The objective was to develop the Interpersonal Triggers of Guilt in Dementia Caregiving Questionnaire (ITGDCQ). An emotion frequently experienced by caregivers is guilt. However, the studies analyzing potential factors that generate guilt are scarce. Guilt may be generated through interpersonal interactions. A total of 201 dementia caregivers were evaluated for frequency of leisure, guilt, anxiety, depression, and a pool of items measuring the frequency, and guilt was derived from different behaviors performed by the care recipient (ITGDCQ-CR) and other relatives (ITGDCQ-OR). Exploratory factor analysis of the ITGDCQ-CR showed a two-factor solution, explaining 56.24% of the variance. The ITGDCQ-OR subscale also showed two factors, explaining 63.24% of the variance. All the factors had acceptable to good reliability indexes. Positive associations were found between both subscales and depression, anxiety, guilt, and stress associated with CR’s behavioral problems. ITGDCQ-CR was negatively correlated with frequency of leisure. The interpersonal dynamics assessed with the ITGDCQ generated other emotions such as anger or sadness. Through structural equation modeling, 28% of the variance of caregivers’ distress was explained by the assessed variables, including a significant contribution of the interpersonal dynamics assessed with the ITGDCQ. The results provide preliminary support for the use of the ITGDCQ as a valid and reliable measure of care recipients’ or other relatives’ factors that trigger or facilitate the experience of guilt in the caregivers. The association between these factors and caregiver distress suggests potential clinical implications for the findings.

中文翻译：

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痴呆症护理中的家庭动态：痴呆症护理问卷（ITGDCQ）中内疚的人际触发因素的开发和验证

目的是制定痴呆症护理问卷 (ITGDCQ) 中的人际内疚触发因素。照顾者经常经历的一种情绪是内疚。然而，分析产生内疚的潜在因素的研究很少。人际交往可能会产生内疚感。共有 201 名痴呆症护理人员接受了休闲频率、内疚、焦虑、抑郁和一组测量频率的项目的评估，内疚来自护理对象 (ITGDCQ-CR) 和其他亲属 (ITGDCQ) 的不同行为-或者）。ITGDCQ-CR 的探索性因子分析显示了一个双因子解，解释了 56.24% 的方差。ITGDCQ-OR 分量表也显示了两个因素，解释了 63.24% 的方差。各项因素均达到良好的可靠性指标。在两个分量表和与 CR 的行为问题相关的抑郁、焦虑、内疚和压力之间都发现了正相关。ITGDCQ-CR 与休闲频率呈负相关。用 ITGDCQ 评估的人际动态产生了其他情绪，例如愤怒或悲伤。通过结构方程模型，28% 的看护者痛苦方差由评估变量解释，包括用 ITGDCQ 评估的人际动态的显着贡献。该结果为使用 ITGDCQ 作为一种有效和可靠的衡量护理对象或其他亲属触发或促进护理人员内疚体验的因素提供了初步支持。这些因素与照顾者痛苦之间的关联表明该研究结果具有潜在的临床意义。