积极认知情绪对严重精神疾病患者女性家庭照顾者复原力的影响

The impact of positive cognitive emotions on the resilience of female family caregivers with severe mental illness

目的探索严重精神疾病(SMI)女性家庭照顾者复原力的风险和保护因素。方法对193名SMI患者女性家属进行横断面调查。分别采用Zarit护理者负担量表(ZBI)、认知情绪调节问卷(CERQ)和复原力量表(CD-RISC)评估家属的负担、积极认知情绪和复原力,同时采用中介和调解分析积极认知情绪对复原力的影响。结果照顾者负担、积极认知情绪与坚韧性、乐观性两两相关显著(P<0.05);积极认知情绪部分中介照顾者负担对乐观性和坚韧性的影响(P<0.05)。此外,积极认知情绪调节照顾者负担和乐观性的关系(P<0.05)。结论积极认知情绪是复原力的保护因素,不仅中介还调节照顾者负担和复原力的关系。未来可以制定干预措施鼓励SMI女性家庭照顾者积极思考和调控情绪的能力。

Objective The purpose of this study is to explore the risk and protective factors of resilience of female family caregivers with severe mental illness(SMI).Methods 193 female family members of inpatients with SMI in Wutaishan Hospital were included.The scale.Zarit Caregiver Burden Scale(ZBI),Cognitive Emotion Regulation Questionnaire(CERQ)and Resilience Scale(CD-RISC)were used to assess family members'burden,positive cognitive emotions and resilience,and mediation analysis were used to actively identify the impact of positive cognitive emotions on resilience.Results There was a significant correlation between caregiver burden,positive cognitive emotions,resilience,and optimism(P<0.01);Positive cognitive emotions partially mediate the impact of caregiver burden on optimism and resilience(P<0.05).In addition,positive cognitive emotion regulates the relationship between caregiver burden and optimism(P<0.05).Conclusion Positive cognitive emotion is a protective factor for resilience mediating the relationship between Caregiver Burden and resilience,suggesting the need to develop interventions to encourage positive thinking and regulate cognitive emotions among women caregivers of adults with SMI.