Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease
Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease
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DOI：
10.1016/j.socscimed.2006.02.020
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发表时间：
2006-08-01
影响因子：
5.4
通讯作者：
Mittelman, Mary S.
中科院分区：
文献类型：
--
作者：
Drentea, Patricia;Clay, Olivio J.;Mittelman, Mary S.
那些在家为患有阿尔茨海默病（AD）的配偶提供护理的人面临着相当大的挑战，包括社会孤立和日益增加的责任。我们研究了在何种程度上的干预，帮助配偶照顾者动员他们的社会支持网络，帮助他们更好地适应家庭角色。我们使用了从200名配偶照顾者中收集的详细的社会支持信息，这些配偶照顾者参加了一项在美国进行的增强社会支持服务的随机对照试验。使用随机效应回归模型，我们发现，在干预组中的个人报告了更高的满意度，他们的社会支持网络的前5年的干预比那些在支持组。更高水平的情感支持，更多的访问，并有更多的网络成员，他们觉得接近都是单独预测的社会支持网络满意度的纵向变化。最后，我们讨论的重要性，有心理上的喘息时，照顾者花他们的日子在家里，是孤立的。(c)2006爱思唯尔有限公司保留所有权利。
Those who provide care at home for a spouse with Alzheimer's disease (AD) endure considerable challenges, including social isolation and increasing caregiving responsibilities. We examine the extent to which an intervention that helps spouse-caregivers mobilize their social support network, helps them better adapt to the caregiving role. We used detailed social support information collected from 200 spouse-caregivers participating in a randomized, controlled trial of enhanced social support services in the USA. Using random effects regression models, we found that individuals in the intervention group reported higher levels of satisfaction with their social support network over the first 5 years of the intervention than those in the support group. Higher levels of emotional support, more visits, and having more network members to whom they felt close were all individually predictive of longitudinal changes in social support network satisfaction. We conclude with a discussion of the importance of having psychological respite when caregivers spend their days in the home and are isolated. (c) 2006 Elsevier Ltd. All rights reserved.