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Biomedical subjects

N L Resch

Publications and source records attributed to N L Resch.

7 recordsLinked to original sources
PubMed1989

Mental health of caregiving spouses: coping as mediator, moderator, or main effect?

Coping strategies used by 315 persons providing care to a spouse diagnosed with Alzheimer's disease were characterized as either emotion-focused (wishfulness, acceptance, intrapsychic) or problem-focused (instrumental). Models in which coping strategies were postulated as having mediator, moderator, and independent main effects were tested using multiple indexes of mental health. Wishfulness and intrapsychic strategies mediated the relationship between degree of stress and CES-D, Anxiety, and Depression. Wishfulness had a direct effect on Obsessive-Compulsive, Somatization, and Interpersonal Sensitivity; intrapsychic strategies had a direct effect on Obsessive-Compulsive, Somatization, and Interpersonal Sensitivity; and instrumental strategies had a direct effect on Positive Affect. Hierarchical regression analyses indicated that stressors and coping strategies explained between 12% and 40% of the variance on mental health indexes.

Adaptation, Psychological↗
PubMed1989

Aberrant behaviors and Alzheimer's disease: mental health effects on spouse caregivers.

The relationships between well-being of 262 caregivers of Alzheimer's disease patients and forgetful, asocial, and disoriented behaviors on the part of the impaired spouse were examined using three one-way MANOVAs. Results indicate that asocial and disoriented behaviors have linear relationships with levels of burden, specific mental health problems attributed to caregiving, and the extent to which caregivers sacrificed aspects of their social life. Asocial behaviors were also linearly related to overall level of caregiver depression. Forgetful behaviors, on the other hand, have relationships with burden, specific mental health problems attributed to caregiving, and social change that are nonlinear. Data are interpreted in terms of the predictable course of Alzheimer's disease and associated role expectations.

Alzheimer Disease↗
PubMed1989

Husbands and wives as caregivers: antecedents of depression and burden.

Contrasting predictors of depression among 101 men and 214 women providing care to spouses suffering from Alzheimer's Disease indicated that the sole predictor for husbands was ill health, whereas for wives less emotional investment was also predictive. While there were no significant predictors for burden among husbands, for wives, burden was associated with poorer health, less emotional investment, greater spouse impairment, and provision of more assistance with tasks.

Alzheimer Disease↗
PubMed1989

The context of change: disorientation following intra-institutional relocation.

Levels of disorientation following either intra-institutional relocation or no relocation were compared for a sample of people resident in a nursing home from April to October, 1983, and a second, independent sample who were either moved or not moved between December 1985 and June 1986. Results of separate logistic regression analyses indicated no differences in disorientation dependent on move status for the first sample, but significant differences for the second group. Among the latter group, nonmovers demonstrated the highest levels of disorientation. Results are interpreted as a function of the larger contexts in which the moves were made. Suggestions are made regarding issues of concern for administrators of long-term care facilities faced with the responsibility of relocating nursing home residents.

Adaptation, Psychological↗
PubMed1988

Psychometric assessment of the Multidimensional Observation Scale for Elderly Subjects (MOSES).

The factor structure of the MOSES proposed by Helmes et al. (1987) was tested using both exploratory and confirmatory factor analysis procedures. Results indicated that although the number of factors suggested was appropriate, the manifest variables proposed for each latent factor were not stable. A modified 5-factor model using 24 of the original 40 variables was proposed and tested. Confirmation of the modified model suggests factorial invariance across two independent samples. Internal consistency for the five scales measured by coefficient alphas ranged from 0.62 to 0.92. Difficulties in scoring MOSES items are discussed, and solutions offered for alleviating the problems. The 5-factor MOSES model is suggested as a useful research and clinical tool.

Aged↗
PubMedDate not supplied

Agents of change: pathways through which mentoring relationships influence adolescents' academic adjustment.

A conceptual model was tested in which the effects of mentoring relationships on adolescents' academic outcomes were hypothesized to be mediated partially through improvements in parental relationships. The parameters of the model were compared with those of an alternative, in which improved parental relationships were treated as an outcome variable rather than a mediator. The study included 959 young adolescents (M age = 12.25 years), all of whom applied to Big Brothers Big Sisters programs. The adolescents were randomly assigned to either the treatment or control group and administered questions at baseline and 18 months later. The hypothesized model provided a significantly better explanation of the data than the alternative. In addition to improvements in parental relationships, mentoring led to reductions in unexcused absences and improvements in perceived scholastic competence. Direct effects of mentoring on global self-worth, school value, and grades were not detected but were instead mediated through improved parental relationships and scholastic competence. Implications of the findings for theory and research are discussed.

Adolescent↗