Dissertations / Theses on the topic 'Emotional caregiving'
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Seffrin, Beverly A. "Emotional labor in caregiving organizations /." The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1486459267520975.
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Smolen-Hetzel, Ann. "Geropsychiatric Nursing Staff: The Role of Empowerment, Geriatric Caregiving Self-efficacy, and Emotional Labor at Work." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2288.
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The current research examined the influence of the emotional labor strategies of faking emotion and suppression of emotion, empowerment, and geriatric caregiving self-efficacy on the relationship between work stress and emotional exhaustion—one dimension of burnout—for a sample of nursing staff members employed in a state-level geriatric psychiatric hospital. The total sample included 79 participants, which included registered nurses (n = 15), licensed practical nurses (n = 23) , and human service care workers (n = 41) who completed the Stress in General scale (Stanton, Balzer, Smith, Parra, & Ironson, 2001), Maslach Burnout Inventory (Human Services Survey; Maslach, Jackson & Leiter, 1996), Discrete Emotions Emotional Labor Scale (Glomb & Tews, 2004), Psychological Empowerment Scale (Spreitzer, 1995), and Geriatric Nursing Self-efficacy Scale (Mackenzie & Peragine, 2003). The mean emotional exhaustion score for the sample fell in the moderate range of burnout. First, it was hypothesized that work stress and emotional labor strategies (i.e., faking emotion and suppression of emotion) would have positive relationships with the burnout domain of emotional exhaustion while empowerment and geriatric caregiving self-efficacy would have negative relationships with this outcome. Next, a series of regression analyses tested emotional labor (i.e., faking emotion and suppression of emotion), empowerment, and geriatric caregiving self-efficacy as moderators for the relationship between stress and burnout. Results indicated that study variables were all related to emotional exhaustion in the expected direction, although several relationships fell short of statistical significance. In addition, emotional labor was a significant predictor of emotional exhaustion, with suppression of emotion playing a larger role. There was no support for the potential moderating role of emotional labor or empowerment on the relationship between work stress and burnout. However, geriatric caregiving self-efficacy was a significant moderator of this relationship. More specifically, when staff reported high work stress, those who had low self-efficacy experienced the highest emotional exhaustion values. However, when self-efficacy was high for this group, their emotional exhaustion scores decreased. For this sample, higher levels of self-efficacy appeared to play a protective role from experiencing more emotional exhaustion when in a high stress condition.
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Mahedy, William Anthony. "The role of the caregiving environment in emotional development and its influence on adult mental health difficulties." Thesis, Ulster University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.569041.
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Background. Derived from a psychoanalytic and object relations perspective, the development of the internal object through such processes! mechanisms as projection, identification, imitation, and projective identification is crucial to the development of a sense of self (how we view ourselves). Method. In elucidating the relationship between early environmental characteristics and adult mental health, a statistical approach was implemented using the National Comorbidity Survey: Baseline (NCS, 1990-1992; Kessler, 1994, 2002). In doing so, a number of structural equation models were presented to examine the aforementioned relationship. Notably, latent profile analysis (LP A), multinomiallogistic regression in a multiple group context, confirmatory factor analysis (CF A), finite mixture multinomial logistic regression in a multiple group context, and moderated mediation models in a multiple group context were used. Results. Both types of insecure attachment, insecure anxious-ambivalent and insecure anxious-avoidant may act as risk factors for the development of mental health disorders in adulthood; while secure attachment may play a more protective role in this relationship. All aspects of the caregiving environment are influential in creating a vulnerability that may probabilistically lead to the development of mental health disorders in adulthood. Experiencing maternal depression in childhood increased the likelihood of developing mental health disorders in adulthood. Compared to the most secure attachment profiles, extremely insecure individuals were more likely to endorse a range of quality of life indicators negatively. Important findings in relation to gender were highlighted, indicating that males are more likely to develop externalising and females are more likely to develop internalising disorders in adulthood. Conclusion. These findings suggest that the development of attachment insecurity may arise from the caregiving environment, and further highlight the long-term adverse effects of developing insecure attachment in relation to an individual's quality of life. In these terms, the consequences of un-mirrored affect during the earliest caregiving relationships may create a vulnerability to later mental health problems by not facilitating the development of adequate emotional regulatory capacities. Conclusions and key findings are discussed in relation to psychoanalytic theory. Finally, strengths, limitations, implications of the research and recommendations for future research were discussed.
