Classifying Heart Failure Caregivers as Adequately or Inadequately Resourced to Care: A Latent Class Analysis

照顾负担 潜在类模型 社会支持 应对(心理学) 家庭照顾者 心理学 老年学 失代偿 照顾者压力 萧条(经济学) 临床心理学 医学 疾病 统计 宏观经济学 病理 经济 数学 心理治疗师 痴呆 精神分析
作者
Lucinda J. Graven,Laurie Abbott,Shamra Boel-Studt,Joan S. Grant,Harleah G. Buck
出处
期刊:Journal of Palliative Care [SAGE Publishing]
卷期号:38 (1): 62-70 被引量:1
标识
DOI:10.1177/08258597221079244
摘要

Objectives To identify classes of heart failure (HF) caregivers based upon indicators of coping resources and stress, and then, to examine the relationships between the identified caregiver classes and depression, caregiver burden, and life changes. Methods Cross-sectional data from 530 HF caregivers were analyzed in this secondary analysis using a three-step latent class mixture model to classify caregivers based on level of resources and examine the relationship between the identified classes and depression, caregiver burden, and life changes. Using an online survey, caregivers reported on social support, problem-solving, family function, depression, caregiver burden, and life changes. Results Caregivers were 41.39 (± 10.38) years of age, 49.1% women, 78.3% white, 77.6% urban-dwelling, and 61.7% college/postgraduate educated. Three classes of caregivers (42.3% Adequately Resourced, 25.1% At Risk for Decompensation, 32.6% Inadequately Resourced) were identified. Inadequately Resourced caregivers had the lowest levels of social support, problem-solving, and family function and the highest levels of depression and caregiver burden. Caregivers At Risk for Decompensation had the best family function and reported the most positive perceptions of life changes despite low levels of social support and problem-solving. Conclusion Social support, problem-solving, and family function are modifiable coping resources which may buffer stress and influence stress indicators. Caregivers with few coping resources may experience higher degrees of depression and burden, and less positive perceptions of life changes. More research is needed to examine the influence of these coping resources on caregiver adaptation to facilitate the development of targeted interventions which support caregiver mental health.
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