Adaptation to a spouse's disability by parents of adult children with mental illness or developmental disability.

Adaptation to a spouse's disability by parents of adult children with mental illness or developmental disability.
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DOI:
10.1176/appi.ps.201200014
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发表时间:
2012-11
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Seltzer MM
Seltzer MM
中科院分区:
其他
文献类型:
--
作者:
Ghosh S;Greenberg JS;Seltzer MM

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本研究探讨了老年父母中配偶残疾对幸福感的影响,这些老年父母已经担任患有严重精神疾病或发育障碍的成年子女的照顾者。研究样本包括威斯康星州纵向研究的两组参与者,1957年高中毕业生和他们随机选择的兄弟姐妹-那些有残疾子女的人(N=227)。和一个没有残疾孩子的父母的匹配对照组(N= 1,463)。参与者在1992-1994年和2004-2006年接受了调查,1992-1994年有残疾配偶的参与者被排除在分析之外。采用回归分析的方法研究了多重角色的影响。患有严重精神疾病的成年子女的父母比患有发育性残疾的成年子女的父母或对照组更有可能报告他们的配偶在退休前几年出现残疾。照顾残疾配偶的经历和照顾残疾成年子女的经历在侵蚀老年人的福祉方面具有叠加效应。一般来说,患有严重精神疾病的成年子女的父母幸福感最低。随着他们进入退休年龄,照顾长期残疾儿童的年迈父母可能会经历多重负担。服务提供者必须满足这些年迈父母的需求,并制定干预措施,帮助他们科普和规划未来。
This study examined the effects on well-being of a spouse’s disability among aging parents already serving as caregivers of adult children with severe mental illness or a developmental disability The study sample consisted of two groups of participants in the Wisconsin Longitudinal Study of 1957 high school graduates and their randomly selected siblings—those who had a child with a disability (N=227) and a matched comparison group of parents who did not have a child with a disability (N=1,463). The participants were surveyed in 1992–1994 and 2004–2006, and participants with a spouse with a disability in 1992–1994 were excluded from the analysis. The effect of multiple caregiving roles was investigated by using regression analysis. Parents of adult children with severe mental illness were more likely than either parents of adult children with developmental disabilities or the comparison group to report that their spouse developed a disability in the early retirement years. The experience of caring for a spouse with a disability and the experience of caring for an adult child with disabilities had additive effects in eroding the well-being of older adults. Parents of adult children with severe mental illness in general had the lowest levels of well-being. As they move into their retirement years, aging parents who care for children with long-term disabilities are likely to experience multiple caregiving responsibilities. Service providers must address the needs of these aging parents and develop interventions to help them cope and plan for their future.
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