Psychosocial factors associated with coping of inpatient stroke survivors and family caregivers: A dyadic analysis.

IF 1.7 4区 医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2024-02-01 Epub Date: 2023-08-03 DOI:10.1037/rep0000516
Huanyu Mou, Wai Tong Chien
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Abstract

Purpose/objective: Stroke survivors' and their family caregivers' (stroke dyads) coping during the inpatient period can affect their short- and long-term health and well-being. This study aimed to investigate whether survivors' and caregivers' psychosocial factors (i.e., depression, anxiety, family functioning, and mutuality) were associated with their own and their counterparts' perceptions of family coping among inpatient stroke dyads.

Research method/design: A cross-sectional design was adopted for this study which included 162 stroke dyads. Family coping, depression, anxiety, family functioning, and mutuality were measured using the Family Crisis-Oriented Personal Evaluation Scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, General Functioning subscale of Family Assessment Device, and Mutuality Scale, respectively. The actor-partner interdependence model estimated by path analysis was performed for the dyadic data.

Results: The results revealed that survivors' own (depression: β = -0.337, p < .001) and their counterparts' (caregivers' anxiety: β = -0.220, p = .021) psychological symptoms were negatively associated with survivors' perceptions of family coping, whereas none of them were associated with caregivers' perceptions of family coping. Moreover, higher family functioning reported by the survivors (β = -0.375, p < .001) and family caregivers (β = -0.195, p = .029) were associated with better family coping perceived by both counterparts, respectively.

Conclusions/implications: This study highlights that stroke dyads' psychosocial factors play a vital role in their perceptions of family coping. Future studies can be conducted to develop coping-focused interventions from the dyadic or family-oriented approach regarding psychosocial states as potential targets for inpatient stroke dyads. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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与中风住院病人和家庭照顾者应对问题相关的社会心理因素:二元分析
目的/目标:卒中幸存者及其家庭照护者(卒中二人组)在住院期间的应对方式会影响其短期和长期的健康和福祉。本研究旨在探讨幸存者和照护者的社会心理因素(即抑郁、焦虑、家庭功能和相互性)是否与他们自己和他们的同行对住院脑卒中患者家庭应对的看法有关:本研究采用横断面设计,包括 162 对中风患者。分别使用家庭危机导向个人评估量表、患者健康问卷-9、广泛性焦虑症-7、家庭评估设备的一般功能分量表和相互性量表测量家庭应对、抑郁、焦虑、家庭功能和相互性。通过路径分析估算出的行为者-伙伴相互依赖模型被用于研究二元数据:结果表明,幸存者自身(抑郁:β = -0.337,p < .001)及其同伴(照顾者焦虑:β = -0.220,p = .021)的心理症状与幸存者的家庭应对感知呈负相关,而它们都与照顾者的家庭应对感知无关。此外,幸存者(β = -0.375,p < .001)和家庭照顾者(β = -0.195,p = .029)报告的较高家庭功能分别与双方感知的较好家庭应对相关:本研究强调了卒中二人组的社会心理因素在他们对家庭应对的认知中起着至关重要的作用。今后的研究可从以社会心理状态为潜在目标的二人组或以家庭为导向的方法出发,为住院脑卒中二人组制定以应对为重点的干预措施。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
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来源期刊
CiteScore
4.80
自引率
7.40%
发文量
65
期刊介绍: Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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