Care Recipient Controlling and Manipulative Behavior and Caregiver Depressive Symptoms: The Role of Race, Caregiver Resentment, and Mutual Communal Behavior.
Care Recipient Controlling and Manipulative Behavior and Caregiver Depressive Symptoms: The Role of Race, Caregiver Resentment, and Mutual Communal Behavior.
复制标题
护理接受者控制和操纵行为以及护理人员抑郁症状：种族、护理人员怨恨和相互公共行为的作用。
DOI：
10.1093/geront/gnab087
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Williamson,GailM
中科院分区：
文献类型：
--
作者：
Johnson,MichelleR;Lance,CharlesE;Williamson,GailM
背景和目的我们探讨了关系质量，作为衡量相互社区行为，是否会作为一个缓冲照顾者的怨恨，因此，抑郁症状时，照顾者（CR）从事的问题行为（即，控制和操纵行为（CMB）。使用照顾者苦恼的共同核心模型，我们假设，照顾者的怨恨可以解释为什么照顾者抑郁时，他们的CR从事CMB。我们预测，CRCMB通过怨恨对抑郁症状的间接影响将取决于照顾者和CR之间的公共纽带的强度。怨恨预计将发挥重要作用，在解释CRCMB和抑郁症状之间的关联照顾者在社区关系少，但小或不存在的作用，那些在高度社区关系。我们还调查了这些影响是否是不同的黑人和白色carefer.Research Design and MethodsData获得了187个黑人和247个白色照顾者从第二个家庭关系在晚年项目。在测试我们的模型之前，我们确认了本研究中使用的四个量表的测量等效性/不变性。ResultsResentment介导了CRCMB和抑郁症状之间的关联。然而，在高度社区化的照顾者中，间接影响更大。照顾者的种族并没有温和的调解。讨论和implicationsThe照顾者和CR之间的公共债券并不完全保护照顾者抑郁症状，特别是在高度社区照顾者。旨在改善照顾者结果的干预措施应承认照顾者在亲密关系中的独特脆弱性。
Background and ObjectivesWe explored whether relationship quality, as measured by mutual communal behavior, would serve as a buffer against caregiver resentment and, consequently, depressive symptoms when care recipients (CRs) engage in problem behavior (i.e., controlling and manipulative behavior [CMB]). Using the common core model of caregiver distress, we hypothesized that caregiver resentment would explain why caregivers were depressed when their CRs engage in CMB. We predicted that the indirect effect of CRCMB on depressive symptoms via resentment would depend on the strength of the communal bond between the caregiver and CR. Resentment was expected to play a significant role in explaining the association between CRCMB and depressive symptoms for caregivers in less communal relationships, but a small or nonexistent role for those in highly communal relationships. We also investigated whether these effects were different for Black and White caregivers.Research Design and MethodsData were obtained from 187 Black and 247 White caregivers from the second Family Relationships in Late Life Project. Before testing our model, we confirmed the measurement equivalence/invariance of the four scales used in this study.ResultsResentment mediated the association between CRCMB and depressive symptoms. However, the indirect effect was larger among highly communal caregivers. Caregiver race did not moderate the moderated mediation.Discussion and ImplicationsThe communal bond between the caregiver and CR does not entirely protect the caregiver from depressive symptoms, particularly among highly communal caregivers. Interventions aimed at improving caregiver outcomes should acknowledge the unique vulnerabilities of caregivers in close relationships.