An investigation of the relationships between the dementia care and the caregiver's lay theory of the emotional individual difference for dementia.

关于痴呆症患者个体差异的心理学研究很少。在这项研究中，我们调查了痴呆症护理与照顾者关于痴呆患者情绪和个性个体差异的分层理论之间的关系。受试者是几个护理机构和集体之家的230名照顾者。采用半结构访谈的方法，对25例痴呆患者家庭成员的生活理论进行了调查。本研究的主要结果如下：1)基于Eric方法(Fleming，1999)，我们提出了痴呆症患者情绪的日语编码类别。2)对照顾者对痴呆症患者情绪和个性个体差异的评分进行了因素分析。情绪方面有三个因素(积极、消极、不适)。被发现的四个因素(攻击性、合作性、尽职性和自闭症)是特征方面。3)照顾者已经来…随着经历年限的增加，对痴呆患者的负面印象也越来越多。4)对痴呆患者家属的日常生活理论进行了分析。在情感维度和特征维度上都存在相同的维度。5)家庭感受到了痴呆症患者的特征变化。主动性、合作性和责任性较病前显著降低。6)根据攻击性、合作性、责任性三个特征维度的分半分数，将痴呆患者分为八种类型。这8种类型(冷漠、退缩、敏感、活跃、攻击性、强迫型、利己型、自尊型)与照顾者对适当照护方式的认知呈中等相关，说明照顾者对痴呆症的个体差异有自己的外显理论，并内隐地选择适合痴呆者的照护方式。然后，我们提出了用这八种类型的辨析来教育新手照顾者。较少

Few psychological studies have been conducted on the individual differences of the dementia patients. In this study, we investigated the relationship between the dementia care and the caregiver's lay theory of the emotional and characteristic individual differences for dementia patient. Subjects were 230 caregivers of the several nursing-care facilities and the group-homes. We also investigate the lay theory of 25 family members of dementia by using semi-structured interview. Main results of this study were as follows.1)We proposed Japanese coding categories for the emotions of dementia person based on the Eric Method (Fleming, 1999).2) The caregiver's rating for the emotional and characteristic individual differences of the dementia patients were factor analyzed. Three factors (positive, negative, discomfort) were elicited on their emotional aspects. Four factors (aggressive, cooperative, conscientious, and autistic) were found for the characteristic aspects.3)The caregivers have come … More to negative impressions on the dementia patients with the increase of their years of experiences.4)The lay theories of the families of dementia patients were analyzed. The same dimensions were elicited both of the emotional and characteristics aspects.5)The family felt a characteristic change of the dementia person. Positivity, cooperation and conscientiousness were significantly reduced compared with their premorbid character.6)We divided the dementia person to eight types based on the split-half score of three characteristic dimensions (aggression, cooperation, conscientiousness). These eight types (Apathy, Withdrawal, Sensitive, Active, Aggressive, Obsessive, Egotistic, and Self-respected) were moderately related with the caregiver's cognition of the appropriate style of care.These results showed that the caregivers had their lay theory about the individual difference of dementia and implicitly choose their care style appropriate for the dementia person. Then, we proposed to use these eight type discriminations for the education of the novice caregivers. Less