Caregiver Burden, Care Recipient Depressive Symptomology, and Social Exchange: Does Race Matter?

Caregiver Burden, Care Recipient Depressive Symptomology, and Social Exchange: Does Race Matter?
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DOI:
10.1177/0825859718758120
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发表时间:
2018-04
影响因子:
1.7
通讯作者:
Drentea P
Drentea P
中科院分区:
医学4区
文献类型:
--
作者:
Ejem D;Bauldry S;Bakitas M;Drentea P

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非正式护理人员在支持重病患者方面发挥着重要作用。然而,非正式的照顾是一种负担,可能会对照顾者和被照顾者的健康产生负面影响。这项研究的目的是评估照顾者负担,照顾者抑郁症和种族之间的关系。在社会交换视角的指导下,我们研究了来自国家长期护理调查(N= 1,279)的横截面二元数据。使用有序逻辑回归,我们发现较高的患者报告的客观负担与较高的护理接受者抑郁症状相关(p <0.05);黑人的相关性更强。有趣的是,尽管显着水平的客观负担,有一个较低的抑郁症状之间的关联,在黑色的照顾者时,有一个交换的社会良好的“有帮助的公司”与照顾者。这些研究结果说明了支持互惠交流的重要性,作为一个有前途的组成部分,保持平衡的黑人老年人和他们的非正式照顾者之间的照顾者关系。
Informal caregivers play a vital role in supporting seriously-ill patients. However, informal caregiving is burdensome, and can lead to negative health outcomes for the caregiver and the care recipient. The study’s aim was to evaluate relationships among caregiver burden, care recipient depressive symptomology, and race. Guided by the Social Exchange Perspective, we examined cross-sectional dyadic data from the National Long Term Care Survey (N= 1,279). Using ordinal logistic regression, we found that higher caregiver-reported objective burden was associated with higher care recipient depressive symptoms (p < .05); an association that was stronger for Blacks. Interestingly, despite significant levels of objective burden there was an association between lower depressive symptoms in Black care recipients when there was an exchange of the social good “helpful company” with a caregiver. These findings illustrate the importance of supporting reciprocal exchange as a promising component of maintaining balanced caregiver-care recipient relationships among Black older adults and their informal caregivers.
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