Does couple identity mediate the stress experienced by caregiving spouses?
Does couple identity mediate the stress experienced by caregiving spouses?
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DOI：
10.1080/14768320600843077
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发表时间：
2007-02-01
影响因子：
3.3
通讯作者：
Taylor, Cindy L. Carmack
中科院分区：
文献类型：
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作者：
Badr, Hoda;Acitelli, Linda K.;Taylor, Cindy L. Carmack
对于照顾者来说，压力过程是多方面的，涉及直接来自患者需求的主要压力源，以及与照顾的主观负担有关的次要压力源。根据压力扩散理论，主要和次要压力源都可以加剧照顾者的痛苦。然而，个人对自杀的反应却有很大的不同。本研究探讨是否看到自己作为一对夫妇的一部分，并将一个人的关系纳入一个人的自我概念（夫妇身份）的主要和次要的压力对照顾者的心理健康的负面影响。样本由92名健康的配偶组成，他们为患有慢性身体疾病的伴侣服务了平均5.9年。结果表明，夫妻身份部分介导了负初级的影响（即，关系剥夺和超负荷）和次级（即，自我丧失和囚禁）角色压力源，并完全介导了积极的次要角色压力源的影响（即，照顾者自尊和能力）对照顾者心理健康的影响。因此，将这种关系视为自己的延伸，或高水平的夫妻身份，可能有助于最大限度地减少照顾者心理健康的负面影响，并最大限度地提高照顾者心理健康的积极影响。
For caregivers, the stress process is multifaceted, involving primary stressors, which stem directly from the needs of the patient, and secondary stressors, which relate to the subjective burden of caregiving. According to stress proliferation theories, both primary and secondary stressors can exacerbate caregiver distress. However, individuals vary considerably in their reactions to caregiving. This study explored whether seeing oneself as part of a couple and incorporating one's relationship into one's self-concept (couple identity) alleviates the negative effects of primary and secondary stressors on caregiver mental health. The sample comprised 92 healthy spouses who had been caregiving for a partner with a chronic physical illness for an average of 5.9 years. Results showed that couple identity partially mediated the effects of negative primary (i.e., relational deprivation and overload) and secondary (i.e., loss of self and captivity) role stressors, and fully mediated the effects of positive secondary role stressors (i.e., caregiver self-esteem and competence) on caregiver mental health. Viewing the relationship as an extension of oneself, or high levels of couple identity, may thus help to minimize the negative effects and maximize the positive effects of the caregiving experience on caregiver mental health.