Effects of marital closeness on the transition from caregiving to widowhood.
Effects of marital closeness on the transition from caregiving to widowhood.
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DOI：
10.1080/13607860903046503
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发表时间：
2009-11
影响因子：
3.4
通讯作者：
Wilson-Genderson M
中科院分区：
文献类型：
--
作者：
Pruchno RA;Cartwright FP;Wilson-Genderson M
当配偶从照顾者的角色转变为丧偶者的角色时，研究婚姻亲密对幸福指标（抑郁症状、悲伤和缓解）的影响。在患者死亡前后对118名终末期肾病患者的配偶进行了访谈。配偶报告了婚姻亲密程度、主观健康状况、抑郁症状、照顾负担和照顾满意度等多种死亡前压力指标，以及失去亲人后的悲伤、抑郁和解脱感。分层回归显示，性别（b = - 0.32, p < 0.001）、自我报告健康状况（b = - 0.28, p < 0.01）、婚姻亲密度（0.22,p < 0.05）和丧失前抑郁症状（b = 0.19, p < 0.10）可以预测丧失后悲伤。死亡前的照顾者负担（b = 0.28, p < 0.05）和婚姻亲密度（b = - 0.41, p < 0.001）预测了失去亲人后照顾者角色的缓解。主观健康（b = - 0.21, p < 0.05）和丧失前抑郁症状（b = 0.47, p < 0.001）预测抑郁症状随时间的变化。这些数据突出了悲伤、解脱和抑郁症状体验的差异，并表明婚姻亲密度起着核心作用。研究结果用婚姻质量理论进行解释。干预的影响，以改善照顾者和新丧偶配偶的生活进行了讨论。
To examine the effects of marital closeness on indicators of well-being (depressive symptoms, grief, and relief) as spouses transition from the role of caregiver to that of widowed person. 118 spouses of persons with end stage renal disease were interviewed prior to and after the death of the patient. Spouses reported on marital closeness, multiple indicators of pre-death strain as reflected by subjective health, depressive symptoms, caregiving burden, and caregiving satisfaction, as well as post-loss feelings of grief, depression, and relief. Hierarchical regressions indicated that post-loss grief was predicted by gender (b = −0.32, p < 0.001), self-reported health (b = −0.28, p < 0.01), marital closeness (0.22, p < 0.05), and pre-loss depressive symptoms (b = 0.19, p < 0.10). Caregiver burden (b = 0.28, p < 0.05) and marital closeness (b = −0.41, p < 0.001) before the death, predicted relief from the caregiver role post-loss. Subjective health (b = −0.21, p < 0.05) and pre-loss depressive symptoms (b = 0.47, p < 0.001) predicted change in depressive symptoms over time. These data highlight differences in the experiences of grief, relief, and depressive symptoms and suggest that marital closeness plays a central role. Results are interpreted in terms of theory regarding marital quality. Implications for interventions to improve the lives of caregivers and newly widowed spouses are discussed.
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影响因子：
5.7
作者：
Marwit, SJ;Meuser, TM
通讯作者：
Meuser, TM
影响因子：
5.7
作者：
BASS, DM;BOWMAN, K;NOELKER, LS
通讯作者：
NOELKER, LS
DOI：
10.1093/geronj/44.3.p61
发表时间：
1989-05-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
LAWTON, MP;KLEBAN, MH;GLICKSMAN, A
通讯作者：
GLICKSMAN, A
DOI：
10.2190/qna3-f9fy-utrv-l8ge
发表时间：
1993-01-01
影响因子：
2
作者：
MOSS, MS;MOSS, SZ;RESCH, N
通讯作者：
RESCH, N
影响因子：
5.7
作者：
BASS, DM;BOWMAN, K
通讯作者：
BOWMAN, K