Disability, Perceived Overprotection, and Mental Health

残疾、感知过度保护和心理健康

• 批准号: 6849619
• 负责人: Verena Cimarolli
• 金额: $ 6.33万
• 依托单位: LIGHTHOUSE INTERNATIONAL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-08 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6849619
• 关键词: age difference; anxiety; behavioral /social science research tag; caregivers; clinical research; depression; functional ability; human middle age (35-64); human subject; learned helplessness; locus of control; mental health epidemiology; perception; person with disability; psychological adaptation; quality of life; social adjustment; social support network; vision disorders; young adult human (21-34)

DESCRIPTION (provided by applicant): The long term goal of the proposed research is to better understand the interrelationship between disability, perceived overprotection, and mental health among visually impaired adults between the ages of 22 and 64 years. Over 10 million Americans between the ages of 22 and 64 report having some type of vision problem even when using corrective lenses and vision loss has been linked to negative mental health outcomes, such as depression and anxiety. Perceived overprotection, which is defined as a feeling of being unnecessarily helped or overly restricted by caregivers, is associated with depression in stroke and cancer patients. Moreover, overprotection is associated with lower levels of well-being and psychosocial adaptation in older adults with age-related vision loss. These studies have used the theoretical framework of the learned helplessness theory to explain the link between overprotection and depression. A fair amount of research has been conducted with older individuals, but the relationship between overprotection and depression in younger individuals (age 22 to 64) with a disability remains mostly unexplored. Moreover, research has shown that the experience of a chronic impairment may have a more adverse impact on the mental health of younger individuals than of older individuals. Therefore, the specific aims of this study are: [1] to explore the interrelationship between disability, perceived overprotection and mental health (depression and anxiety); and [2] to explore whether age moderates the effects of functional disability and perceived overprotection on mental health outcomes. Participants will be 100 adults ranging between the ages of 22 and 64, recruited from a community-based rehabilitation agency. Data for this cross-sectional study will be collected via telephone interviews. Regression analyses will be used to test the effects of independent variables on mental health and to test if age moderates the effects of functional disability and overprotection on mental health outcomes. Findings from this research will help to identify those who are at risk for mental health problems and to design interventions.

描述（由申请人提供）：拟议研究的长期目标是更好地了解22至64岁的视觉障碍成年人之间残疾，感知过度保护和心理健康之间的相互关系。 22至64岁之间的超过1000万美国人报告有某种类型的视力问题，即使使用纠正镜和视力丧失也与抑郁症和焦虑等负面心理健康结果有关。认为过度的保护被定义为一种不必要地帮助或过度限制护理人员的感觉，与中风和癌症患者的抑郁症有关。此外，过度保护与与年龄相关的视力丧失的老年人的幸福感和社会心理适应水平较低有关。这些研究使用了学习的无助理论的理论框架来解释过度保护与抑郁之间的联系。已经对年龄较大的个体进行了相当多的研究，但是年轻人（22至64岁）与残疾人的抑郁症之间的关系大多尚未探索。此外，研究表明，慢性损害的经历可能对年轻人的心理健康产生比老年人的心理健康的不利影响。因此，这项研究的具体目的是：[1]探索残疾，感知过度保护和心理健康（抑郁和焦虑）之间的相互关系； [2]探索年龄是否缓解了功能残疾的影响，并认为过度保护对心理健康结果。参与者将是从22至64岁之间的100名成年人，是从社区康复机构招募的。该横断面研究的数据将通过电话访谈收集。回归分析将用于测试自变量对心理健康的影响，并测试年龄是否缓解功能障碍和过度保护对心理健康结果的影响。这项研究的发现将有助于确定那些有患心理健康问题并设计干预措施的人。