Negative and positive health effects of casing for a disabled spouse: Longitudinal findings from the caregiver health effects study

Negative and positive health effects of casing for a disabled spouse: Longitudinal findings from the caregiver health effects study
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DOI:
10.1037//0882-7974.15.2.259
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发表时间:
2000-06-01
影响因子:
3.7
通讯作者:
Jackson, S
Jackson, S
中科院分区:
心理学2区
文献类型:
--
作者:
Beach, SR;Schulz, R;Jackson, S

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从照顾者健康影响研究(n = 680)的前两个波的数据进行了分析,以检查在照顾残疾配偶的老年人的人口为基础的样本中,照顾者的健康相关的结果的变化的影响,在照顾者的参与。照顾参与指数的水平(a)配偶的身体损伤,(B)提供给配偶的帮助,(c)与提供帮助相关的压力。健康相关的结果包括自觉健康,健康风险行为,焦虑症状和抑郁症状。随着时间的推移,配偶损害和照顾者压力的增加通常与较差的结果有关(感知健康较差,健康风险行为增加,焦虑和抑郁增加),而增加帮助与更好的结果有关(减少焦虑和抑郁)。结果表明,照顾残疾配偶是一个复杂的现象,可以有有害和有益的后果。
Data from the first 2 waves of the Caregiver Health Effects Study (n = 680) were analyzed to examine the effects of changes in caregiving involvement on changes in caregiver health-related 'outcomes in a population-based sample of elders caring for a disabled spouse. Caregiving involvement was indexed by levels of (a) spouse physical impairment, (b) help provided to the spouse, and (c) strain associated with providing help. Health-related outcomes included perceived health, health-risk behaviors, anxiety symptoms, and depression symptoms. Increases in spouse impairment and caregiver strain were generally related to poorer outcomes over time (poorer perceived health, increased health-risk behaviors, and increased anxiety and depression), whereas increased helping was related to better outcomes (decreased anxiety and depression). Results suggest that caring for a disabled spouse is a complex phenomenon that can have both deleterious and beneficial consequences.