Caregivers’ burden and depressive symptoms: The moderational role of attachment orientations.

Vilchinsky, Noa; Dekel, Rachel; Revenson, Tracey A.; Liberman, Gabriel; Mosseri, Morris

doi:10.1037/hea0000121

Cited by 18 publications

(33 citation statements)

References 55 publications

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“…These findings indicate that highly anxiously attached individuals cope with health threats by means of keeping others engaged, whereas avoidant‐attached individuals cope by means of extreme self‐reliance. Other studies have relied on these coping strategy differences to point out the regulatory function of attachment orientation as a moderator on the associations between social, cognitive, and emotional variables (Bodie et al, ; Vilchinsky, Dekel, Revenson, Liberman, & Mosseri, ). Conceptualizing attachment orientations as moderators of the associations between social‐cognitive variables and health outcomes makes sense in light of attachment theory's focus on self‐regulation (Mikulincer, Shaver, & Pereg, ).…”

Section: Theory Of Planned Behaviormentioning

confidence: 99%

Personality Makes a Difference: Attachment Orientation Moderates Theory of Planned Behavior Prediction of Cardiac Medication Adherence

Peleg

Vilchinsky

Fisher

et al. 2017

Journal of Personality

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Objective To achieve a comprehensive understanding of patients' adherence to medication following acute coronary syndrome (ACS), we assessed the possible moderating role played by attachment orientation on the effects of attitudes, subjective norms, and perceived behavioral control (PBC), as derived from the Theory of Planned Behavior (TPB; Ajzen, 1991), on intention and reported adherence. Method A prospective longitudinal design was employed. During hospitalization, ACS male patients (N = 106) completed a set of self‐report questionnaires including sociodemographic variables, attachment orientation, and measures of TPB constructs. Six months post‐discharge, 90 participants completed a questionnaire measuring adherence to medication. Results Attachment orientations moderated some of the predictions of the TPB model. PBC predicted intention and reported adherence, but these associations were found to be significant only among individuals with lower, as opposed to higher, attachment anxiety. The association between attitudes and intention was stronger among individuals with higher, as opposed to lower, attachment anxiety. Only among individuals with higher attachment avoidance, subjective norms were negatively associated with intention to take medication. Conclusions Cognitive variables appear to explain both adherence intention and behavior, but differently, depending on individuals' attachment orientations. Integrating personality and cognitive models may prove effective in understanding patients' health behaviors.

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Section: Theory Of Planned Behaviormentioning

confidence: 99%

Personality Makes a Difference: Attachment Orientation Moderates Theory of Planned Behavior Prediction of Cardiac Medication Adherence

Peleg

Vilchinsky

Fisher

et al. 2017

Journal of Personality

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“…La asociación entre la sobrecarga percibida y la depresión se ha constatado en múltiples investigaciones [19][20][21][22][23][24][25][26][27], aunque existen discrepancias respecto a cómo se interrelacionan. Nuestro modelo final puso de relieve que la carga influía directamente sobre la sintomatología depresiva, y que, además, las características clínicas del paciente y del cuidador desempeñaban un papel importante en dicha relación.…”

Section: Discussionunclassified

“…Respecto a los estudios longitudinales, se ha propuesto que una sobrecarga persistente predispone a padecer más síntomas depresivos en posteriores evaluaciones [21,26], y que niveles más altos de depresión en el momento inicial predicen una mayor sintomatología depresiva en el seguimiento [27].…”

Section: Sujetos Y Métodosunclassified

Síntomas depresivos y sobrecarga en los familiares cuidadores en la enfermedad de Alzheimer: un modelo de ecuaciones estructurales

Viñas-Diez¹,

Conde-Sala²,

Turró‐Garriga³

et al. 2019

RevNeurol

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Introduction. The care of patients with Alzheimer's disease increases the burden and depression of the main caregiver, although the relationship between the two is not clearly defined. Aims. To explore the factors associated with depressive symptomatology and burden in the main caregiver and to apply a model of structural equations to identify the relationship between them. Subjects and methods. The sample consisted of 127 family caregivers of people with Alzheimer's disease, with a follow-up of 24 months. Multivariate regression analyses were performed to identify the characteristics of patients and caregivers associated with burden and depression of the main caregiver, and a model of structural equations was designed to analyse the relationship between the variables. Results. In the model of structural equations, the burden had a direct effect on depression, both in the baseline assessment and at 24 months. The variables associated with burden were: schooling and the lower mental health of the main caregiver; and the behavioral alterations and the functional dependency of the patient. The lower cognitive level of the patient and the lower mental health of the main caregiver were associated with depression. The correlation between burden and depression increased from baseline to two years (r = 0.470 vs. r = 0.613). Conclusions. The deterioration of the patient and caregiver burden are risk factors for depression in the main caregiver. Interventions would be necessary to reduce the burden and prevent related depression.

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“…Assim, verificou-se que o sentimento de sobrecarga das cuidadoras está associado ao sentimento depressivo e ao maior sofrimento psicológico para aqueles cuidadores com ansiedade de apego. Portanto, os autores concluíram que as orientações profissionais direcionadas para o sentimento de apego (preocupação excessiva) atuam como moderadores da relação entre a sobrecarga do cuidador e, posteriormente, dos sintomas depressivos 21 .…”

Section: Discussionunclassified

Sentimentos dos cuidadores familiares de pacientes adultos hospitalizados: Revisão Integrativa

Schultz

Schwartz

Oliveira

et al. 2019

Revenf

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O objetivo desta pesquisa foi identificar os sentimentos dos cuidadores familiares de pacientes adultos hospitalizados referidos nas produções científicas. Revisão integrativa realizada a partir de análise de conteúdo, conforme proposto por Bardin nas bases de dados eletrônicas (PubMed, Lilacs e Scielo), utilizando-se as palavras-chave "Sentimentos” “Cuidador familiar” “Hospital” e “Hospitalização" Foram analisados 21 estudos permitiu discutir temas como: sofrimento psicológico; preocupações relacionadas ao cuidado; sentimentos ambíguos; e restrições na vida social. Conclui-se que a identificação dos sentimentos de cuidadores familiares de adultos hospitalizados pode servir de base para o (re)planejamento das ações de intervenção e cuidados praticadas pelos profissionais de saúde, bem como apontam a necessidade de implantação de programas e protocolos de ação voltados a esse público.

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Caregivers’ burden and depressive symptoms: The moderational role of attachment orientations.

Cited by 18 publications

References 55 publications

Personality Makes a Difference: Attachment Orientation Moderates Theory of Planned Behavior Prediction of Cardiac Medication Adherence

Personality Makes a Difference: Attachment Orientation Moderates Theory of Planned Behavior Prediction of Cardiac Medication Adherence

Síntomas depresivos y sobrecarga en los familiares cuidadores en la enfermedad de Alzheimer: un modelo de ecuaciones estructurales

Sentimentos dos cuidadores familiares de pacientes adultos hospitalizados: Revisão Integrativa

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