衡量痴呆症患者自我方面的自我报告工具:社会心理干预的系统性文献综述。

Dementia (London, England) Pub Date : 2024-05-01 Epub Date: 2024-03-28 DOI:10.1177/14713012241240906
Jessica Baggaley, Emma Wolverson, Chris Clarke
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引用次数: 0

摘要

目的:积极的自我意识可能是痴呆症患者心理健康的一个关键领域,因此也是痴呆症护理中社会心理干预的一个合理目标。确定此类干预措施的有效性通常需要有效的自我报告工具。本综述旨在调查在评估针对痴呆症患者的社会心理干预时,使用自我报告工具测量了自我的哪些方面,并探讨这些干预在与自我方面相关的积极结果方面的有效性:方法:使用五个电子数据库和一个登记册(CENTRAL)对文献进行了系统性检索。结果:共收录了 24 项研究:结果:共有 24 项研究被纳入综述。采用一系列自我报告工具对自我的七个方面进行了测量,其中许多工具尚未针对痴呆症进行过验证。自我的七个方面是:自尊、自我效能、自我同情、自我成长、自我接纳、自我管理和自我认同。研究包括各种干预措施,但这些干预措施对这些自我方面的效果参差不齐:结论:有证据表明,社会心理干预可以改善痴呆症患者自我的特定方面,但还需要进一步的研究来完善这一证据基础。未来的研究还应该调查并确认旨在测量痴呆症患者自我方面的现有自我报告工具的有效性和可靠性。本文还讨论了综述的局限性和影响。
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Self-report instruments measuring aspects of self for people living with dementia: A systematic literature review of psychosocial interventions.

Objective: A positive sense of self may be a key domain of psychological well-being for people living with dementia and therefore a legitimate target for psychosocial interventions in dementia care. Determining the effectiveness of such interventions often requires valid self-report instruments. This review aimed to investigate what aspects of self have been measured using self-report instruments in evaluating psychosocial interventions for people living with dementia and to explore the effectiveness of these interventions in terms of positive outcomes related to aspects of self.

Method: A systematic search of the literature using five electronic databases and one register (CENTRAL) was conducted. A narrative synthesis and methodological quality assessment was completed for the included studies.

Results: A total of 24 studies were included in the review. Seven aspects of self were measured using a range of self-report instruments, many of which have not been validated for dementia. Aspects of self were; self-esteem, self-efficacy, self-compassion, self-growth, self-acceptance, self-management, and self-identity. Studies included a variety of interventions; however, the effectiveness of these interventions for these aspects of self was mixed.

Conclusion: There is some evidence that psychosocial interventions improve specific aspects of self in dementia but further research to improve this evidence base is needed. Future research should also investigate and confirm the validity and reliability of existing self-report instruments that aim to measure aspects of self in dementia. Limitations and implications of the review are discussed.

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