Does expressed emotion in spouses predict subsequent problems among care recipients with Alzheimer's disease?
Does expressed emotion in spouses predict subsequent problems among care recipients with Alzheimer's disease?
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DOI：
10.1093/geronj/48.4.p202
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发表时间：
1993-07
期刊：
影响因子：
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通讯作者：
P. Vitaliano;Heather M. Young;J. Russo;Joan M. Romano;Ana Magaña-Amato
中科院分区：
文献类型：
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作者：
P. Vitaliano;Heather M. Young;J. Russo;Joan M. Romano;Ana Magaña-Amato
研究人员观察到，随着时间的推移，护理人员表达的情绪（即批评；EE）预示着精神科护理接受者的功能较差。然而，很少有研究检验 EE 是否对患有明确定义的器质性疾病（如阿尔茨海默氏病）的护理接受者的衰退具有预测有效性。本研究评估了阿尔茨海默氏病护理对象的问题（认知、日常生活活动 (ADL) 和消极行为）是否可以通过护理人员 EE 进行纵向预测。正如假设的那样，看护者 EE 并不能预测看护者认知能力或 ADL 下降；然而，数据表明，随着时间的推移，EE 可以预测负面行为的增加。对负面护理接受者行为（而不是护理接受者认知/ADL 下降）的具体预测表明，前者的结果可能是由环境因素以及疾病的有机性决定的。这些数据可能很重要，因为研究人员报告说，与被照顾者认知/日常生活能力下降相比，照顾者对被照顾者的消极行为更感到痛苦。
Researchers have observed that Expressed Emotion (i.e., criticism; EE) in caregivers is predictive of poorer functioning in psychiatric care recipients over time. Few studies have examined, however, whether EE has predictive validity for the decline of care recipients with a clearly defined organic illness such as Alzheimer's disease. This study evaluated whether Alzheimer's disease care recipient problems [in cognition, activities of daily living (ADLs), and negative behaviors] were predicted longitudinally by caregiver EE. As hypothesized, caregiver EE was not predictive of care recipient cognitive or ADL decline; however, data suggested that EE was predictive of increased negative behaviors over time. The specific predictions of negative care recipient behaviors, and not care recipient cognitive/ADL decline, suggest that the former outcomes may be determined by environmental factors as well as the organicity of the disease. These data may be important because researchers have reported that caregivers are more distressed by negative care recipient behaviors than by care recipient cognitive/ADL decline.