Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress

• Autores: Rosa Romero Moreno, Andrés Losada, María Márquez González, Brent T. Mausbach
• Localización: Anales de psicología, ISSN-e 1695-2294, ISSN 0212-9728, Vol. 30, Nº. 3, 2014, págs. 878-886
• Idioma: inglés
• DOI: 10.6018/analesps.30.3.148381
• Enlaces
  • Texto completo
• Dialnet Métricas: 4 Citas
• Resumen
  • español

    Objetivos: El modelo PEAR (�Actividades Agradables-Restricción Conductual�) ha sido propuesto como una manera de entender los efectos del ocio sobre el malestar de cuidadores de personas con de-mencia. En base al modelo PEAR y al de estrés y afrontamiento, el objetivo de este estudio fue analizar de forma conjunta el papel de la frecuencia y la satisfacción con la activación conductual en la explicación del malestar del cuidador (depresión, ansiedad, salud percibida), el riesgo de institucionaliza-ción de la persona cuidada, los estresores y recursos del cuidador (rumia-ción y reevaluación cognitiva) en una muestra de 275 cuidadores. Método: Se dividió a la muestra en cuatro grupos en función de sus niveles en la fre-cuencia y la satisfacción con la activación conductual: BFBS = Baja fre-cuencia + baja satisfacción; BFAS = Baja frecuencia + alta satisfacción; AFBS = Alta frecuencia + baja satisfacción; y AFAS = Alta frecuencia + alta satisfacción. Resultados: Mientras que los cuidadores del grupo AFAS mostraron un perfil más positivo en variables relacionadas con los recursos y de salud, y menores puntuaciones en riesgo de institucionalización en comparación con el resto de los grupos, los cuidadores del grupo BFBS uti-lizaron en mayor medida estrategias de regulación emocional desadaptativas y mostraron peores consecuencias sobre variables de resultado de salud. Discusión: Los resultados sugieren la importancia de considerar el perfil de frecuencia y satisfacción con el ocio a la hora de entender el malestar del cuidador.

  • English

    Objectives: The PEAR (pleasant events-activity restriction) model has been proposed as a way of understanding leisure effects on de-mentia caregivers. distress. Considering both the PEAR model and the stress and coping model, the purpose of this study was to analyze the po-tential of both frequency and satisfaction with leisure to explain caregivers. distress (depression, anxiety and perceived health), risk of institutionaliza-tion of the care recipient, caregivers. stressors and resources variables (ru-mination and cognitive reappraisal) in 275 caregivers. Methods: The sample was divided in four groups based on caregivers. scores on frequency and satisfaction with leisure: LFLS = Low frequency + low satisfaction; LFHS = Low frequency and high satisfaction; HFLS = High frequency + low sat-isfaction; HFHS = High frequency + high satisfaction. Results: Results in-dicated that while caregivers from the HFHS group showed a generally more positive profile on resources variables, health outcomes and lower levels of risk of institutionalization compared with the other groups, care-givers from the LFLS group used significantly less adaptive emotional regulation strategies and showed worse consequences on health outcomes. Discussion: The results of this study suggest the importance of considering caregivers. profile on frequency and satisfaction with leisure in order to un-derstand caregiving distress

