The relationship between perceived support and depression in spousal care partners: a dyadic approach.

The relationship between perceived support and depression in spousal care partners: a dyadic approach.
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配偶照顾伙伴的感知支持与抑郁之间的关系:二元方法。

DOI:
10.1080/13607863.2020.1836474
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发表时间:
2021-10
影响因子:
3.4
通讯作者:
White C
White C
中科院分区:
医学2区
文献类型:
--
作者:
Meyer K;Patel N;White C

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配偶伴侣关系中的照顾标志着夫妻关系的一个新阶段。照顾引入了新的压力源,影响了夫妻的科普能力,并可能改变对情感支持的看法。以前对老年夫妇的研究表明,感知到的支持不仅影响个人的心理健康,而且影响他们的伴侣。到目前为止,情感支持和心理健康之间的二元关系在很大程度上是未经审查的支持期望可能会有所不同的合作伙伴。使用线性混合模型的演员合作伙伴相互依赖模型被应用于配偶的数据,其中一个合作伙伴在2014年和2016年的健康和退休研究浪潮中获得了成功。我们研究了演员和伴侣抑郁评分的配偶感知情感支持和紧张之间的横截面和滞后关联,以及是否是照顾者或照顾对象调节协会。对支持的积极看法与自己(B=-0.55,p值<0.001)和伴侣(B=-0.24,p值<0.001)的抑郁评分较低相关。行动者效应--一个人对支持的感知如何与他自己的抑郁症相关联--在接受照顾者中比在照顾者中更强(B=-0.83,p值<0.001 v. B=-0.26,p值<0.05)。更高的压力感知也与自己(B=0.57,p值<0.001)和伴侣(B=0.39,p值<0.001)的抑郁评分较高相关,即使在滞后模型中也存在这种关联。在这项研究中的演员和合作伙伴的影响的观察表明,通过干预与照顾者或两个成员的护理二分体的机会,以改善护理接受者的结果。
Caregiving within a spousal partnership marks a novel relationship stage for couples. Caregiving introduces new stressors and affects couples’ ability to cope, and potentially alters perceptions of emotional support. Prior research on older married couples illustrates how perceived support not only affects an individual’s mental health, but also that of their partner. To date, the dyadic relationship between emotional support and mental health is largely unexamined among caregiving partners, where support expectations may differ. Actor partner interdependence models using linear mixed modeling were applied to data from spouses where one partner received caregiving within the 2014 and 2016 waves of the Health and Retirement Study. We examined the cross-sectional and lagged associations between perceived emotional support and strain from a spouse on actor and partner depression scores, as well as whether one was the caregiver or the care recipient moderated associations. More positive perceptions of support were associated with lower depression scores for oneself (b=−0.55, p-value<0.001) and one’s partner (b= −0.24, p-value<0.001). Actor effects—how one’s own perceptions of support associate with one’s own depressive symptomology—were stronger for care recipients than for caregivers (b=−0.83, p-value<0.001 v. b=−0.26, p-value<0.05). Higher perceptions of strain were also associated with higher depression scores for oneself (b=0.57, p-value<0.001) and one’s partner (b=0.39 p- value<0.001), associations that remained even in lagged models. The observation of both actor and partner effects in this study suggests opportunities to improve care recipient outcomes through intervention with caregivers or both members of the care dyad.
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