照料他人会导致心理困扰吗？女性双胞胎中家庭和遗传易感性的案例。
Does caregiving cause psychological distress? The case for familial and genetic vulnerabilities in female twins.
作者信息
Vitaliano Peter P, Strachan Eric, Dansie Elizabeth, Goldberg Jack, Buchwald Dedra
机构信息
Department of Psychiatry and Behavioral Sciences, University of Washington, PO Box 356560, Seattle, WA, 98195, USA,
出版信息
Ann Behav Med. 2014 Apr;47(2):198-207. doi: 10.1007/s12160-013-9538-y.
BACKGROUND
Informal caregiving can be deleterious to mental health, but research results are inconsistent and may reflect an interaction between caregiving and vulnerability to stress.
METHODS
We examined psychological distress among 1,228 female caregiving and non-caregiving twins. By examining monozygotic and dizygotic twin pairs discordant for caregiving, we assessed the extent to which distress is directly related to caregiving or confounded by common genes and environmental exposures.
RESULTS
Caregiving was associated with distress as measured by mental health functioning, anxiety, perceived stress, and depression. The overall association between caregiving and distress was confounded by common genes and environment for mental health functioning, anxiety, and depression. Common environment also confounded the association of caregiving and perceived stress.
CONCLUSIONS
Vulnerability to distress is a factor in predicting caregivers' psychosocial functioning. Additional research is needed to explicate the mechanisms by which common genes and environment increase the risk of distress among informal caregivers.
背景
非正式护理可能对心理健康有害，但研究结果并不一致，可能反映了护理与应激易感性之间的相互作用。
方法
我们对1228名女性护理和非护理双胞胎的心理困扰进行了研究。通过检查在护理方面不一致的同卵和异卵双胞胎对，我们评估了困扰与护理直接相关的程度，或受共同基因和环境暴露影响的程度。
结果
根据心理健康功能、焦虑、感知压力和抑郁的测量，护理与困扰相关。护理与困扰之间的总体关联在心理健康功能、焦虑和抑郁方面受共同基因和环境的影响。共同环境也混淆了护理与感知压力之间的关联。
结论
困扰易感性是预测护理人员心理社会功能的一个因素。需要进一步的研究来阐明共同基因和环境增加非正式护理人员困扰风险的机制。
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