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Parental disability parent care and offspring mental health outcomes

机译:父母残疾父母照料和后代心理健康状况

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摘要

Decades of research supports a widely held view that providing parent care is stressful, and that these stresses are associated with adverse mental health outcomes. However, some recent studies suggest an additional possibility, namely that “noncaregiver stress”—a consequence of having a parent with major care needs, but not being an active caregiver—may be a serious problem as well. This finding emerges in data which permit separate controls for parental needs for care and offspring provision of parent care. We extend these results using Generations and Gender Programme data from five countries—Bulgaria, France, Georgia, Romania, and Russia—for which the necessary variables can be comparably measured. Our outcome variable is a depression score based on a 7-item scale. In country-specific regressions, we find two instances of statistically significant associations of depression with the regular provision of personal care to a parent with care needs, i.e., the usual “caregiver stress” result. However, we also find two instances of statistically significant differences in respondents’ depressive symptoms that are associated with having a parent with care needs, i.e., instances of “noncaregiver stress.” We find limited evidence of gender-specific responses to both forms of stress. Our evidence supports both the typical caregiver stress response and the less-studied noncaregiver stress response, which suggests the need for additional research.
机译:数十年来的研究支持一种广泛持有的观点,即提供父母照料是有压力的,并且这些压力与不良的心理健康结果有关。但是,最近的一些研究表明,还有另一种可能性,即“非照料者压力”(由于父母有主要照料需求而不是积极照料者的结果)也可能是一个严重的问题。这一发现出现在数据中,这些数据允许对父母的照料需求和子女的父母照料提供单独的控制。我们使用来自五个国家(保加利亚,法国,格鲁吉亚,罗马尼亚和俄罗斯)的“世代和性别计划”数据扩展了这些结果,可以比较地测量其必要变量。我们的结果变量是基于7个项的量表的抑郁得分。在特定国家/地区的回归中,我们发现抑郁症与定期向有照顾需要的父母定期提供个人护理有关的统计学上显着的关联,即通常的“照顾者压力”结果。但是,我们还发现与父母有照顾需要相关的受访者的抑郁症状在统计学上有显着差异的两个实例,即“非照顾者压力”实例。我们发现有限的证据表明针对两种压力形式的针对性别的反应。我们的证据支持典型的照料者压力反应和研究较少的非照料者压力反应,这表明需要进一步的研究。

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