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Gideon, Clare A. "SOCIAL ENVIRONMENTS OF DEMENTIA CAREGIVERS: RELATIONSHIPS BETWEEN SOCIAL SUPPORT, NEGATIVE SOCIAL INTERACTIONS, AND CAREGIVER EMOTIONAL DISTRESS." online version, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1158541315.
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Khourdaji, Mais. "Investigating the mediating effects of family emotional expressiveness, language skills, social skills, on relationship between the early caregiving environment and future adolescent behavior outcomes." Scholarly Commons, 2012. https://scholarlycommons.pacific.edu/uop_etds/124.
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Research has shown that the caregiving environment and the type of parent-child interactions that occur during development can have significant impact on future child outcomes for positive as well as negative outcomes (Ruffman, Slade, Devitt, & Crowe, 2006; Fonagy, Gergely, & Target, 2007). Language and emotional expressiveness are common themes that past research suggest are aspects of healthy and open parent-child interactions, and which may have associations with positive child outcomes (Carlson, Mandell, & Williams, 2004). Participants included 1359 children from the longitudinal NICHD Study of Early Child Care—variables were measured at 54 months, 3 rd , 4 th , and 6 th grades and at age 15. The early caregiving environment was found to predict 4 th grade language skills, but this relationship was not mediated by family emotional expressiveness in 3 rd grade. Family emotional expressiveness was found to predict 6 th grade social skills, but this was not mediated by 4 th grade language skills. Evidence of an indirect effect of language skills on social skills was found. Fifth grade language skills were not found to predict adolescent problem behavior, however, an overall significant indirect effect was found. Finally, family emotional expressiveness was found to predict adolescent problem behavior, and this relationship was partially mediated by 6th grade social skills. Direct, indirect, and total effects of the various predictors of adolescent problem behavior are discussed in the final chapter.
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Kibler, Erin M. "Caregivers’ Perceived Function of Stroke Support Groups in the Greater Cincinnati Metropolitan Area." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1277141012.
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Wasserman, Stephanie. "Nonreligious Coping, Religious Coping, and Self-conscious Emotions as Predictors of Expressed Emotion in Relatives of Patients with Schizophrenia." Scholarly Repository, 2010. http://scholarlyrepository.miami.edu/oa_dissertations/407.
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Expressed emotion (EE) is a measure of the family environment reflecting the amount of criticism and emotional over-involvement expressed by a key relative towards a family member with a disorder or impairment (Hooley, 2007). Patients with high EE relatives have a poorer illness prognosis than do patients with low EE relatives. Despite EE's well-established predictive validity, however, questions remain regarding why some family members express high EE attitudes while others do not. Based on indirect evidence from previous research, the current study tested whether religious and nonreligious coping and shame and guilt about having a relative with schizophrenia serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed an EE interview, along with questionnaires assessing situational nonreligious coping, religious coping, and self-conscious emotions. In line with hypotheses, results indicated that nonreligious coping predicted EE. Specifically, less use of adaptive emotion-focused coping predicted high EE. Also consistent with predictions, religious coping predicted high EE above and beyond nonreligious coping. Finally, higher levels of both shame and guilt about having a relative with schizophrenia predicted high EE. Results of the current study elucidate the EE construct and have implications for working with families of patients with schizophrenia.
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Lowry, Samantha. "Exploring the social context of dementia caregiving : emotions and identities." Thesis, University of Warwick, 2014. http://wrap.warwick.ac.uk/65225/.
