Cohen Donna, Greene Jennifer A, Toyinbo Peter A, Siskowski Constance T
Department of Child & Family Studies, University of South Florida, MHC 2516, 13301 Bruce B. Downs Blvd., Tampa, FL 33612, USA.
J Behav Health Serv Res. 2012 Jul;39(3):245-56. doi: 10.1007/s11414-011-9264-9.
Secondary data analyses were conducted on a survey dataset from 1,281 middle school students to analyze the impact of family caregiving on self-reports of psychological well-being using the Multiple Indicators, Multiple Causes (MIMIC) model. Factor analysis resulted in four latent factors underlying psychological functioning, and the MIMIC model revealed significant caregiver effects on three factors: anxiety/depression, engaged coping, and disengaged coping, but not life satisfaction. Youth caregivers, especially those living with the care recipient, reported significantly higher anxiety/depression and a greater use of both coping styles compared to non-caregivers. Caregiving has a negative influence on the emotional well-being of youth with dual student-caregiver roles. The utilization of more coping strategies may reflect needing to try many approaches to school/family stressors because supports and experience are limited. Research to clarify how caregiving mediates the behavioral health and academic success of youth and also impacts care recipients and the family is warranted.
对来自1281名中学生的调查数据集进行了二次数据分析，以使用多指标多原因（MIMIC）模型分析家庭照顾对心理健康自我报告的影响。因子分析得出心理功能背后的四个潜在因素，MIMIC模型显示照顾者对三个因素有显著影响：焦虑/抑郁、积极应对和消极应对，但对生活满意度没有影响。与非照顾者相比，青少年照顾者，尤其是那些与受照顾者生活在一起的照顾者，报告的焦虑/抑郁程度明显更高，并且更多地使用两种应对方式。照顾对身兼学生和照顾者双重角色的青少年的情绪健康有负面影响。更多应对策略的使用可能反映出由于支持和经验有限，需要尝试多种方法来应对学校/家庭压力源。有必要进行研究以阐明照顾如何调节青少年的行为健康和学业成就，以及如何影响受照顾者和家庭。
