Increasing Family Members' Appreciation of Family Caregiving Stress

Participants read a message discussing the duties of a typical family caregiver (for example, a woman taking care of her elderly mother) and the associated psychological, physical, social, and financial stresses. The message was accompanied by an appeal that was either a control or was altruistic (other-oriented: focusing on the mother/caregiver's well-being) or egoistic (self-oriented: focusing on the child of the caregiver's needs and feelings). Participants who received an altruistic appeal were more appreciative of caregiving stresses than were those given an egoistic or a control appeal. Increasing family members' awareness of the stress involved in family caregiving is a first step in encouraging them to personally intervene on behalf of the caregiver.     

Effects of Culture,Gender, and Moral Obligations on Responses to Charity Advertising Across Masculine and Feminine Cultures

Two studies investigated the effects of charity advertising on perceptions of moral obligation to help others and gauged ad evaluation. This was done in cultures that were similar in individualism but differed in either masculinity (United States and Canada) or femininity (Denmark and Norway). Participants read appeals that solicited donations to charity by focusing on either egoistic or altruistic motives. In masculine cultures, men preferred the egoistic ad and women preferred the altruistic one. In feminine cultures, where women are agentic and men are allowed to be nurturing, the opposite was the case. Exposure to both types of ads activated a sense of personal obligation among men in feminine nations and women in masculine nations. However, their opposite‐sex counterparts reacted against these ads. Implications of these findings for an understanding of culture and sex differences in advertising effectiveness are discussed.     

Teenage parenting in different cultures,family constellations,and caregiving environments: Effects on infant development

Teenage parenting was investigated in different ethnic groups (Cuban and American Black), family constellations (single-parent, nuclear, and extended families), and primary caregiving arrangements (mother versus other). One hundred sixty-four infants born to a representative sample of teenage mothers were observed during interactions with their mothers and were given developmental assessments when they were 12, 18, and 24 months of age. Being a Cuban mother, living in a nuclear family, and being a secondary caregiver were each associated independently with stronger social support systems and more positive child-rearing attitudes and mother-infant play interactions. Despite these early advantages, maternal stimulation and infant performance decreased over the second year of life irrespective of ethnic group, family constellation, and caregiving arrangements.     

Family,friend, and neighbour child care providers and maternal well‐being in low‐income systems: An ecological social perspective

Integrating theory from the family ecological systems and social support literatures with findings from child care research, in this study we develop and test a model relating family, friend, and neighbour (FFN) child care provider characteristics to perceived child care quality (provider reports of caregiving behaviours, mother‐provider caregiving relationship) and maternal well‐being (work‐family conflict, depressive symptoms). Results from phone interviews with 187 FFN providers receiving public subsidies indicated that even after controlling for familial status or household income, caregiver perceptions of higher quality care were associated with higher education levels, greater attachment to child care as a job; and lower provider depressive symptoms. After controlling for familial status, data analysed from a subset of 51 mother‐provider pairs, indicated that mothers using care from providers who reported higher quality parent‐caregiver social relationships reported lower work‐family conflict and depressive symptoms. This study suggests mothers who have providers with whom they have good caregiving interactions may experience positive social support and psychological crossover dynamics associated with mother well‐being.     

Discussion of care,contribution, and perceived (in)gratitude in the family caregiver and sibling relationship

This qualitative analysis focuses on the discussion of care, division of labor, and perceptions of gratitude and ingratitude between an adult primary caregiver of an elderly parent and his or her sibling(s). Interviews with 20 caregivers addressed the following questions: When do caregivers feel appreciated or unappreciated by siblings? How do siblings communicate that appreciation? How does gratitude influence the experience of caregiving and family relationships during caregiving? Findings revealed that gratitude was manifested through verbal and behavioral expressions, with antithetical communication that left the caregiver feeling unappreciated. Verbal expressions of gratitude included a simple “thank you,” thanks for what the caregiver does, and for who the caregiver is. The inverse of these expressions included neglecting to say “thank you,” failing to identify the extent of the caregiver's work, and communicating criticism. Behavioral expressions took the form of following through on promises, and failing to do so presented as ingratitude.     

Mixed reasons,missed givings: The costs of blending egoistic and altruistic reasons in donation requests

Do people give more when benefits to others and oneself are emphasized? We propose that mixing egoistic and altruistic reasons reduces the likelihood of giving by increasing individuals' awareness that a persuasion attempt is occurring, which elicits psychological reactance. In Experiment 1, university alumni were less likely to give money to their alma mater when an electronic donation request emphasized both egoistic and altruistic reasons, compared to either reason alone. In Experiment 2, undergraduates reported lower giving intentions when a donation request emphasized an altruistic and an egoistic reason, compared to either altruistic or egoistic reasons alone. In Experiment 3, undergraduates reported lower intentions to give to the Make-A-Wish Foundation when the donation request featured both egoistic and altruistic reasons; this effect was mediated in two stages by increased persuasion awareness and heightened psychological reactance. This research sheds light on when messages that purport to align self-interest and other-interest can backfire.     

