Lawton M P, Moss M, Kleban M H, Glicksman A, Rovine M
Philadelphia Geriatric Center.
J Gerontol. 1991 Jul;46(4):P181-9. doi: 10.1093/geronj/46.4.p181.
Groups of spouse (N = 285) and adult child (N = 244) caregivers of elderly parents suffering from Alzheimer's disease were interviewed regarding their caregiving behaviors, evaluations of caregiving, and general psychological well-being. A model of caregiving dynamics where the objective stressor, caregiver resources, and subjective appraisal of caregiving (operationalized as caregiving satisfaction and burden) were studied as they affected both positive affect and depression was tested. For spouses, caregiving satisfaction was not related to aspects of the stressor, but was a significant determinant of positive affect. Among adult children, high levels of caregiving behavior resulted in both greater caregiving satisfaction and burden. Burden, in turn, was related to depression in both groups but, among adult child caregivers, positive affect was not affected by caregiving satisfaction. Limited support was found for the hypothesis that the positive and negative aspects of caregiving contributed to analogous aspects of generalized psychological well-being but not to the opposite-valence outcomes.
对患有阿尔茨海默病的老年父母的配偶照顾者群体（N = 285）和成年子女照顾者群体（N = 244）进行了访谈，内容涉及他们的照顾行为、对照顾的评价以及总体心理健康状况。检验了一个照顾动态模型，该模型研究了客观压力源、照顾者资源以及对照顾的主观评价（具体化为照顾满意度和负担）如何影响积极情感和抑郁。对于配偶照顾者而言，照顾满意度与压力源的各个方面无关，但却是积极情感的一个重要决定因素。在成年子女照顾者中，高水平的照顾行为导致了更高的照顾满意度和负担。负担反过来在两组中都与抑郁有关，但在成年子女照顾者中，积极情感不受照顾满意度的影响。关于照顾的积极和消极方面对广义心理健康的类似方面有贡献，但对相反效价结果没有贡献这一假设，得到的支持有限。
