Son Juheui, Erno Amy, Shea Dennis G, Femia Elia E, Zarit Steven H, Stephens Mary Ann Parris
Pennsylvania State University, University Park, USA.
J Aging Health. 2007 Dec;19(6):871-87. doi: 10.1177/0898264307308568.
The authors examine the impact of two caregiving stressors, care receivers' behavior problems (an objective stressor) and caregivers' feelings of overload (a subjective stressor), on three dimensions of caregiver health.
The participants were 234 primary caregivers of elderly relatives with dementia living in the community who completed a comprehensive interview about their current care situation, including stressors and health.
Higher levels of both objective and subjective stressors were associated with all three dimensions of caregiver health: poorer self-reported health, more negative health behaviors, and greater use of health care services. The association between objective stressors and health was mediated by caregivers' feelings of overload.
These findings demonstrate caregivers' vulnerability to the effects of stressors across three dimensions of health and also underscore the importance of subjective appraisals of stress.
作者研究两种照护压力源，即受照护者的行为问题（一种客观压力源）和照护者的负担感（一种主观压力源）对照护者健康三个维度的影响。
参与者为234名居住在社区的患有痴呆症老年亲属的主要照护者，他们完成了一项关于其当前照护情况（包括压力源和健康状况）的综合访谈。
客观和主观压力源水平较高均与照护者健康的所有三个维度相关：自我报告的健康状况较差、负面健康行为较多以及医疗服务使用频率较高。客观压力源与健康之间的关联由照护者的负担感介导。
这些发现表明照护者在健康的三个维度上易受压力源影响，同时也强调了压力主观评估的重要性。
