Effects of psychological distress on quality of life of adult daughters and their mothers with cancer

Effects of psychological distress on quality of life of adult daughters and their mothers with cancer
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DOI:
10.1002/pon.1328
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发表时间:
2008-11-01
期刊:
影响因子:
3.6
通讯作者:
Spillers, Rachel L.
Spillers, Rachel L.
中科院分区:
医学2区
文献类型:
--
作者:
Kim, Youngmee;Wellisch, David K.;Spillers, Rachel L.

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导语:随着人口的不断老龄化,成年女儿更有可能参与照看孩子。鉴于分享情感经历在女性关系中很常见,患有癌症的母亲和她们成年的照看女儿之间的相似性是可以预期的。然而,心理痛苦的相似性在多大程度上影响每个人的生活质量尚不清楚。本研究旨在解决这一问题,共有98对母女二人参与了美国癌症协会的癌症幸存者研究-I和照顾者生活质量调查。结果:使用Actor伙伴相互依赖模型,结果表明,尽管每个人的心理痛苦是他们自己生活质量的最强预测因子,但母亲的痛苦也对女儿的生活质量起着重要作用。具体地说,当母亲经历更大程度的心理痛苦时,女儿的心理健康状况较好,但身体健康状况较差。结论:我们的研究发现,患有癌症的母亲的心理痛苦与她们成年后照顾女儿的生活质量之间存在不成比例的强烈关联,这表明照顾女儿可能会受益于旨在帮助她们更好地应对母亲患有癌症时的心理痛苦的项目。版权所有(C)2008 John Wiley&Sons,Ltd.
Introduction: As the population continues to age, adult daughters are more likely to be involved in caregiving. Given the fact that sharing emotional experiences is common in female relationships, (dis)similarity between mothers with cancer and their adult caregiving daughters is expected. However, the extent to which the (dis)similarity in psychological distress influences the quality of life of each person remains unknown.Method. This study aims at addressing this concern, using a total of 98 mother-daughter dyads participating in the American Cancer Society's Study of Cancer Survivors-I and Quality of Life Survey for Caregivers.Results: Using the Actor Partner Interdependence Model, the results showed that although each person's psychological distress is the strongest predictor of their own quality of life, a mother's distress also plays a significant role in the daughter's quality of life. Specifically, when mothers experienced greater levels of psychological distress, the daughters reported better mental health but poorer physical health.Conclusions: Our findings on the disproportionately strong association between psychological distress of mothers with cancer and their adult caregiving daughters' quality of life suggest that caregiving daughters may benefit from programs designed to assist them to cope better with their mothers' psychological distress when both are living with cancer. Copyright (C) 2008 John Wiley & Sons, Ltd.