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Family caregivers are significant in the care of people with dementia, whilst the changes that occur as a result of dementia impact on both the person with dementia and family caregivers. As this caregiving is set within a significant social relationship, it is important to explore the factors within this social context that may both support and compromise the caregiver. The current thesis sought to explore the impact of social emotions and social identities within this caregiving context. Chapter 1 presents a systematic review of the literature exploring the self-conscious emotions of guilt and shame within the dementia family caregiver. It explores the emotional and cognitive experience of caring for a person with dementia within the context of this social relationship. Broadly, findings highlight the negative influence of the caregiver’s self-conscious emotions, on relationships and connection to the Person with Dementia (PwD) and others. Methodological limitations are outlined with regards the clarity of the results whilst clinical implications and suggestions for future research are discussed. Chapter 2 presents a qualitative research investigation exploring the construction of identity in dementia caregivers’ contributions to an online support forum. The analysis focuses on identities apparent within talk about the dementia caregiving relationship. This analysis reveals the construction of two prominent and interacting identities, that of ‘fragile self’ and ‘fighter self.’ The potential clinical implications of identity exploration for caregivers are discussed. Chapter 3 offers a reflective account of my experience of the research process in relation to my own social relationships.
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Willson, Andrea. "When nursing the elderly doesn't end at work : caregivers' narratives in the paid and unpaid spheres /." Thesis, This resource online, 1996. http://scholar.lib.vt.edu/theses/available/etd-08222008-063359/.
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Sprokay, Susan L. "Appraisal of caregiving burden, expressed emotion, and psychological distress in families of people with dementia| A systematic review." Thesis, Pepperdine University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3736746.
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Unpaid family caregivers of people with dementia are faced with a variety of physical, emotional and social stressors. A systematic review of the literature was compiled to summarize existing evidence regarding subjective burden, expressed emotion and psychological distress related to this category of caregiving and to build a multinational representation of these individuals that will facilitate in identifying areas of supportive intervention. A synthesis of 44 data sets that included 5,249 participants from 20 countries indicated that the majority of caregivers are experiencing depression and high levels of distress related to their caregiving role, and that a small number of caregivers are relying on coping strategies that may add to their distress. Results suggest an ongoing need for medical and psychology practitioners to be aware of appropriate supportive and mental health interventions to improve the quality of life for people with dementia and their family caregivers.
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Hiolle, Antoine. "A developmental approach to the study of affective bonds for human-robot interaction." Thesis, University of Hertfordshire, 2015. http://hdl.handle.net/2299/16566.
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Robotics agents are meant to play an increasingly larger role in our everyday lives. To be successfully integrated in our environment, robots will need to develop and display adaptive, robust, and socially suitable behaviours. To tackle these issues, the robotics research community has invested a considerable amount of efforts in modelling robotic architectures inspired by research on living systems, from ethology to developmental psychology. Following a similar approach, this thesis presents the research results of the modelling and experimental testing of robotic architectures based on affective and attachment bonds between young infants and their primary caregiver. I follow a bottom-up approach to the modelling of such bonds, examining how they can promote the situated development of an autonomous robot. Specifically, the models used and the results from the experiments carried out in laboratory settings and with naive users demonstrate the impact such affective bonds have on the learning outcomes of an autonomous robot and on the perception and behaviour of humans. This research leads to the emphasis on the importance of the interplay between the dynamics of the regulatory behaviours performed by a robot and the responsiveness of the human partner. The coupling of such signals and behaviours in an attachment-like dyad determines the nature of the outcomes for the robot, in terms of learning or the satisfaction of other needs. The experiments carried out also demonstrate of the attachment system can help a robot adapt its own social behaviour to that of the human partners, as infants are thought to do during their development.
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Robertson, Jane M. "Making sense and finding meaning : comparing narratives of older people with dementia and carers about the quality of an ordinary life." Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/2530.
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This research examines narratives about the quality of everyday life with dementia. The aim of the study is to compare and contrast differing perspectives about the impact of ageing and dementia upon the lives of older people with dementia. A total of 50 interviews with six older people with dementia and ten family and paid carers were conducted over a two-year period. Narrative analysis was used to examine the content and structure of their accounts to understand their perspectives on what matters most to people living with dementia. This in-depth analysis enabled an exploration of different social concepts and narrative constructions that people draw upon in making sense of their experiences of caring and living with dementia. The analysis demonstrated that older people incorporate ageing and dementia into a continuing sense of self. Positive constructions of living with dementia involve the ability to lead a meaningful life that supports pre-existing social roles and relationships and active engagement within the family and community. The emphasis is on living an ordinary life while responding to the challenges associated with cognitive impairment and social stigma. For family and paid carers, perceptions of a meaningful life depend on how the identity of the older person with dementia is positioned relative to past social roles and relationships. Positive constructions assume continuity as opposed to focusing on disruption in the person’s identity and life. Carer perspectives are also influenced by how the person is perceived to conform to social standards of normality. The narratives of older people with dementia reflect their active struggle to find meaning in terms of realising their sense of self within a social world that largely defines them as different and out of the ordinary. The narratives of carers resonate with emotional difficulty, reflecting their struggle to make sense of a life that is not represented as essentially normal. These findings show that, for all, finding meaning in everyday life depends upon making sense of that life as normal and ordinary.
