Disability, Perceived Overprotection, and Mental Health

残疾、感知过度保护和心理健康

• 批准号: 6849619
• 负责人: Verena Cimarolli
• 金额: $ 6.33万
• 依托单位: LIGHTHOUSE INTERNATIONAL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-08 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6849619
• 关键词: age difference; anxiety; behavioral /social science research tag; caregivers; clinical research; depression; functional ability; human middle age (35-64); human subject; learned helplessness; locus of control; mental health epidemiology; perception; person with disability; psychological adaptation; quality of life; social adjustment; social support network; vision disorders; young adult human (21-34)

DESCRIPTION (provided by applicant): The long term goal of the proposed research is to better understand the interrelationship between disability, perceived overprotection, and mental health among visually impaired adults between the ages of 22 and 64 years. Over 10 million Americans between the ages of 22 and 64 report having some type of vision problem even when using corrective lenses and vision loss has been linked to negative mental health outcomes, such as depression and anxiety. Perceived overprotection, which is defined as a feeling of being unnecessarily helped or overly restricted by caregivers, is associated with depression in stroke and cancer patients. Moreover, overprotection is associated with lower levels of well-being and psychosocial adaptation in older adults with age-related vision loss. These studies have used the theoretical framework of the learned helplessness theory to explain the link between overprotection and depression. A fair amount of research has been conducted with older individuals, but the relationship between overprotection and depression in younger individuals (age 22 to 64) with a disability remains mostly unexplored. Moreover, research has shown that the experience of a chronic impairment may have a more adverse impact on the mental health of younger individuals than of older individuals. Therefore, the specific aims of this study are: [1] to explore the interrelationship between disability, perceived overprotection and mental health (depression and anxiety); and [2] to explore whether age moderates the effects of functional disability and perceived overprotection on mental health outcomes. Participants will be 100 adults ranging between the ages of 22 and 64, recruited from a community-based rehabilitation agency. Data for this cross-sectional study will be collected via telephone interviews. Regression analyses will be used to test the effects of independent variables on mental health and to test if age moderates the effects of functional disability and overprotection on mental health outcomes. Findings from this research will help to identify those who are at risk for mental health problems and to design interventions.

描述（由申请人提供）：拟议研究的长期目标是更好地了解 22 至 64 岁之间视力障碍成年人的残疾、过度保护和心理健康之间的相互关系。超过 1000 万年龄在 22 岁至 64 岁之间的美国人报告称，即使使用矫正镜片也存在某种类型的视力问题，并且视力丧失与抑郁和焦虑等负面心理健康结果有关。感知过度保护被定义为感觉受到照顾者不必要的帮助或过度限制，与中风和癌症患者的抑郁症有关。此外，过度保护与年龄相关性视力丧失的老年人的幸福感和社会心理适应水平较低有关。这些研究利用习得性无助理论的理论框架来解释过度保护与抑郁之间的联系。对老年人进行了大量研究，但对于患有残疾的年轻个体（22 至 64 岁）来说，过度保护与抑郁之间的关系大多尚未得到探索。此外，研究表明，与老年人相比，慢性损伤的经历可能对年轻人的心理健康产生更不利的影响。因此，本研究的具体目的是： [1] 探讨残疾、感知过度保护与心理健康（抑郁和焦虑）之间的相互关系； [2] 探讨年龄是否会减轻功能障碍和感知过度保护对心理健康结果的影响。参与者将是从社区康复机构招募的 100 名年龄在 22 岁至 64 岁之间的成年人。这项横断面研究的数据将通过电话采访收集。回归分析将用于测试自变量对心理健康的影响，并测试年龄是否会减轻功能障碍和过度保护对心理健康结果的影响。这项研究的结果将有助于识别那些有心理健康问题风险的人并设计干预措施。