Abstract:
The present study aims to analyze the existence of different profiles in family caregivers of people with dementia according to psychosocial and resource variables. In addition, it aims to study whether there is a greater representation of each kinship group in each of the profiles and if there are differences in emotional distress among such profiles considering the kinship with the care-recipient. Participants were 288 family dementia caregivers, divided into four kinship groups (wives, husbands, sons and daughters). Psychosocial (familism, dysfunctional thoughts and experiential avoidance), resource (leisure activities and social support) and outcomes (depressive, anxious and guilt symptomatology) variables were collected. A hierarchical cluster analysis using Ward\'s method, an exploratory factor analysis of two fixed factors and contingency tables were performed. Five clusters were obtained: Low psychosocial vulnerability-High resources, Low psychosocial vulnerability-Low resources, Mixed, High psychosocial vulnerability-High resources, and High psychosocial vulnerability-Low resources. Results suggested that clusters associated with lower distress were the Low psychosocial vulnerability-High resources and the High psychosocial vulnerability-High resources. Clusters associated with higher distress were the Low psychosocial vulnerability-Low resources and Mixed. High levels of dysfunctional thoughts, familism and experiential avoidance do not always have a maladaptive function. This could depend on sociocultural and resource variables such as the kinship with the caregiver or perceived social support. The identification of profiles of family caregivers potentially needing protection and vulnerable to psychological distress could help to increase the effectiveness of interventions aimed at this population.
摘要:
本研究旨在根据社会心理和资源变量分析痴呆症患者家庭照顾者中不同情况的存在。此外,它旨在研究每个亲属关系中每个亲属关系组是否有更大的代表性,以及考虑到与受照顾者的亲属关系,这些亲属关系中的情绪困扰是否存在差异。参与者是288名痴呆症家庭照顾者,分为四个亲属关系组(妻子,丈夫们,儿子和女儿)。社会心理(家族主义,功能失调的思维和经验回避),资源(休闲活动和社会支持)和结果(抑郁,收集了焦虑和内疚症状)变量。使用Ward\'s方法进行层次聚类分析,对两个固定因素和列联表进行探索性因素分析.获得了五个集群:低心理社会脆弱性-高资源,低社会心理脆弱性-低资源,混合,高社会心理脆弱性-高资源,和高社会心理脆弱性-低资源。结果表明,与较低困扰相关的集群是低心理社会脆弱性-高资源和高心理社会脆弱性-高资源。与较高的痛苦相关的集群是低心理社会脆弱性-低资源和混合。高水平的功能失调的想法,家庭主义和经验性回避并不总是具有适应不良的功能。这可能取决于社会文化和资源变量,例如与护理人员的亲属关系或感知到的社会支持。确定可能需要保护和容易遭受心理困扰的家庭照顾者的概况可能有助于提高针对该人群的干预措施的有效性。