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Uren, Sarah. "An investigation into the emotional experience of caregiving." Thesis, 2011. http://hdl.handle.net/10539/9291.
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The study investigated the experiences of formal caregivers within a community setting, and the emotional experiences of the individual caregiver. There is insufficient research into the subjective experiences and perceived role of the formal caregiver, as previous studies have concentrated on quantifying the role of the family or informal caregiver. Eleven interviews were conducted with participants from a community-based palliative care institution. The interviews explored areas of interest that surround caregiving, considering both the positive and negative factors that caregivers consider influential within the emotional experience, as well as the role of a formal caregiver. The study investigated the emotional challenges, motivations, support mechanisms and the perceived effectiveness of the coping strategies employed. The data was analysed through thematic content analysis, allowing for the selection of the most salient themes and subthemes, which converged around notions of caregiving and the positive and the negative elements within the caregiving experience of formal caregivers. The data was considered in relation to an interpretative phenomenological perspective, which allowed for the contextualisation and interpretation of the knowledge obtained through the study, and the augmentation of this knowledge with the knowledge already existing in the field of caregiving. The themes were able to provide an understanding of how caregivers construct their role as a formal caregiver, in comparison to the informal caregiver, and their perception of the importance of formal knowledge within caregiving. The themes also provided an understanding of the coping mechanisms and the contextual factors that interrelate with a caregiver’s ability to manage the difficulties within caregiving and their emotional reactions. These findings illustrated that community-based caregiving, although subject to significantly more stressors, also has significant positive aspects that could be fostered to operate as protective mechanisms.
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Dworzanowski-Venter, Bronwyn Joan. "Emotional labour, black men and caregiving: cases from South Africa (1850-2010)." Thesis, 2013. http://hdl.handle.net/10210/8298.
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D.Litt. et Phil. (Sociology)Reid and Walker (2005) suggest that black South African men are ‘behaving differently’. Added to this Budlender (2008) has found that South African men are more likely to engage in unpaid community care work than conventional wisdom suggests. Part of this community work involves black men acting as AIDS caregivers. It is imperative to gain knowledge about masculine caregivers as the informal health care sector bears the brunt of the HIV pandemic. The fragmented and over-burdened public health system simply cannot absorb the 15-20% of HIV infected South Africans. Coovadia et.al. (2009) point to a lacuna in the scholarship regarding community health workers (CHW) in South Africa. My study of black masculine caregivers, located in the world of informal AIDS care, hopes to fill this gap. Yet, I do something more for I tackle the conventional wisdom that suggests South African men are different and exceptional if they conduct feminised care work. The emotions involved in care processes are the basis upon which society may feminise care work. My argument is also premised upon forging links between the past and the present. As such, I focus upon determining the extent to which emotional labour that may be exhibited by historical and contemporary black men. I make use of W.E.B. Du Bois’ (1903) notion of double-consciousness to show how the normalising society, surrounding masculine care, impacts this category of black men. In so doing, I not only forge links between past and present by means of doubleconsciousness, but I perform an intersectional analysis of emotional labour, and the context, in which it occurs. In so doing, I show how double-consciousness is an intersectionally-forged mechanism for Foucault’s (1978) biopower, and one that has become reinvented in present day South Africa. In this way I augment the works of Du Bois (1903) and Foucault (1978) for both did not give primacy to gender as a construct. It is essentially this view of black men, involved in AIDS care that contributes to the originality of this work. This historical-sociological investigation relied upon the linking of cases. I conducted historical research upon two cases: ‘houseboys’ in colonial Natal (1850 – 1928) and mine hospital ‘ward boys’ (1931 – 1959). Contemporary cases were constructed to reflect the world of AIDS and cancer care. The 13 original cases were compressed into seven case categories and based on triangulated survey and interview data (29 AIDS and 18 cancer caregivers were interviewed; while 195 community workers involved in AIDS care were surveyed in 2005/6; follow-up interviews were conducted with 11 caregivers across all case categories in 2010).
