Caregiving as a dyadic process: Perspectives from caregiver and receiver

Caregiving as a dyadic process: Perspectives from caregiver and receiver
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DOI:
10.1093/geronb/57.3.p195
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发表时间:
2002-05-01
影响因子:
6.2
通讯作者:
Whitlatch, CJ
Whitlatch, CJ
中科院分区:
医学1区
文献类型:
--
作者:
Lyons, KS;Zarit, SH;Whitlatch, CJ

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大多数家庭护理研究依赖于照顾者的观点,但没有系统地检查接受照顾的老年人的观点和意见。本研究调查了63对照顾者,以确定每个成员的反应如何影响另一组成员的幸福。照顾者关系紧张可预测其自身抑郁和负面健康,但照顾者与受照顾者的结果无显著关联。采用多层次模型评估受护者需求与照顾困难评估的二元差异程度。结果表明,在被照顾者的需求上几乎没有分歧,但在他们对照顾困难的评价上,被照顾者和照顾者的意见有多大差异。照顾者感知到的关系紧张,而不是被照顾者感知到的,与这种分歧显著相关。
Most family caregiving research has relied on the perspective of the caregiver but has not systematically examined the views and opinions of the elder who is receiving care. The present study examined 63 caregiving dyads to determine how the responses of each member had an impact on the well-being of the other member of the dyad. Caregiver relationship strain predicted his or her own depression and negative health, but no significant association was found between caregiver and care recipient outcomes. Multilevel modeling was used to assess the level of dyadic discrepancy over the care recipient's needs and appraisal of caregiving difficulties. Results indicate that there is little disagreement over the care recipient's needs, but a significant amount of variation in how much the care recipient and caregiver agree on their appraisals of caregiving difficulties. Relationship strain perceived by the caregiver, but not the care recipient, was significantly associated with this disagreement.