Social Participation as a Moderator for Caregivers’ Psychological Distress: a Dynamic Panel Data Model Analysis in Japan
Social Participation as a Moderator for Caregivers’ Psychological Distress: a Dynamic Panel Data Model Analysis in Japan
复制标题
DOI：
10.1007/s11482-021-10007-x
复制
发表时间：
2021-10
影响因子：
3.4
通讯作者：
Takashi Oshio;Kemmyo Sugiyama
中科院分区：
文献类型：
--
作者：
Takashi Oshio;Kemmyo Sugiyama
照料对照顾者心理健康的不利影响和社会参与对健康的积极影响都是众所周知的。本研究探讨了SP在家庭照护与照顾者心理困扰(PD)之间的调节作用。我们使用了27869名1946年至1955年出生的人的纵向数据，这些数据来自2005年至2018年进行的14波全国调查。我们估计了动态面板数据模型，该模型可以在动态框架中控制个人的时间不变属性，以检验SP如何调节非正式照顾者和照顾者的PD(由Kessler评分13或更高定义)之间的关联。我们观察到，护理的开始使女性和男性患帕金森病的概率分别增加了2.1%(95%可信区间：1.5%-2.6%)和1.0%(95%可信区间：0.5%-1.6%)，而女性和男性的帕金森病患病率分别增加了3.4%和2.8%。在女性和男性中，SP分别缓和了55.8%(95%CI：31.9%-79.8%)和73.5%(95%CI：36.1%-110.9%)照顾者和照顾者PD之间的关联。此外，SP对照顾者PD的调节作用随着照顾者年龄的增长而增加，特别是在女性中。这些结果表明，有必要防止家庭照顾者在社会上被孤立，特别是随着他们年龄的增长。
The adverse impact of caregiving on caregivers’ mental health and the positive impact of social participation (SP) on health are both well understood. This study examined the moderating effect of SP on the association between family caregiving and caregivers’ psychological distress (PD). We used longitudinal data from 27,869 individuals born between 1946 and 1955 collected from a 14-wave nationwide survey, which was conducted from 2005 to 2018. We estimated dynamic panel data models, which could control for an individual’s time-invariant attributes in a dynamic framework, to examine how SP moderated the association between informal caregiving and a caregiver’s PD (defined by a Kessler score of 13 or higher). We observed that the onset of caregiving increased the probability of PD by 2.1% (95% confidence interval [CI]: 1.5%–2.6%) and 1.0% (95% CI: 0.5%–1.6%) for women and men, respectively, compared to 3.4% and 2.8% as the prevalence of PD for women and men, respectively. SP moderated the association between caregiving and a caregiver’s PD by 55.8% (95% CI: 31.9%–79.8%) and 73.5% (95% CI: 36.1%–110.9%) for women and men, respectively. In addition, the moderating effect of SP on a caregiver’s PD increased as the caregiver’s age advanced especially in women. These results suggest the need to keep family caregivers from being socially isolated, especially as they get older.