Townsend A L, Franks M M
Department of Psychology, Kent State University, Ohio 44242-0001, USA.
Psychol Aging. 1995 Sep;10(3):343-51. doi: 10.1037//0882-7974.10.3.343.
The authors used a path model to test the hypothesis that emotional closeness and conflict between adult-child caregivers (N = 90) and their impaired parents mediated the impact of the parents' functional and cognitive impairment on the caregivers' subjective stress, subjective effectiveness, and depression. Closeness mediated the relationship between cognitive impairment and both stress and effectiveness, whereas conflict mediated cognitive impairment for all 3 outcomes and generally accounted for more variance. There was limited evidence that functional impairment was mediated by the quality of the relationship. Results highlight the importance of both positive and negative ties as intervening mechanisms influencing caregivers' well-being, especially in the presence of cognitive dysfunction.
成年子女照顾者（N = 90）与其受损父母之间的情感亲密程度和冲突，介导了父母功能和认知障碍对照顾者主观压力、主观效能感和抑郁的影响。亲密程度介导了认知障碍与压力和效能感之间的关系，而冲突介导了认知障碍对所有这三个结果的影响，并且总体上解释了更多的方差。仅有有限的证据表明功能障碍是由关系质量介导的。研究结果凸显了积极和消极关系作为影响照顾者幸福感的干预机制的重要性，尤其是在存在认知功能障碍的情况下。