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McGown, Anne. "Subjective and objective appraisal of emotional stroke carers' capacity to absorb caregiving information." Master's thesis, 1989. http://hdl.handle.net/1885/141461.
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Riley, J. A., L. Evans, and Jan R. Oyebode. "Relationship continuity and emotional well-being in spouses of people with dementia." 2016. http://hdl.handle.net/10454/10667.
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YesObjectives: Qualitative research has suggested that spousal experiences of discontinuity in their relationship with a person who has dementia (i.e. the relationship is experienced as radically changed) may contribute to heightened feelings of burden, entrapment, isolation, guilt and intolerance of behaviours that challenge. By contrast, continuity in the relationship may contribute to a greater sense of achievement and gratification from providing care. The present study served as a quantitative test of these suggestions. Method: A convenience sample of 71 spouses of people with dementia completed three questionnaires - the Zarit Burden Interview (ZBI), the Positive Aspects of Caregiving measure (PAC) and the Birmingham Relationship Continuity Measure (BRCM). Results: In accordance with the hypotheses, the experience of greater relationship continuity (higher BRCM scores) was correlated with fewer negative emotional reactions to caregiving (lower ZBI scores; rho = −.795) and more positive emotional reactions (higher PAC scores; rho = .764). Conclusions: The study provided some quantitative support for suggestions arising from qualitative research about how perceptions of continuity/discontinuity in the relationship may impact on the caregiving spouse's emotional well-being. Helping couples to maintain a sense of continuity and couplehood may assist their emotional adjustment to dementia.
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Watkins, James. "Emotional support, health, and burden among caregivers of people with neurological conditions." Thesis, 2019. http://hdl.handle.net/1828/11036.
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From 2011 to 2031, the Canadian population living with neurological conditions is expected to double, but the population able to give informal care is not keeping pace, leading to a greater care burden. One element of this increasing care burden is emotional care. However, the effects of giving emotional care on caregiver health outcomes have not been sufficiently explored in the caregiving literature, where the majority of studies focus on instrumental forms of care, or fail to differentiate between different aspects of caregiving. This problem is further complicated by findings from other contexts which indicate that emotional supporting and helping others actually benefits the supporter or helper. Informed by the stress process and other ancillary theories, I use data from the 2012 General Social Survey to test several hypotheses which may help us understand the mental health, functional health, and caregiver burden of caregivers of persons with neurological conditions who emotionally support their care receivers, and of caregivers who are the sole provider of emotional support. The results suggest that emotionally supporting a care receiver with a neurological condition is detrimental to caregiver mental health, and that being the sole emotional supporter is detrimental to caregiver mental health, functional health, and experience of burden. A significant interaction effect also exists between emotional supporting and caregiver gender for functional health. These findings have important implications for future research, for intervention planners, and for caregivers themselves.Graduate
2020-08-06
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Pancoe, Colette. "The PCH doors swing both ways: the experiences of older women whose husbands have moved to a personal care home." 2011. http://hdl.handle.net/1993/4430.
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This qualitative exploratory research study examined the experiences of older women (over age 55) whose husbands had been admitted to a personal care home (PCH) in Winnipeg, Manitoba within the previous twelve (12) months. In-depth, semi-structured, one-on-one interviews were conducted with six (6) women. Socialist feminist and feminist caregiving theoretical frameworks along with narrative analysis were used gain insight into the participants’ needs surrounding their experiences of the admission. Findings include the fact that changes in women’s formal and informal supports began occurring years before their husbands’ admissions. The all-encompassing role as caregiver for their families continued to be central in their lives even after the admission. While women met their material and emotional needs through a range of formal and informal services, the participants were more likely to see needs met through informal means. Themes emerging from the research included those of guilt, entitlement, obligation, and reciprocity.
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Cavalieri, Consuelo E. "Assessing mothers' emotion-centered engagement in attachment-caregiving relationships." 2006. http://www.library.wisc.edu/databases/connect/dissertations.html.