• Referencias bibliográficas
  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical...
  • Beard, J. G., & Ragheb, G. (1980). Measuring Leisure Satisfaction. Journal of Leisure Research, 12, 20-33.
  • Benyamini, Y., & Lomranz, J. (2004). The relationship of activity restriction and replacement with depressive symptoms among older adults....
  • Burgio, L., Stevens, A., Guy, D., Roth, D. L., & Haley, W. E. (2003). Impact of two psychological interventions on White and African American...
  • Croezen, S., Haveman-Nies, A., Alvarado, V. J., Van'T Veer, P., & De Groot, C.P. (2009). Characterization of different groups of elderly...
  • Cuijpers, P., van Straten, A., & Warmerdam, L. (2007). Behavioral activation treatments of depression: a meta-analysis. Clinical Psychology...
  • Gallagher-Thompson, D., Coon, D.W., Solano, N., Ambler, C., Rabinowitz, Y., & Thompson, L. (2003). Change in indices of distress among...
  • Gallagher-Thompson, D., Lovett, S., Rose, J., McKibbin, C., Coon, D., Futterman, A., & Thompson, L.W. (2000). Impact of psycho-educational...
  • Hirano A., Suzuki, Y., Kuzuya, M., Unishi, J., Hasegawa, J., Ban, N., & Umegaki, H. (2011). Association between the caregivers' burden...
  • Jackson, B., & Nolen-Hoeksema, S. (1998). The Emotion-Focused Coping Questionnaire. Manuscript in progress.
  • Jacobson, N. S., Dobson, K. S., Truax, P.A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitivebehavioral...
  • Knight, B. G., & Sayegh, P. (2010). Cultural values and caregiving: the updated Sociocultural Stress and Coping Model. Journal of Gerontology:...
  • Lewinsohn, P. M. (1975). Engagement in pleasant activities and depression level. Journal of Abnormal Psychology, 84, 729-731.
  • Losada, A., Márquez-González, M., Peñacoba, C., & Romero-Moreno, R. (2010). Development and validation of the Caregiver Guilt Questionnaire....
  • Losada, A., Márquez-González, M., & Romero-Moreno, R. (2011). Mecha-nism of action of a psychological intervention for dementia caregivers:...
  • Losada, A., Pérez-Peñaranda, A., Rodríguez, E., Gómez, M. A., Ballesteros, C., Ramos, I., Campo, M. A., & García, L. (2010). Leisure and...
  • Mahoney, F. L., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. State Journal, 4, 61-65.
  • Márquez-González, M., Romero-Moreno, R., & Losada, A. (2010). Caregiving issues in a therapeutic context: new insights from the Acceptance...
  • Mausbach, B.T., Cardenas, V., Goldman, S., & Patterson, T. (2007). Symp-toms of psychosis and depression in middle-aged and older adults...
  • Mausbach B. T., Coon, D. W., Patterson, T. L., & Grant, I. (2008). Engagement in activities is associated with affective arousal in Alzheimeŕs...
  • Mausbach, B. T., Patterson, T. L., & Grant, I. (2008). Is depression in Alzheimer's caregivers really due to activity restriction?...
  • Mausbach, B. T., Roepke, S. K., Depp, C. A., Moore, R., Patterson, T. L., & Grant, I. (2011). Integration of the Pleasant Events and Activity...
  • Mausbach, B. T., Roepke, S. K., Depp, C. A., Patterson, T. L., & Grant, I. (2009). Specificity of cognitive and behavioral variables to...
  • McNair, D., Lorr, M., & Droppleman, L. (1971). Profile of Mood States. Manu-al. San Diego: Educational and Industrial Testing Service.
  • Moore, R. C., Harmell, A. L., Chattillion, E., Ancoli-Israel, S., Grant, I., & Mausbach, B.T. (2011). PEAR Model and Sleep Outcomes in...
  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Sciences, 3, 400-424.
  • Pinquart, M., & Sörensen, S. (2006). Gender Differences in Caregiver Stressors, Social Resources, and Health: An Updated Meta-Analysis....
  • Pinquart, M., & Sörensen, S. (2003). Differences between Carevigers and noncarevigers in psychological health and physical health: a meta-analysis....
  • Prucno, R., Brill, J., Shands, Y., Gordon, J., Genderson, M., Rose, M., & Cartwright, F. (2008). Convenience Samples and Caregiving Research:...
  • Radloff, L.S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement,...
  • Raes, F., Hoes, D., Van Gucht D., Kanter, J.W., & Hermans, D. (2010). The Dutch version of the behavioral activation for depression scale...
  • Raj, J. P., Manigandan, C., & Jacob, K. S. (2006). Leisure satisfaction and psychiatric morbidity among informal carers of people with...
  • Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C. and Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional...
  • Stevens, A.B., Coon, D., Wisniewski, S., Vance, D., Arguelles, S., Belle, S., Mendelsohn, A., Ory, M., & Haley, W. (2004). Measurement...
  • Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd Ed.). New York: Harper Collins
  • Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S. & Vitaliano, P. P. (1992). Assessment of Behavioral Problems in Dementia: The...
  • Vitaliano, P. P., Young, H. M., & Zhang, J. (2004). Is caregiving a risk factor for illness? Current Directions in Psychological Science,...
  • Williamson, G. M., & Shaffer, D. R. (2000). The activity restriction model of depressed affect: Antecedents and consequences of restricted...
  • Williamson, G. M., & Schulz, R. (1992). Pain, activity restriction, and symptoms of depression among community-residing elderly adults....