixon J;Dangoor M;Gridley K;Birks Y;Donaghy P;Mcardle R;Moseley E;Sondh HK;Banerjee S;DETERMIND team
家庭照顾者和痴呆症患者的情绪健康不仅与每个人如何应对压力和冲突有关，还与他们如何共同科普有关。在COVID-19封锁限制期间，寻找共同积极科普的方法尤为重要，因为其他情感支持渠道较少。我们探讨了在COVID-19大流行期间，护理人员如何体验和使用以情绪为中心的二元应对方式。在疫情期间，我们对42名家庭照顾者进行了深入的定性访谈，并辅以疫情前和疫情期间收集的生活质量评分和家庭状况。溯因主题分析确定了五种风格的情绪为重点的二元应对：共同的，支持的，敌对的，脱离回避和保护。2019冠状病毒病大流行使许多二人组失去了支持。虽然许多照顾者适应了，报告生活质量提高，并享受与痴呆症患者在一起的额外时间，但其他人经历了二元冲突和生活质量下降。这种变化与二元的应对方式，包括使用“积极”的风格和保护性使用“消极”脱离回避在正确的情况下的挑战。二人应对方式也因二人是否住在一起而不同。由于许多痴呆症患者由非正式护理人员提供支持，考虑他们如何共同科普可以帮助我们更好地支持他们。我们提出建议，为二人干预量身定制的共同居住的地位，可以帮助二人识别和沟通的应对需求，重新连接以下避免应对，并通过社会支持，补充他们的应对资源。
Emotional wellbeing of family carers and people with dementia is associated with not only how each individual copes with stress and conflict, but also by how they cope together. Finding ways to positively cope together was particularly important during COVID-19 lockdown restrictions, when other avenues of emotional support were less available. We explored how carers experienced and used emotion-focused dyadic coping styles during the COVID-19 pandemic. In-depth qualitative interviews were conducted during the pandemic with 42 family carers, supplemented by quality of life scores collected both pre- and during the pandemic and household status. Abductive thematic analysis identified five styles of emotion-focused dyadic coping: common, supportive, hostile, disengaged avoidance and protective. The COVID-19 pandemic left many dyads unsupported. While many carers adapted, reporting increases in quality of life and enjoying the extra time with the person with dementia, others experienced dyadic conflict and reductions in quality of life. This variation was associated with dyadic coping styles, including challenges in using ‘positive’ styles and the protective use of ‘negative’ disengaged avoidance in the right situations. Dyadic coping styles also differed as a function of whether the dyad lived together. As many people with dementia are supported by an informal carer, considering how they cope together could help us to better support them. We make suggestions for dyadic interventions tailored by co-residency status that could help dyads identify and communicate coping needs, reconnect following avoidance coping, and replenish their coping resources through social support.
影响因子：
2.4
作者：
Connelly DE;Verstaen A;Brown CL;Lwi SJ;Levenson RW
通讯作者：
Levenson RW