Lawton M P, Moss M, Hoffman C, Perkinson M
Polisher Research Institute, Temple Continuing Care Center, Philadelphia Geriatric Center, PA 19141-2996, USA.
Gerontologist. 2000 Aug;40(4):437-48. doi: 10.1093/geront/40.4.437.
Daughters and daughters-in-law of presently unmarried elders were studied longitudinally, and the data were analyzed to determine how two transitions in caregiving status affected the women of the younger generation. One transition compared noncaregivers who had become caregivers 1 year later ("caregiving entrants," n = 33) with continuing noncaregivers (n = 56) and with veteran continuing caregivers (n = 78) over the same period. The second transition followed Time 1 new caregivers as they became "new veteran" caregivers (n = 69), comparing them with "old veteran" caregivers (n = 189) over the same year. The transition to caregiving was marked by a decrease in the care receiver's competence and an increase in the amount of care received, but caregiving entrants' quality of life did not change significantly over 1 year, as compared with either continuing noncaregivers or veteran caregivers. Although longitudinal study shows little positive evidence for the wear-and-tear model of caregiving, methodological improvements are needed before discarding the hypothesis that caregiving erodes mental health.
对目前未婚老年人的女儿和儿媳进行了纵向研究,并对数据进行分析,以确定照料状态的两次转变如何影响年轻一代女性。一次转变是将1年后成为照料者的非照料者(“照料者新加入者”,n = 33)与同期持续的非照料者(n = 56)以及资深持续照料者(n = 78)进行比较。第二次转变是追踪时间1的新照料者成为“新资深”照料者(n = 69)的情况,并在同一年将他们与“老资深”照料者(n = 189)进行比较。向照料状态的转变表现为受照料者能力下降以及接受照料量增加,但与持续的非照料者或资深照料者相比,照料者新加入者的生活质量在1年内并未显著变化。尽管纵向研究几乎没有为照料的损耗模型提供积极证据,但在摒弃照料会损害心理健康这一假设之前,仍需要改进研究方法。