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A qualidade do relacionamento conjugal após o AVC: a perspetiva do cônjuge cuidador

Authors: Pimentel, Jéssica Filipa Moreiras;

A qualidade do relacionamento conjugal após o AVC: a perspetiva do cônjuge cuidador

Abstract

Os cônjuges assumem muitas vezes o papel de cuidadores após um acidente vascular cerebral (AVC), o que tem implicações na qualidade do relacionamento conjugal. Na perspetiva do cônjuge/cuidador, investigou-se a relação entre a sobrecarga associada à prestação de cuidados e a qualidade do relacionamento conjugal. Num primeiro estudo a Escala de Motivação Para Ajudar foi traduzida e adaptada para a população portuguesa. Num segundo estudo explorouse o papel mediador do ajustamento diádico, da comunicação e da validação pessoal e o papel moderador da motivação para ajudar na relação entre a sobrecarga associada à prestação de cuidados e a qualidade do relacionamento conjugal, numa amostra portuguesa de 114 cônjuges/cuidadores. Aplicaram-se as seguintes medidas: Escala de Motivação Para Ajudar; Escala de Satisfação das Necessidades Básicas Gerais; Escala de Autoestima de Rosenberg; Questionário de Avaliação da Sobrecarga do Cuidador Informal; Escala de Ajustamento Diádico; Escala de Avaliação da Intimidade na Relação. Verificou-se uma associação entre a sobrecarga e a qualidade do relacionamento mediada pela validação pessoal e pela comunicação, sendo que a motivação para ajudar moderou estas associações. A associação positiva e significativa entre a validação pessoal e a qualidade do relacionamento revelou ser mais forte em níveis mais elevados de motivação para ajudar. Por sua vez, a associação negativa e significativa entre a comunicação e a qualidade do relacionamento revelou ser mais forte em níveis reduzidos de motivação para ajudar. Verificou-se ainda que menos comunicação no casal e níveis elevados de validação pessoal se associaram a uma melhor qualidade do relacionamento conjugal.

Spouses often take on the role of caregiver after a stroke, which has implications for the quality of the marital relationship. From the perspective of the spouse/caregiver, the relationship between the burden associated with providing care and the quality of the marital relationship was investigated. In a first study, the Motivation to Help Scale was translated and adapted for the Portuguese population. A second study explored the mediation of dyadic adjustment, communication and personal validation and the moderation of motivation to help in the relationship between the burden associated with providing care and the quality of the marital relationship, in a Portuguese sample of 114 spouses/caregivers. The following measures were applied: Motivation to Help Scale; General Basic Needs Satisfaction Scale; Rosenberg Self-Esteem Scale; Informal Caregiver Burden Assessment Questionnaire; Dyadic Adjustment Scale; Intimacy in the Relationship Rating Scale. There was a significant association between burden and relationship quality mediated by personal validation and communication, and moderated by motivation to help. The positive and significant association between personal validation and relationship quality was found to be stronger at higher levels of motivation to help. In turn, the negative and significant association between communication and relationship quality was found to be stronger at reduced levels of motivation to help. It was also found that less communication within the couple and high levels of personal validation were associated with a better quality of the marital relationship.

Country
Portugal
Keywords

Motivação para ajudar, Stroke, AVC -- Acidente Vascular Cerebral -- CVA Cerebrovascular Accident, 2950, 2900 Social processes and social issues, Qualidade do relacionamento conjugal, Motivation to help, Cuidado informal, Domínio/Área Científica::Ciências Sociais::Outras Ciências Sociais, 2360, Informal care, Quality of marital relationship, 2300 Human experimental psychology

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
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