Mental Health Experiences of Hispanic and Latinx ADRD Caregivers

项目摘要/摘要 西班牙裔和拉丁裔(H&L)阿尔茨海默病和相关痴呆患者的家庭照顾者 (ADRD)独特地面临着心理健康结局不良的风险，这是由于与较早的 H&L人群中ADRD的发病和症状的严重性增加。而看护之间的联系- 在有限的ADRD照顾者中，相关的压力和健康结果被很好地记录下来 对H&L ADRD照顾者心理健康轨迹的动态预测有一定认识。此外， 增加复原力和降低贫困风险的风险/保护性因素和文化因素之间的相互作用 随着时间的推移，心理健康结果相对未知。这项研究的目的是调查如何 背景因素、个人因素和文化因素之间的相互作用影响着日常和长期的 H&L照顾者抑郁和焦虑症状的调查使用创新的多时间刻度设计和 分析策略以弹性理论为基础，我们将检查个体内部的变异性(例如， 日常经验)和个体之间的差异(例如，不同群体内的差异，如高 文化适应程度与文化程度较低者之间的关系)。我们将使用多个级别 建模和基于组的轨迹建模，以测试上下文、个人级别和文化 因素交互作用影响H&L ADRD照顾者的日常和长期心理健康结果模式。 为了验证这一假设，我们提出了以下目标：(1)考察语境、个人层面和文化层面 影响H&L照顾者日常心理健康体验的因素；(2)心理特征 基于群体轨迹模型的H&L ADRD照顾者健康发展轨迹研究 H&L人群中预测远端健康结局的危险/保护因素和心理健康轨迹 ADRD护理员。这项研究的结果将提供H&L ADRD照顾者心理健康的动态框架 通过随着时间的推移确定与复原力相关的可修改的干预目标。这项研究代表了一项关键的 进一步发展有效的、对文化敏感的干预措施，以支持H&L的健康和福祉 在老龄化领域中任职人数和服务不足的ADRD照顾者。

Project Summary/Abstract Hispanic and Latinx (H&L) family caregivers of individuals living with Alzheimer’s disease and related dementias (ADRDs) are uniquely at risk for poor mental health outcomes due to increased stress associated with earlier ADRD onset and increased severity of symptoms among the H&L population. While the link between caregiving- related stress and health outcomes is well-documented among the general ADRD caregiver population, limited knowledge on dynamic predictors of H&L ADRD caregiver mental health trajectories exists. Further, the interactions between risk/protective and cultural factors that increase resilience and reduce the risk of poor mental health outcomes over time are relatively unknown. The purpose of this study is to investigate how interactions between contextual, individual-level, and cultural factors impact daily and long-term patterns of depression and anxiety symptoms among H&L caregivers. Using an innovative, multi-time scale design and analytical strategy grounded in resilience theory, we will examine intra-individual variability (e.g., fluctuations in daily experiences) and inter-individual differences (e.g., variations within distinct groups such as those with high levels of acculturation vs. those with low levels) and possible relationships among them. We will use multilevel modeling and group-based trajectory modeling to test the hypothesis that contextual, individual-level, and cultural factors interact to impact daily and long-term patterns of mental health outcomes among H&L ADRD caregivers. To test this hypothesis, we propose the following aims: (1) to examine contextual, individual-level, and cultural factors that impact the day-to-day mental health experiences of H&L ADRD caregivers; (2) to characterize mental health developmental trajectories among H&L ADRD caregivers using group-based trajectory modeling, and (3) to determine risk/protective factors and mental health trajectories that predict distal health outcomes among H&L ADRD caregivers. Results from this study will inform a dynamic framework of H&L ADRD caregiver mental health by identifying modifiable intervention targets associated with resilience over time. This study represents a critical step forward in developing effective, culturally sensitive interventions to support the health and well-being of H&L ADRD caregivers who are underrepresented and underserved in the field of aging.