University of Southern California, Los Angeles, 90089-0191, USA.
J Gerontol B Psychol Sci Soc Sci. 2010 Jan;65B(1):5-13. doi: 10.1093/geronb/gbp096. Epub 2009 Nov 24.
This review revises the sociocultural stress and coping model for culturally diverse family caregivers proposed in 1997 by Aranda and Knight. Available research on the influence of cultural values on the stress and coping process among family caregivers supports a common core model that is consistent across ethnic groups and that links care recipients' behavior problems and functional impairments to caregivers' burden appraisals and health outcomes. Familism as a cultural value appears to be multidimensional in its effects, with obligation values often being more influential than family solidarity. The effects of cultural values and other ethnic differences in stress and coping appear to involve social support and coping styles rather than burden appraisals. Implications of the revised model for research and practice are discussed.
本综述修订了 1997 年由 Aranda 和 Knight 提出的针对文化多元化家庭照顾者的社会文化压力与应对模型。现有研究表明，文化价值观对家庭照顾者压力和应对过程的影响支持一个共同的核心模型，该模型在不同族群中具有一致性，并将照顾对象的行为问题和功能障碍与照顾者的负担评估和健康结果联系起来。家庭主义作为一种文化价值观，其影响似乎具有多维度性，其中义务价值观通常比家庭团结更具影响力。压力和应对方面的文化价值观和其他族群差异的影响似乎涉及社会支持和应对方式，而不是负担评估。讨论了修订模型对研究和实践的意义。
