CAREGIVER MENTAL HEALTH IMPAIRMENT--IMPACT ON ELDER CARE

描述(改编自申请人的摘要)：纵向3个站点 在这项研究中，照顾者的心理健康对 将对老年家庭成员的护理提供者的质量进行审查。 现有研究表明，相当大比例的照顾者是 在抑郁方面，由于照顾经历而情绪痛苦 症状学，要收集的数据类别包括诱因 因素(例如，护理者损伤、护理者身体健康和 个人资源、外源性生活事件)、照顾者心理健康状况 (抑郁、愤怒、焦虑和认知障碍)和护理质量 结果(被操作为身体和心理虐待和忽视 和/或金融剥削)。申请者假设照顾者 心理健康因素将调解易感因素之间的关联 和护理质量。还有预测称，照顾者认知 减损将具有直接和缓和两方面的影响(通过 照顾者心理健康)对护理质量的影响。 协方差结构的多样本分析将评估测量 照顾者和照顾者之间的等价性。结构方程 将采用建模(扫描电子显微镜)：a)在用于测试的每个测量点， 改进和交叉验证拟议模型，以及b)评估 模型组件之间的预测关系。基于扫描电子显微镜的 将使用分层线性建模(HLM)和潜在增长建模 以评估随着时间的推移这些关系的变化。

DESCRIPTION (Adapted from applicant's abstract): A 3-site longitudinal study is proposed in which the impact of caregiver mental health on the quality of care providers to elderly family members will be examined. Existing research indicated that substantial percentages of caregivers are emotionally distressed by the caregiving experience in terms of depressive symptomatology, Categories of data to be collected include predisposing factors (e.g., care recipient impairment, caregiver physical health and personal resources, exogenous life events), caregiver mental health status (depression, anger, anxiety, and cogntive impairment), and quality of care outcomes (operationalized as physical and psychological abuse and neglect and/or financial exploitation). The applicants hypothesize that caregiver mental health factors will mediate associations between predisposing factors and quality of care. It is also predicted that caregiver cognitive impairment will have both direct and moderating effects (through espects of caregiver mental health) on quality of care. Multisample analysis of covariance structures will assess measurement equivalency between caregivers and care recipients. Structural equations modeling (SEM) will be employed: a) at each measurement point for testing, refinement, and cross-validation of the proposed model, and b) to assess predictive relationships between the model's components. SEM-based Hierarchical Linear Modeling (HLM) and latent growth modeling will be used to assess changes in those relationships over time.