Abstract：
Caregivers of older adults with dementia (dementia caregivers) often experience high role overload (i.e., feeling overwhelmed by caregiving demands that exceed available resources), which can take a toll on their mental health. Moreover, dementia caregiving can restrict caregivers\' participation in valued social activities. This study aims to examine the mediating effect of social participation restriction on the relationship between role overload and mental health among dementia caregivers. A total of 894 dementia caregivers (mean age = 61.77) were selected from the National Study of Caregiving. The sample was predominantly women (64%) and White (78%). Path analysis shows that social participation restriction partially mediated the associations between (1) role overload and psychological distress (indirect effect β = .08, p < .001) and (2) role overload and psychological wellbeing (indirect effect β = -.05, p < .05). Interventions targeting coping strategies and healthcare-recreation programs are needed to improve social participation among dementia caregivers.
摘要：
患有痴呆症的老年人的照顾者(痴呆症照顾者)经常经历高角色超负荷(即，对超出可用资源的护理需求感到不知所措)，这会损害他们的心理健康。此外，痴呆症护理可能会限制护理人员参与有价值的社交活动。本研究旨在探讨社会参与限制对痴呆症照顾者角色超负荷与心理健康关系的中介作用。从国家护理研究中选择了894名痴呆症护理人员（平均年龄=61.77）。样本主要是女性（64％）和白人（78％）。路径分析显示，社会参与限制部分介导了（1）角色超负荷与心理困扰（间接效应β=.08，p<.001）和（2）角色超负荷与心理健康（间接效应β=-.05，p<.05）之间的关联。需要针对应对策略和医疗娱乐计划的干预措施，以改善痴呆症护理人员的社会参与。
