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Profiles of psychological flexibility and caregiving experience in dementia family caregivers: A latent profile analysis
Journal of Clinical Psychology ( IF 2.995 ) Pub Date : 2024-04-19 , DOI: 10.1002/jclp.23696
Hiroshi Morimoto 1
Affiliation  

ObjectivesTo explore the profiles of psychological flexibility among dementia family caregivers and examine their associations with psychological well‐being and caregiving factors.MethodsParticipants were 521 dementia family caregivers in Japan. Latent profile analysis was conducted to explore the profiles of psychological flexibility. The analyses examined differences in depression, anxiety, life satisfaction, and work‐family conflict/enrichment between the profiles, and whether sociodemographic variables and caregiving stressors predict the profile.ResultsFour distinct profiles were identified: high psychological flexibility (14.2%), moderate psychological flexibility with high commitment (24.7%), moderate psychological flexibility with low commitment (48.0%), and low psychological flexibility (13.1%). The low psychological flexibility profile exhibited the highest scores of depression, anxiety and work–family conflict, followed by the moderate psychological flexibility with low/high commitment profiles, and the high psychological flexibility profile. The high psychological flexibility and moderate psychological flexibility with high commitment profiles exhibited higher life satisfaction than the moderate psychological flexibility with low commitment profile. Caregiving stressors, marital status, and caregiver status predicted the profile.ConclusionEnhancing defusion and acceptance, rather than increasing commitment to personal values, may be beneficial in supporting distressed caregivers. Having more caregiving stressors, being single/divorced/bereaved, and being a primary caregiver may be useful indicators of decreased psychological flexibility among dementia family caregivers.

中文翻译:

痴呆症家庭照顾者的心理灵活性和照顾经验概况:潜在概况分析

目的探讨痴呆症家庭照顾者的心理灵活性概况,并检查其与心理健康和照顾因素的关系。方法参与者为日本 521 名痴呆症家庭照顾者。进行潜在概况分析以探索心理灵活性的概况。分析检查了各概况之间抑郁、焦虑、生活满意度和工作家庭冲突/充实的差异,以及社会人口统计学变量和护理压力因素是否可以预测概况。结果确定了四种不同的概况:高心理灵活性(14.2%)、中等心理灵活性高度承诺的灵活性(24.7%)、中等心理灵活性、低承诺(48.0%)和低心理灵活性(13.1%)。低心理灵活性概况表现出最高的抑郁、焦虑和工作-家庭冲突得分,其次是具有低/高承诺概况的中等心理灵活性,以及​​高心理灵活性概况。高承诺概况的高心理灵活性和中等心理灵活性比低承诺概况的中等心理灵活性表现出更高的生活满意度。护理压力源、婚姻状况和护理人员状况预测了这一情况。 结论 增强解离和接受,而不是增加对个人价值观的承诺,可能有利于支持陷入困境的护理人员。面临更多的照顾压力、单身/离婚/丧亲以及成为主要照顾者可能是痴呆症家庭照顾者心理灵活性下降的有用指标。
更新日期:2024-04-19
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