Tydsperspektief as potensiële psigofortigene konstruk by die rouproses van versorgers van Alzeimer-pasiënte
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Authors
Potgieter, Johannes Cornelis
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Publisher
University of the Free State
Abstract
Showing abstract in English
English: The passing away of a spouse is regarded as one of the most traumatic experiences
any individual can encounter. The successful management of this loss, and the
process of regaining psychological well-being places a big demand on the surviving
spouse. When this event befalls an elderly person, which is often the case, the
situation presents the spouse with unique challenges. From a prior study (Potgieter,
2000) focusing on the psychological needs of Alzheimer caregivers, it became clear
that the presence of Alzheimer's disease adds additional, and often complicating
factors to dealing with this experience of loss.
The first objective of this study was to describe, as clearly as possible, the experiences
of Alzheimer-caregivers while facing the challenges presented by this unique grieving
process. Secondly attention was given, from a psychofortigenic perspective, to the
potential role that the caregiver's future time perspective might play in the caregiver's
successful handling of this grieving process.
This survey focused on female spouses who served as caregivers after a diagnosis of
Alzheimer's Disease was confirmed in their marital partners. Through the use of both
quantitative and qualitative means of data analysis, the experiences of 20 caregivers
were compared with a control group consisting of ladies from more or Jess the same
age group. During the quantitative survey, it was expected of each of the 40 respondents to complete four questionnaires. Respondents' life satisfaction was
determined by means of the Satisfaction with Life Scale (Diener, Emmonds, Larsen &
Griffin, 1985). The Sense of Coherence Questionnaire (Antonovsky, 1987) and the
Fortitude Questionnaire (Pretorius, 1998) were administered as a means of
determining the level of psychological health or strength of respondents. By means of
the Adult Dispositional Hope Scale (Snyder, 2000), also called the 'Goals Scale', the
inter-group differences in respondents' levels op hope were identified. The main
focus of this study was, however, of a qualitative nature. Individual interviews with
20 of the respondents, as well as material from personal diaries that were made
available by some of the ladies and were analysed, shed some light on the exact nature
of the caregivers' experiences of the accompanying grieving process. As part of the
qualitative survey, the SELE-instrument (Westerhof & Bode, 1999) was used to
determine the time perspectives of the individual respondents.
As suggested by a prior study, the occurrence of a unique grieving process amongst
caregivers of Alzheimer patients was confirmed and described in detail. It was also
clear that both the time perspective and the psychological well-being of caregivers
were adversely affected by this grieving process. Results showed that both a direct
and indirect (through intervening variables) link exists between the time perspective
and psychological well-being of these elderly caregivers. This result confirmed the
potential role that future time perspective might play as a psychofortigenic factor
during this and similar caregiving situations. If the identified factors were built into a
support program, they could prove to be invaluable in protecting the psychological
well-being of caregivers, both during and after the caregiving process.
Description
Keywords
Alzheimer's disease, Caregiver, Mourning process, Psychological vulnerability, Psychofortitude, Sense of coherence, Future time perspective, Psychological well-being, Thesis (Ph.D. (Clinical Psychology))--University of the Free State, 2003, Alzheimer's disease -- Patients -- Families, Caregivers -- Mental health, Alzheimer's disease -- Patients -- Care -- Psychological aspects