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Olson, Rebecca Eileen. "Time to Feel: Understanding Cancer Carers: Emotions and Support Preferences." Phd thesis, 2010. http://hdl.handle.net/1885/8894.
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Family carers assume responsibility for much of patients' treatment coordination and emotional support, saving medical systems billions by reducing the number and duration of hospital admissions. However, in doing so, they tend to suffer high rates of psychosocial morbidity. While much is known about the experiences of cancer patients and carers of a family member with other diseases, little is known about the experiences and support services preferences of people caring for a spouse with cancer. Past research on this population is largely psycho-oncology based and emphasises carers' stress, burden and coping strategies. Using qualitative methods including participant observation, questionnaires, interviews and a focus group, this research provides an experience-driven understanding of these carers' experiences and support service preferences. Findings suggest that these carers experience a distinct kind of anticipatory grief: indefinite loss and indefinite grief. These concepts, referring to vacillating and uncertain anticipatory loss and grief, are presented as a more accurate conceptualisation of these carers' experiences of mourning and uncertainty about the future. Findings also show that carers of a spouse with cancer experience temporal anomie, a challenged sense of orientation towards the future. Using Hochschild's concepts of 'emotion work' and 'feeling rules' during analysis allowed for an interactive and social complement to the focus on individual coping strategies that dominates within psycho-oncology. Using this approach to analyse carers' emotions revealed the sense of lost direction towards the future that challenges carers' positive outlooks and showed that to overcome this temporal anomie, carers manage their own and their spouse's emotions towards their illness or the future.
Further, interview accounts indicate that some carers' responsibilities are so time-consuming, they are unable to experience and explore their own emotions; they do not have time to feel. Much of the poorly understood variation in carers' needs and support preferences can be explained using a time-sovereignty framework. Those carers who do have time for emotions valued support groups and counselling as a means of emotion management clarification. Practical support, such as financial aid and respite care, however, is rarely accessible to those who need it most: carers who lack time-sovereignty. Current Australian medical system practices do not ameliorate this strain, as medical professionals tend to exclude carers from the consumer-role while relying on carers to provide patient care. Thus, caring for a spouse with cancer often entails a sense of confusion about complex and contradictory emotions, but little time to reflect on these emotions. These experiences are, in part, a product of a medical system which simultaneously relies on carers - thus increasing their burden - and excludes carers from important information, leaving them under-resourced to deal with their partners' needs and their own emotions.
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Thomeer, Mieke Beth. "Gendered emotion work around illness and injury." Thesis, 2010. http://hdl.handle.net/2152/ETD-UT-2010-08-1616.
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This paper brings together theoretical work on gender, caregiving, and illness to investigate emotion work performed in response to a spouse’s physical illness. We analyzed qualitative in-depth interview data with 36 individuals in 18 long-term heterosexual marriages (N=36) wherein one or both spouses experienced illness. Findings indicated that men and women performed, received, and interpreted their emotion work in gendered ways. Women with an ill spouse performed emotion work more often than men. Women who were ill themselves often performed emotion work to relieve the burden on their spouse—a dynamic not found among men who were ill. When women performed emotion work, they constructed this work as a natural propensity. Men who did not perform emotion work constructed themselves as protective and problem-solving. These findings point to underlying intra- and inter-personal processes that may help to explain why women experience higher levels of caregiver burden and depression than do men.text
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Marques, Margarida João Nunes. "O Impacto da Gravidez no Funcionamento Psicológico e a sua Relação com os Padrões Individuais de Prestação de Cuidados." Master's thesis, 2021. http://hdl.handle.net/10316/96543.
