Park C L, Folkman S
University of California, San Francisco, USA.
J Pers. 1997 Jun;65(2):421-47. doi: 10.1111/j.1467-6494.1997.tb00960.x.
This study examines the effects of caregiving and bereavement on psychosocial resources in HIV+ and HIV- caregivers of men with AIDS. We explored three hypotheses regarding these effects: the "wear and tear" hypothesis, which asserts that the chronic stress of caregiving and bereavement diminishes resources; the "enhancement" hypothesis, which asserts that caregiver resources may increase in response to increased demands; and the "personality" hypothesis, which asserts that psychosocial resources reflect stable personality characteristics. We addressed four questions: (a) What are the effects of caregiving on resources? (b) How do these resources vary by the imminence of the partner's death? (c) What is the effect of the partner's death on these resources? and (d) How does the caregivers' HIV serostatus influence the effects of caregiving and bereavement on resources? Support for the personality hypothesis predominated, with some support for the wear and tear hypothesis, depending on the resource in question. In general, HIV seropositivity did not put people at additional risk for resource depletion.
本研究考察了艾滋病男性患者的HIV阳性和HIV阴性照料者的照料及丧亲经历对其心理社会资源的影响。我们探究了关于这些影响的三个假设:“损耗”假设,即认为照料及丧亲的慢性压力会消耗资源;“增强”假设,即认为照料者资源可能会因需求增加而增多;以及“个性”假设,即认为心理社会资源反映了稳定的个性特征。我们探讨了四个问题:(a) 照料对资源有何影响?(b) 这些资源如何因伴侣死亡的临近程度而变化?(c) 伴侣死亡对这些资源有何影响?以及(d) 照料者的HIV血清学状态如何影响照料及丧亲对资源的影响?对个性假设的支持占主导地位,对损耗假设也有一些支持,这取决于所讨论的资源。总体而言,HIV血清阳性并未使人们面临资源耗竭的额外风险。