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Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia

  • Purpose To test whether the negative relationship between perceived stress and quality of life (Hypothesis 1) can be buffered by perceived social support in patients with dementia as well as in caregivers individually (Hypothesis 2: actor effects) and across partners (Hypothesis 3: partner effects and actor-partner effects). Method A total of 108 couples (N = 216 individuals) comprised of one individual with early-stage dementia and one caregiving partner were assessed at baseline and one month apart. Moderation effects were investigated by applying linear mixed models and actor-partner interdependence models. Results Although the stress-quality of life association was more pronounced in caregivers (beta = -.63, p<.001) compared to patients (beta= -.31, p<.001), this association was equally moderated by social support in patients (beta = .14, p<.05) and in the caregivers (beta =.13, p<.05). From one partner to his or her counterpart, the partner buffering and actor-partner-buffering effect were notPurpose To test whether the negative relationship between perceived stress and quality of life (Hypothesis 1) can be buffered by perceived social support in patients with dementia as well as in caregivers individually (Hypothesis 2: actor effects) and across partners (Hypothesis 3: partner effects and actor-partner effects). Method A total of 108 couples (N = 216 individuals) comprised of one individual with early-stage dementia and one caregiving partner were assessed at baseline and one month apart. Moderation effects were investigated by applying linear mixed models and actor-partner interdependence models. Results Although the stress-quality of life association was more pronounced in caregivers (beta = -.63, p<.001) compared to patients (beta= -.31, p<.001), this association was equally moderated by social support in patients (beta = .14, p<.05) and in the caregivers (beta =.13, p<.05). From one partner to his or her counterpart, the partner buffering and actor-partner-buffering effect were not present. Conclusion The stress-buffering effect has been replicated in individuals with dementia and caregivers but not across partners. Interventions to improve quality of life through perceived social support should not only focus on caregivers, but should incorporate both partners.zeige mehrzeige weniger

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Verfasserangaben:Paul GellertORCiDGND, Andreas HäuslerORCiDGND, Ralf Suhr, Maryam GholamiORCiDGND, Michael Armin RappORCiDGND, Adelheid KuhlmeyORCiDGND, Johanna NordheimORCiDGND
URN:urn:nbn:de:kobv:517-opus4-446270
DOI:https://doi.org/10.25932/publishup-44627
ISSN:1866-8364
Titel des übergeordneten Werks (Deutsch):Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
Schriftenreihe (Bandnummer):Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe (657)
Publikationstyp:Postprint
Sprache:Englisch
Datum der Erstveröffentlichung:24.09.2020
Erscheinungsjahr:2018
Veröffentlichende Institution:Universität Potsdam
Datum der Freischaltung:24.09.2020
Freies Schlagwort / Tag:Alzheimers disease; Quality-of-life; association; caregivers; communication; depressive symptomatology; health; longitudinal cohort; metaanalysis; partner interdependence model
Ausgabe:657
Seitenanzahl:16
Quelle:PLoS ONE 13 (2018) 1, Art. e0189849 DOI: 10.1371/journal.pone.0189849
Organisationseinheiten:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Sport- und Gesundheitswissenschaften
DDC-Klassifikation:5 Naturwissenschaften und Mathematik / 50 Naturwissenschaften / 500 Naturwissenschaften und Mathematik
6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Peer Review:Referiert
Publikationsweg:Open Access / Green Open-Access
Lizenz (Deutsch):License LogoCC-BY - Namensnennung 4.0 International
Externe Anmerkung:Bibliographieeintrag der Originalveröffentlichung/Quelle
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