发育障碍儿童的中年及老年父母的日常压力与皮质醇模式
Daily Stress and Cortisol Patterns in Midlife and Older Parents of Children With Developmental Disabilities.
作者信息
Kong Jooyoung, Mailick Marsha R, Almeida David M, Hong Jinkuk, Song Jieun, Dembo Robert S
机构信息
Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin, USA.
出版信息
J Gerontol B Psychol Sci Soc Sci. 2025 May 8;80(6). doi: 10.1093/geronb/gbaf067.
OBJECTIVES
The current study aims to investigate the association between daily stressful experiences and daily diurnal cortisol in midlife and older parents of children with developmental disabilities (DD) and a matched sample of parents of children without DD.
METHODS
Analyses were employed using data from the third wave of the National Study of Daily Experiences (NSDE 3) within the Midlife in the United States (MIDUS) study, a population-based sample. The study sample included 55 parents of children with DD and 591 comparison parents who provided diurnal cortisol data.
RESULTS
Multilevel modeling showed that parents of children with DD exhibited a less pronounced cortisol awakening response (CAR) on days when the severity of daily stressors was higher than their average level across days, a pattern that was different than in the comparison group. This finding may suggest a blunted CAR, which aligns with previous research on parents of children with DD and other groups facing chronic stress.
DISCUSSION
The current study describes a distinct pattern of cortisol response to stressful parenting, evident in midlife and older age, reflecting the lifelong impacts of parenting children with DD.
目的
本研究旨在调查发育障碍（DD）儿童的中年及老年父母日常压力经历与每日昼夜皮质醇之间的关联，并与无DD儿童的父母匹配样本进行比较。
方法
采用美国中年期（MIDUS）研究中全国日常经历研究（NSDE 3）第三波的数据进行分析，该研究为基于人群的样本。研究样本包括55名DD儿童的父母和591名提供昼夜皮质醇数据的对照父母。
结果
多层次模型显示，当日常压力源的严重程度高于其每日平均水平时，DD儿童的父母表现出较不明显的皮质醇觉醒反应（CAR），这一模式与对照组不同。这一发现可能表明CAR减弱，这与先前关于DD儿童父母和其他面临慢性压力群体的研究一致。
讨论
本研究描述了一种对压力育儿的独特皮质醇反应模式，在中年及老年期明显，反映了养育DD儿童的终身影响。
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