Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.
Aging Ment Health. 2020 Dec;24(12):2073-2081. doi: 10.1080/13607863.2019.1647136. Epub 2019 Jul 31.
Family caregivers make employment adjustment to fulfill caregiving responsibility. However, the studies on the family caregivers' mental health outcomes associated with their employment adjustment are limited. This study utilized the role theory and stress process model of caregiving to examine the relationship between employment adjustment and mental health outcomes among family caregivers, and to test family-to-work role conflict as a mediator and workplace support as a moderator in this relationship. Data (n = 1,696) were drawn from the 2012 Canada General Social Survey: Caregiving and Care Receiving. Findings suggest that employment adjustment is significantly associated with negative mental health outcomes including worse self-rated mental health and higher life stress level. In addition, family-to-work role conflict mediates between employment adjustment and mental health outcomes, with the mediating effect as significant at all levels of workplace support and as weak with increasing workplace support. The findings highlight the role of family-to-work role conflict in understanding the influence of employment adjustment on family caregiver's mental health, and the implication of workplace support on promoting caregiver-friendly workplace culture to alleviate family-to-work role conflict thereby resulting in better mental health outcomes.
家庭照顾者为履行照顾责任而进行就业调整。然而，关于家庭照顾者就业调整与心理健康结果之间关系的研究有限。本研究利用角色理论和照顾压力过程模型，检验了家庭照顾者就业调整与心理健康结果之间的关系，并检验了家庭-工作角色冲突作为这一关系的中介，以及工作场所支持作为调节因素的作用。数据（n=1696）来自 2012 年加拿大综合社会调查：照顾和接受照顾。研究结果表明，就业调整与负面心理健康结果显著相关，包括自我评估的心理健康状况更差和生活压力水平更高。此外，家庭-工作角色冲突在就业调整和心理健康结果之间起中介作用，在所有工作场所支持水平下，中介效应均显著，随着工作场所支持的增加，中介效应逐渐减弱。研究结果强调了家庭-工作角色冲突在理解就业调整对家庭照顾者心理健康影响方面的作用，以及工作场所支持在促进照顾者友好型工作场所文化方面的意义，以减轻家庭-工作角色冲突，从而获得更好的心理健康结果。