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Dissertação de Mestrado Integrado em Psicologia apresentada à Faculdade de Psicologia e de Ciências da EducaçãoObjetivos: Neste estudo exploratório observámos a associação entre a gravidez, o ajustamento psicológico e o funcionamento emocional, e de que forma as relações entre estes três eixos interferem na adoção de estratégias disfuncionais do sistema de prestação de cuidados. Método: Vinte e três mulheres grávidas e 23 não grávidas preencheram a bateria de instrumentos de autorresposta. Resultados: Ao contrário do esperado, as mulheres não grávidas apresentaram pior ajustamento psicológico. Para compreender a relação entre as dificuldades de regulação emocional e a hiperativação do sistema de prestação de cuidados testámos um modelo de mediação moderada, onde verificámos que a relação entre as variáveis é mediada pela ruminação, mas que esta mediação é independente da gravidez. Os resultados mostraram ainda a presença de uma correlação positiva entre fadiga, sintomatologia ansiosa e depressiva, dificuldades de regulação emocional e estratégias de hiperativação do sistema de prestação de cuidados, em mulheres grávidas. Conclusões: Os resultados sugerem que para mulheres jovens adultas, a ruminação é um mecanismo explicativo relevante da relação entre dificuldades de regulação emocional e a hiperativação do sistema de prestação de cuidados, independentemente da presença sintomatologia depressiva e ansiosa, e independentemente de a mulher estar ou não grávida. Do ponto de vista da prática clínica, o presente estudo sugere a importância de integrar a ruminação e fadiga na avaliação do ajustamento psicológico da mulher durante a gravidez. Outros estudos são necessários para confirmar se a gravidez pode, efetivamente, funcionar como amortecedor do impacto negativo da pandemia na saúde mental das mulheres jovens adultas.
Objectives: In this exploratory study, we observed the association between pregnancy, psychological adjustment and emotional functioning and how the relationships between these three axes interfere with the adoption of dysfunctional strategies in the caregiving system. Method: Twenty-three pregnant women and 23 non-pregnant women completed the battery of self-report instruments. Results: Contrary to expectations, non-pregnant women showed worse psychological adjustment. To understand the relationship between emotional regulation difficulties and hyperactivation of the caregiving system, we tested a moderated mediation model where we found that the relationship between the variables is mediated by rumination, but that this mediation is independent of pregnancy. The results also showed a positive correlation between fatigue, anxious and depressive symptomatology, emotional regulation difficulties and caregiving hyperactivation strategies in pregnant women. Conclusions: The results suggest that, for young adult women, rumination is a relevant explanatory mechanism of the relationship between emotion regulation difficulties and hyperactivation of the caregiving system, regardless of the presence of depressive and anxious symptomatology, and regardless of whether or not the woman is pregnant. From the point of view of clinical practice, the present study suggests the importance of integrating rumination and fatigue in assessing women's psychological adjustment during pregnancy. Further studies are needed to confirm whether pregnancy can effectively act as a buffer from the negative impact of the pandemic on the mental health of young adult women.
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Blondin, Soline. "Les parents d'adolescents hospitalisés pour anorexie mentale : expérience d'aidant et émotion exprimée." Thèse, 2017. http://hdl.handle.net/1866/20612.
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Adams, Rebecca Nichole. "Do health behaviors mediate the relationships between loneliness and health outcomes in caregivers of cancer patients?" Thesis, 2013. http://hdl.handle.net/1805/3649.
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Indiana University-Purdue University Indianapolis (IUPUI)Greater levels of loneliness have shown consistent associations with poorer mental and physical health; however, the reason for these relationships is unknown. Engagement in poorer health behaviors among individuals with higher levels of loneliness is one potential explanation for this relationship. Self-regulation theory suggests that coping with feelings of loneliness may impair attempts to control health behaviors. Caregivers of cancer patients have been found to have poor health behaviors (e.g., inadequate exercise) and high levels of loneliness. Thus, the aim of the study is to examine whether health behaviors mediate the relationships between loneliness and mental and physical health outcomes among caregivers of cancer patients. Methods: A secondary data analysis was conducted using data from a longitudinal study of cancer patients and their family caregivers who were staying at the American Cancer Society’s Hope Lodge. Participants completed self-report questionnaires measuring levels of loneliness, engagement in health behaviors (i.e., exercise and fruit and vegetable consumption), mental and physical health, and demographic and medical characteristics at three time points over a 4-month period. A bootstrapping macro was used to examine the indirect effect of loneliness on mental and physical health via health behaviors. Results: Contrary to hypotheses, exercise and fruit and vegetable consumption did not mediate the relationships between loneliness and physical and mental health among cancer patients’ caregivers. Additional research is needed to determine whether health behaviors partially account for the relationships between loneliness and health outcomes or whether alternate explanations for these relationships should be considered.