Relationship between Mastery and Caregiving Competence in Protecting against Burden, Anxiety and Depression among Caregivers of Frail Older Adults
Relationship between Mastery and Caregiving Competence in Protecting against Burden, Anxiety and Depression among Caregivers of Frail Older Adults
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DOI：
10.1007/s12603-018-1098-1
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发表时间：
2018-12-01
影响因子：
5.8
通讯作者：
Lim, W. -S.
中科院分区：
文献类型：
--
作者：
Chan, E. -Y.;Glass, G.;Lim, W. -S.
研究表明，在痴呆症的背景下，掌握和控制能力对控制的心理压力源的保护作用，虽然两者之间的相互作用与照顾者的结果还没有很好的理解。本研究探讨了独立和调节的影响，掌握能力和能力的负担，焦虑和抑郁症之间的照顾者的老年人与脆弱相关的护理needs.Design，Setting和champantsThis是一个横断面研究的274老年人家庭照顾者从新加坡的一家医院。平均年龄的老年人和他们的照顾者分别为85和59 years oreall.MeasurementsWe进行了分层线性回归模型来研究的独立影响的掌握和能力照顾者的负担，焦虑和抑郁。我们还研究了每个outcome.ResultsMaster掌握能力和能力之间的相互作用效应，独立负相关的照顾者的负担，焦虑和抑郁。掌握能力解释了更多的方差比重复能力，并与所有结果有更强的相关性。抑郁症的掌握能力和控制能力之间存在统计学显著的交互作用（交互作用项β =.14，p
ObjectiveStudies suggest the protective effect of mastery and caregiving competence against psychological stressors of caregiving in the context of dementia, although the interplay between the two with caregiver outcomes is not well understood. This study examines the independent and moderating impact of mastery and caregiving competence on burden, anxiety and depression among caregivers of older adults with frailty-related care needs.Design, Setting and ParticipantsThis is a cross-sectional study of 274 older adults-family caregiver dyads from a hospital in Singapore. Mean ages of the older adults and their caregivers were 85 and 59 years respectively.MeasurementsWe performed hierarchical linear regression models to examine the independent influence of mastery and caregiving competence on caregiver burden, anxiety and depression. We also examined the interaction effect between mastery and caregiving competence for each outcome.ResultsMastery and caregiving competence were independently negatively associated with caregiver burden, anxiety and depression. Mastery explained more variance than caregiving competence and had a stronger correlation with all outcomes. There was a statistically significant interaction between mastery and caregiving competence for depression (interaction term beta=.14, p