Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses
Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses
复制标题
DOI：
10.1093/geront/gnp046
复制
发表时间：
2009-06-01
期刊：
影响因子：
5.7
通讯作者：
Carter, Julie H.
中科院分区：
文献类型：
--
作者：
Lyons, Karen S.;Stewart, Barbara J.;Carter, Julie H.
目的：提供护理的配偶对其护理情况的反应有很大的差异。很少有研究关注内部因素和人际因素在长期配偶护理中的作用，特别是在帕金森氏病(PD)的背景下。目前的研究使用了10年的纵向数据来检验乐观、悲观、相互和配偶性别在预测帕金森氏症配偶的角色紧张中的作用。设计和方法：采用纵向设计，对255名帕金森病患者配偶进行为期10年的研究，数据点为基线(0岁)、2岁和10岁。一系列多水平模型被用来检验四个角色紧张变量--全局紧张、担忧紧张、被操纵感觉紧张和紧张增加带来的紧张。结果：女性配偶性别预示着10年的角色压力更大，并且在10年期间角色压力的增加更快。此外，基线时高度的相互关系和乐观情绪以及较低的悲观情绪对第10年角色压力的增加起到了重要的保护作用。影响：本研究重点关注主要是身体残疾的早期配偶护理。研究结果表明，性别差异使妻子面临更大的负面后果风险，即使在没有痴呆的情况下也是如此。此外，临床医生有机会根据内部和人际风险因素，在护理轨迹的早期进行针对性干预。
Purpose: There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinson's disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality; and spouse gender in predicting role strain in PD spouses. Design and Methods: A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variables-global strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. Results: Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. Implications: This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.