Informal caregiving transitions, subjective well-being and depressed mood: Findings from the English Longitudinal Study of Ageing.

Informal caregiving transitions, subjective well-being and depressed mood: Findings from the English Longitudinal Study of Ageing.
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DOI:
10.1080/13607863.2015.1088510
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发表时间:
2017-01
影响因子:
3.4
通讯作者:
Steptoe A
Steptoe A
中科院分区:
医学2区
文献类型:
--
作者:
Rafnsson SB;Shankar A;Steptoe A

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在一项针对老年人的大规模人群研究中,前瞻性地调查两年多来非正式工作转变对情绪健康的影响。在2004/2005年和2006/2007年期间,有6 571名参与者参加了英国老龄问题纵向研究,了解了提供无酬照护的情况。在每种情况下还评估了三个幸福领域:生活满意度(用生活满意度量表测量);生活质量(用CASP-19量表评估);和抑郁症状(用流行病学研究中心抑郁量表测量)。对配偶/子女照顾者和其他家庭/非亲属的照顾者进行了为期两年的养老过渡(养老进入和养老退出,或继续照顾)对福祉影响的多变量分析。与未结婚者相比,结婚后与生活质量下降相关(B =-1.60,p < .01),而结婚后与其他亲属关系相关的生活满意度增加(B = 1.02,p < .01),抑郁症状减轻(B =-0.26,p < .05)。与预期相反,配偶/子女照顾者(B = 0.44,p <0.01)和非配偶/子女照顾者(B = 0.25,p <0.05)的离婚退出与抑郁增加有关。持续的配偶/子女离异也与生活质量下降有关(B =-1.24,p <0.05)。其他关联具有提示性,但不显著。在晚年生活中,不同的婚姻过渡对情感的影响在亲属关系中是不同的;值得注意的是,在两年的研究期间,配偶和儿童照顾者的幸福感在他们婚姻生涯的每个阶段都受到了影响。
To prospectively investigate the impact of transitions in informal caregiving on emotional wellbeing over two years in a large population study of older people. Information on provision of unpaid care in 2004/5 and 2006/7 was available for 6571 participants in the English Longitudinal Study of Ageing. Three wellbeing domains were also assessed on each occasion: Life satisfaction (measured with the Satisfaction With Life Scale); Quality of life (assessed with the CASP-19 scale); and depression symptoms (measured using the Centers for Epidemiologic Studies Depression Scale). Multivariable analyses of the impact on wellbeing of two-year caregiving transitions (caregiving entry and caregiving exit, or continued caring) were conducted separately for spousal/child carers and carers of other family/non-relatives. Compared to non-caregiving, entry into spousal/child caregiving was associated with decline in quality of life (B = −1.60, p < .01) whereas entry into caregiving involving other kin relations increased life satisfaction (B = 1.02, p < .01) and lowered depression symptoms (B = −0.26, p < .05). Contrary to expectations, caregiving exit was related to increased depression in both spousal/child (B = 0.44, p < .01) and non-spousal/child (B = 0.25, p < .05) carers. Continued spousal/child caregiving was also related to decline in quality of life (B = −1.24, p < .05). Other associations were suggestive but non-significant. The emotional impact of different caregiving transitions in later life differs across kin relationships; notably, spousal and child carers’ wellbeing was consistently compromised at every stage of their caregiving career over the two-year study period.
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发表时间: 2005-08-01
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