关键词: Mild cognitive impairment care partners dementia dyads interpersonal effects self-reports measure

来  源:   DOI:10.1080/13607863.2024.2367038

Abstract:
UNASSIGNED: People with dementia (PwD) and their care partners (CP) may have difficulties in emotion regulation, and individual differences in emotion regulation may be related to PwD\'s neuropsychiatric symptoms. This study explores whether there is self-awareness of PwD\'s difficulties in emotion regulation and whether CP\'s emotion regulation relates to the PwD\'s neuropsychiatric symptoms, potentially revealing bias or interpersonal effects.
UNASSIGNED: We used data from the Wish Outcome Obstacle Plan Study with a sample of 45 PwD and their spousal CP (n = 90 individuals). Multivariate linear regression models were used to investigate the associations between the CP-reported neuropsychiatric symptoms in PwD and self-reports of emotion regulation in both dyad members, net of sociodemographic and health factors. Separate analyses were conducted for each neuropsychiatric subsyndrome and each domain of difficulties in emotion regulation.
UNASSIGNED: Increasing severity of neuropsychiatric symptoms was associated with higher difficulties in emotion regulation in PwD (ß = 1.23, p < 0.05), but not with CP\'s difficulties in emotion regulation. When CP reported more severe neuropsychiatric symptoms in PwD, PwD reported that they had difficulties in accepting emotions, controlling impulses, goal-directed behaviors, and accessing emotion regulation strategies, but not in emotion awareness and clarification. Proxy-reports of hyperactivity and psychosis subsyndromes are significantly related to PwD\'s self-reported difficulties in emotion regulation.
UNASSIGNED: PwD reported difficulties in emotion regulation at the early stage of dementia. Proxy-reported neuropsychiatric symptoms may capture PwD\'s emotion regulation capability and not be biased by CP\'s difficulties in emotion regulation.
摘要:
痴呆症患者(PwD)及其护理伙伴(CP)可能在情绪调节方面有困难,情绪调节的个体差异可能与PwD的神经精神症状有关。本研究探讨了PwD的情绪调节困难是否存在自我意识,以及CP的情绪调节是否与PwD的神经精神症状有关,潜在的揭示偏见或人际效应。
我们使用了来自愿望结果障碍计划研究的数据,样本为45PwD及其配偶CP(n=90个个体)。使用多元线性回归模型来研究PwD中CP报告的神经精神症状与两个二元成员的情绪调节自我报告之间的关联。社会人口统计学和健康因素的净值。对每种神经精神亚证和情绪调节困难的每个领域进行了单独分析。
在PwD中,神经精神症状的严重程度增加与情绪调节的困难增加相关(β=1.23,p<0.05),但不是CP在情绪调节方面的困难。当CP在PwD中报告更严重的神经精神症状时,普华永道报告说他们很难接受情绪,控制冲动,目标导向的行为,并获得情绪调节策略,但不是在情感意识和澄清中。多动症和精神病亚综合征的代理报告与PwD自我报告的情绪调节困难显着相关。
PwD报告了痴呆早期的情绪调节困难。代理报告的神经精神症状可能反映了PwD的情绪调节能力,并且不会因CP在情绪调节方面的困难而产生偏见。
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