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老年父母的疼痛症状对成年子女的影响。

The Impact of Older Parents' Pain Symptoms on Adult Children.

机构信息

Department of Human Development, Cornell University, Ithaca, New York.

Department of Sociology, Purdue University, West Lafayette, Indiana.

出版信息

Pain Med. 2017 Dec 1;18(12):2316-2324. doi: 10.1093/pm/pnw320.

DOI:10.1093/pm/pnw320
PMID:28339638
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6279304/
Abstract

OBJECTIVE

Not only is persistent pain a debilitating health problem for older adults, it also may have negative effects on family relationships. Studies have documented the effects of pain on spouses and on parents of young children. However, research has not extended this line of inquiry to later life, and specifically to the impact of older parents' pain symptoms on adult children. This study addresses the question: Does older mothers' pain affect the quality of relations with offspring?

SUBJECTS AND DESIGN

Using data from a survey of 678 adult children of older mothers, this article presents two analyses examining the impact of mothers' self-reported pain on emotional closeness and on tension in the adult child-parent relationship.

RESULTS

Contrary to research conducted on younger families, multilevel models showed no effects on emotional closeness or tension in relationships with adult children when mothers experienced higher levels of persistent pain. This surprising finding suggests that mechanisms may exist that protect adult child caregivers from stressors that result from a relative's chronic pain.

CONCLUSIONS

Based on the findings of this article, further exploration of the impact of chronic pain on relations between adult children and their parents is justified. Of interest is exploration of factors that may insulate later-life intergenerational relationships from the effects of pain.

摘要

目的

持续性疼痛不仅是老年人健康受损的一个严重问题,还可能对家庭关系产生负面影响。已有研究记录了疼痛对配偶和幼儿父母的影响。然而,研究尚未将这一探究延伸到老年人群体,特别是老年人的疼痛症状对成年子女的影响。本研究探讨了以下问题:老年母亲的疼痛是否会影响与子女的关系质量?

研究对象和设计

本研究利用对 678 名老年母亲成年子女的调查数据,进行了两项分析,检验了母亲自述的疼痛对子女与母亲的情感亲密程度和紧张关系的影响。

结果

与针对年轻家庭开展的研究相反,当母亲经历更高水平的持续性疼痛时,多水平模型并未显示出对与成年子女关系的情感亲密程度或紧张关系产生影响。这一令人惊讶的发现表明,可能存在一些机制,可以保护成年子女照顾者免受亲属慢性疼痛带来的压力。

结论

基于本文的研究结果,有理由进一步探讨慢性疼痛对成年子女与其父母之间关系的影响。有趣的是,应该探索可能使代际关系免受疼痛影响的因素。

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本文引用的文献

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Do Positive Feelings Hurt? Disaggregating Positive and Negative Components of Intergenerational Ambivalence.积极情绪有害吗?剖析代际矛盾心理中的积极与消极成分。
J Marriage Fam. 2015 Feb;77(1):261-276. doi: 10.1111/jomf.12146.
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Prevalence of persistent pain in the U.S. adult population: new data from the 2010 national health interview survey.美国成年人口中持续性疼痛的患病率:2010年全国健康访谈调查的新数据。
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J Marriage Fam. 2012 Oct;74(5):1101-1113. doi: 10.1111/j.1741-3737.2012.01004.x.
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The impact of chronic pain: the perspective of patients, relatives, and caregivers.慢性疼痛的影响:患者、亲属及照料者的视角
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Systematic review of family functioning in families of children and adolescents with chronic pain.系统评价慢性疼痛儿童和青少年家庭中的家庭功能。
J Pain. 2010 Nov;11(11):1027-38. doi: 10.1016/j.jpain.2010.04.005.
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The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008.患者报告结局测量信息系统(PROMIS)开发并测试了其第一波成人自我报告健康结局项目库:2005-2008 年。
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Adult children's problems and successes: implications for intergenerational ambivalence.成年子女的问题与成功:对代际矛盾心理的启示。
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