Emotion Regulation Strategies and Mental Health in Dementia Caregivers: The Moderating Role of Gender.

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Pub Date : 2024-01-01 Epub Date: 2024-04-22 DOI:10.1159/000538398
Breanna M Bullard, Casey L Brown, Julian A Scheffer, Anna B Toledo, Robert W Levenson
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Abstract

Introduction: Providing care for a loved one with dementia can engender intense emotions that contribute to symptoms of anxiety and depression. Caregivers often attempt to regulate their emotions using strategies like cognitive reappraisal (CR; changing how they think about the situation) or expressive suppression (ES; hiding their emotions). However, men and women caregivers may differ in their use of these strategies. The current study examines gender differences in reported CR and ES usage and their associations with depression and anxiety in dementia caregivers.

Methods: We combined data from three independent studies of informal dementia caregivers (total N = 460) who reported on their use of CR, ES, and symptoms of anxiety and depression.

Results: Women caregivers reported greater use of CR and less use of ES compared to men. Gender moderated the association between CR and depression, such that greater use of CR in women was associated with fewer depressive symptoms, but not for men. Gender did not significantly moderate the association between ES and depression, or between either emotion regulation strategy and anxiety.

Conclusion: Findings of a unique relationship between greater CR use and less depression among women CGs, although correlational, suggest that utilizing CR may be particularly helpful for reducing depression in women caregivers. These results underscore the need for further research to determine how best to support the mental well-being of dementia caregivers.

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痴呆症照护者的情绪调节策略与心理健康:性别的调节作用。
导言照顾患有痴呆症的亲人会产生强烈的情绪,从而导致焦虑和抑郁症状。照顾者通常会尝试使用一些策略来调节自己的情绪,如认知再评价(CR;改变对情况的思考方式)或表达压抑(ES;隐藏自己的情绪)。然而,男性和女性照顾者在使用这些策略时可能会有所不同。本研究探讨了痴呆症照护者在使用 CR 和 ES 方面的性别差异及其与抑郁和焦虑的关系:我们合并了三项独立研究的数据,研究对象是非正规痴呆症照护者(总人数 = 460),他们报告了 CR 和 ES 的使用情况以及焦虑和抑郁症状:结果:与男性相比,女性照护者更多地使用 CR,而较少使用 ES。性别调节了 CR 与抑郁之间的关系,即女性使用 CR 越多,抑郁症状越少,而男性则不然。性别并没有明显调节 ES 与抑郁之间的关系,也没有明显调节情绪调节策略与焦虑之间的关系:女性 CGs 中更多使用 CR 与更少的抑郁之间存在独特的关系(尽管是相关性的),这一研究结果表明,使用 CR 对减少女性照顾者的抑郁可能特别有帮助。这些结果强调了进一步研究的必要性,以确定如何最好地支持痴呆症照护者的心理健康。
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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
46
审稿时长
2 months
期刊介绍: As a unique forum devoted exclusively to the study of cognitive dysfunction, ''Dementia and Geriatric Cognitive Disorders'' concentrates on Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field.
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