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背景中的照顾者身份:来自兄弟姐妹的身份威胁的后果。

The Caregiver Identity in Context: Consequences of Identity Threat From Siblings.

机构信息

Department of Sociology, Center on Aging and the Life Course, Purdue University, West Lafayette, Indiana.

Department of Human Development and Family Studies, Iowa State University, Ames.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Sep 13;76(8):1593-1604. doi: 10.1093/geronb/gbaa099.

DOI:10.1093/geronb/gbaa099
PMID:32674158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8436691/
Abstract

OBJECTIVES

Although siblings represent central members of the networks of caregivers and their parents, there has been limited attention to how siblings affect one another's well-being during caregiving. In this article, we draw from theories of identity and stress to examine the impact that siblings have on caregivers' psychological well-being. Specifically, we employ a mixed-methods approach to explore whether caregivers' perceptions that their siblings are critical of the care they provide their mother are associated with higher depressive symptoms and the mechanisms underlying this association.

METHODS

Using quantitative data collected from 404 caregivers nested within 231 families as part of the Within-Family Differences Study, we conduct mediation analyses to examine whether perceived sibling criticisms are associated with caregivers' depressive symptoms (a) directly and/or (b) indirectly through sibling tension. We then analyze qualitative data collected from the same caregivers to gain insight into the processes underlying statistical associations.

RESULTS

Quantitative analyses revealed that there was no direct relationship between perceived sibling criticisms and depressive symptoms; there was, however, an indirect relationship such that perceived sibling criticisms were associated with greater sibling tension, which in turn was associated with higher depressive symptoms. These quantitative findings were corroborated by qualitative analyses, which demonstrated that, in an effort to mitigate the negative impact of sibling criticisms, caregivers often employed strategies that may have fueled sibling tension.

DISCUSSION

These findings demonstrate how identity processes, as well as the family networks in which caregiving takes place, shape the experiences and consequences of parent care.

摘要

目的

尽管兄弟姐妹是照顾者及其父母的关系网络中的核心成员,但对于兄弟姐妹在照顾过程中如何相互影响照顾者的幸福感,关注有限。在本文中,我们借鉴身份和压力理论,探讨兄弟姐妹对照顾者心理健康的影响。具体而言,我们采用混合方法来探索照顾者是否认为他们的兄弟姐妹对他们为母亲提供的照顾持批评态度,这是否与更高的抑郁症状相关,以及这种关联的潜在机制。

方法

利用作为“家庭内差异研究”一部分从 231 个家庭中的 404 名照顾者中收集的定量数据,我们进行中介分析,以检验照顾者对兄弟姐妹批评的看法是否与他们的抑郁症状(a)直接相关,以及/或(b)通过兄弟姐妹之间的紧张关系间接相关。然后,我们分析从同一照顾者收集的定性数据,以深入了解统计关联背后的过程。

结果

定量分析表明,感知到的兄弟姐妹批评与抑郁症状之间没有直接关系;但是存在间接关系,即感知到的兄弟姐妹批评与更大的兄弟姐妹紧张关系相关,而这种紧张关系又与更高的抑郁症状相关。这些定量发现得到了定性分析的证实,这些分析表明,为了减轻兄弟姐妹批评的负面影响,照顾者通常采用可能加剧兄弟姐妹紧张关系的策略。

讨论

这些发现表明,身份过程以及照顾发生的家庭网络如何塑造父母照顾的经历和后果。

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本文引用的文献

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Continuity and Change in Mothers' Favoritism Toward Offspring in Adulthood.成年期母亲对子女偏爱中的连续性与变化
J Marriage Fam. 2013 Oct;75(5):1229-1247. doi: 10.1111/jomf.12067. Epub 2013 Sep 3.
2
Self-esteem, self-efficacy, and optimism as psychological resources among caregivers of people with dementia: findings from the IDEAL study.自尊、自我效能感和乐观主义作为痴呆症患者照料者的心理资源:来自理想研究的发现。
Int Psychogeriatr. 2019 Sep;31(9):1259-1266. doi: 10.1017/S1041610219001236.
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Sibling relationships in older adulthood: Links with loneliness and well-being.老年期的兄弟姐妹关系:与孤独感和幸福感的关联。
J Fam Psychol. 2020 Mar;34(2):175-185. doi: 10.1037/fam0000586. Epub 2019 Aug 15.
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Translating Basic Research on the Aging Family to Caregiving Intervention: The Case of Within-Family Differences.将关于老龄化家庭的基础研究转化为照护干预:以家庭内部差异为例。
Innov Aging. 2018 Feb 6;2(1):igx035. doi: 10.1093/geroni/igx035. eCollection 2018 Jan.
5
The Burden and Benefits of Caregiving: A Latent Class Analysis.照顾者的负担和获益:潜在类别分析。
Gerontologist. 2019 Nov 16;59(6):1078-1091. doi: 10.1093/geront/gny022.
6
Perceptions of Purpose in Life Within Spousal Care Dyads: Associations With Emotional and Physical Caregiving Difficulties.配偶照顾者对生活目标的认知:与情感和身体照顾困难的关联。
Ann Behav Med. 2018 Jan 5;52(1):77-87. doi: 10.1093/abm/kax005.
7
Conflict with Mothers and Siblings During Caregiving: Differential Costs for Black and White Adult Children.照顾过程中与母亲和兄弟姐妹的冲突:黑人和白人成年子女的不同代价。
J Gerontol B Psychol Sci Soc Sci. 2018 Sep 20;73(7):e86-e97. doi: 10.1093/geronb/gbx149.
8
The positive aspects of caregiving in dementia: A critical review of the qualitative literature.痴呆症照顾的积极方面:定性文献的批判性回顾。
Dementia (London). 2016 Nov;15(6):1534-1561. doi: 10.1177/1471301214564792. Epub 2014 Dec 29.
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