Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10662/14745
Títulos: Understanding resilience factors among caregivers of people with Alzheimer's disease in Spain
Autores/as: Durán Gómez, Noelia
Guerrero Martín, Jorge
Pérez Civantos, Demetrio Víctor
Palabras clave: Adaptation;Social support;Self-concept;Depression;Psychological;Quality of life;Adaptación;Apoyo social;Autoconcepto;Ansiedad;Depresión;Calidad de vida;Anxiety;Psicológico
Fecha de publicación: 2020
Editor/a: Dove Press
Resumen: Introduction: Alzheimer's disease (AD) caregivers resilience involves the interaction between different risk and protective factors. Context of care, objective stressors, perceived stressors caregiver assessment, mediators factors and consequences of care were associated with resilience. We have developed a more integrated and operational conceptual model of resilience and care than previous models in our sociocultural environment. Purpose: To assess the resilience of caregivers of people with AD and the related factors grouped according to an established operational conceptual model of Alzheimer´s caregivers stress. Patients and methods: A total of 120 primary informal caregivers of AD persons in Badajoz (Spain) were included in a cross-sectional design. The following variables have been measured on AD persons and caregivers: socio-demographic data, dependency level, cognitive decline, neuropsychiatric and behavioral symptoms, anxiety, depression, severity of somatic symptoms, level of burden, self-esteem, coping, social support, health-related quality of life (HRQOL) and resilience. Results: Most of the caregivers reported symptoms of anxiety (63.3%) and depression (62.5%). We found out higher levels of resilience in caregivers with lower dependence caring (p=0.004). Higher resilience levels of caregivers were related to minor depressive (p=0.006) and anxiety symptoms (p=0.000), and higher HRQOL (p=0.000). Coping dimension mostly used was problem-based strategies such as active coping, positive reinterpretation and acceptance (p= 0.000). Conclusion: Those caregivers reporting higher levels of resilience exhibited moderate to intense indicators of burden, fewer symptoms of depression and anxiety and fewer somatic symptoms. They also used adequate problem-focused coping strategies, showed higher levels of HRQOL and demonstrated an appropriate perception of social support. Despite the fact that the characteristics relating to the care context and to social support exert an undeniable influence on caregiver resilience, it would appear that the caregiver's own intra-psychic resources reveal stronger correlations.
URI: http://hdl.handle.net/10662/14745
DOI: 10.2147/PRBM.S274758
Colección:DCBIO - Artículos
DENFE - Artículos

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