索贝尔试验
纵向研究
焦虑
心理健康
调解
萧条(经济学)
混淆
临床心理学
心理学
医学
抑郁症状
精神科
内科学
宏观经济学
自尊
法学
经济
病理
政治学
作者
Catalina López‐Martínez,Vasiliki Orgeta,Antonio Frías Osuna,Rafael del Pino Casado
摘要
Abstract Background Sense of coherence (SOC) is an important protective factor for carer well‐being but research to date remains cross‐sectional, focusing primarily on the direct effects of SOC on carers' mental health. The study's aim was to investigate the mediating role of SOC in the longitudinal relationship between caregiver strain and carers' psychological health, and its stability over time. Methods Prospective longitudinal study conducted in Jaén (Spain) with a probabilistic sample of 132 carers of older people, with data collected at baseline and at 1‐year follow‐up. We measured SOC, caregiver strain, anxiety and depressive symptoms, and several care‐recipient characteristics and intensity of care provided. We used multiple linear regression modelling and the Sobel test to analyse mediation effects. Results SOC was significantly negatively longitudinally associated with both anxiety ( β = −0.38, p = 0.001) and depressive symptoms ( β = −0.28, p = 0.023), after controlling for several confounders. SOC mediated both the relationship between caregiver strain and anxiety, and caregiver strain and depressive symptoms (Sobel test: p < 0.001 for anxiety and p < 0.001 for depressive symptoms). Differences between baseline and 1‐year follow‐up SOC scores were not statistically significant ( p = 0.617). Conclusions SOC appears to buffer the impact of caregiver strain on symptoms of depression and anxiety in informal carers of older people. Our data showed that SOC is an important psychological resource for carers that remained relatively stable under non‐experimental conditions over a period of 1 year in this sample. The findings suggest that interventions aimed at strengthening SOC may protect carer psychological well‐being.
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