家庭照料对照料者心理健康的影响

家庭照料通过不同途径和不同因素影响照料者心理健康,包括积极影响和消极影响。早期研究多关注家庭照料带来的消极影响以及相关个体水平变量所起的作用,当前研究中逐渐增加了对照料积极方面的关注,同时更加强调背景变量和个体间关系变量的作用。该文介绍了家庭照料研究中两个重要的理论模型：压力过程模型和双因素模型;总结了不同水平上的各种变量分别对照料的积极和消极作用途径产生的影响;提出了家庭照料者研究发展呈现出的两个趋势：理论模型更为整体化、系统化,研究的关注点由个体水平变量转向反映个体与环境间相互作用的变量;并对我国目前研究中的问题和发展方向进行了讨论     

Burden in schizophrenia caregivers: impact of family psychoeducation and awareness of patient suicidality

Family caregivers of persons with schizophrenia and other psychotic disorders experience high levels of burden. Although a number of patient and caregiver predictors of burden have been identified, little research has investigated the contributions of patient depression, suicidal ideation, and substance abuse. In addition, family psychoeducation interventions have reduced patient symptoms, as well as inpatient treatment utilization; however, it is not known whether or not these interventions reduce family burden. This study investigated predictors of family burden and tested to what degree multiple family group treatment (MFGT), relative to a standard care condition, was associated with reduced family burden. Participants were 90 outpatients with a diagnosis of schizophrenia or other psychotic disorders, and their caregivers who were enrolled in a 2 year psychoeducation intervention. The best set of predictors of burden, identified by stepwise linear regression, was young patient age, awareness of patient's suicidal ideation, and family resources. These variables accounted for 32% of the total variance in burden. Findings suggest that caregiver's awareness of patient's suicidal ideation, not patient's report of suicidal ideation; and that patient age, not duration of the illness, were significant independent predictors of burden. When compared to a standard-care condition over 2 years, MFGT did not reduce family caregiver burden. Discussions focus on the relationship between burden and its predictors, and possible reasons why MFGT did not decrease burden. Modifications are proposed that may increase the impact of MFGT.     

Does who you marry matter for your health? Influence of patients' and spouses' personality on their partners' psychological well-being following coronary artery bypass surgery

Research suggests that presurgical personality attributes influence postsurgical well-being in both patients and their spouses in the context of coronary artery bypass grafting (CABG) surgery. The authors hypothesized that a spouse's characteristics would influence a partner's psychological well-being, regardless of whether he or she was the patient or the caregiver. In this study, 111 male patients and their caregiver spouses completed measures of neuroticism, optimism, perceived marital satisfaction, and depression prior to elective CABG. Follow-up was conducted at 18 months. As expected, higher caregiver presurgical neuroticism predicted higher patient depressive symptoms at follow-up, with caregiver's concurrent 18-month affect controlled for. Likewise, higher patient presurgical neuroticism predicted higher caregiver depressive symptoms at follow-up. Additionally, higher patient presurgical depressive symptoms and lower presurgical optimism contributed to greater caregiving burden. Relationship satisfaction moderated these effects. These results suggest that partners' personality traits are important determinants of both patients' and their caregiving spouses' well-being.     

9~11岁儿童创造性人格与欺骗行为的关系:亲子沟通质量的调节作用

本研究采用实验法与问卷法探究了创造性人格与儿童利己、利他两类动机的欺骗行为的关系及亲子沟通质量的调节作用,以317名儿童（M=9.77, SD=0.74）为被试,结果显示：（1）创造性人格对儿童利己、利他欺骗行为都具有正向预测作用;（2）父子与母子沟通质量能够负向预测儿童的利己欺骗行为,对利他欺骗行为没有显著预测作用;（3）父子沟通质量能够调节儿童创造性人格与利己、利他欺骗行为的关系：高父子沟通质量能够缓冲创造性人格对儿童利己欺骗行为的正向预测作用,高父子沟通质量也能够保护创造性人格对儿童利他欺骗行为的正向预测;（4）母子沟通质量对创造性人格与儿童利己、利他欺骗行为的关系不具有显著的调节作用。     

Motivations for caregiving in adult intimate relationships: influences on caregiving behavior and relationship functioning

This study identified and examined the correlates of specific motivations for caregiving in romantic couples (N = 194 couples). At Time 1, couple members completed measures assessing motivations for caregiving, the quality of caregiving that occurs in the relationship, and personal and relationship characteristics that might influence caregiving motivations. Relationship functioning was then assessed 2 to 3 months later. Results revealed that (a) there are a number of distinct motivations for providing and for not providing care to one's partner, (b) the motivations are associated with various personal features of the caregiver and the recipient, (c) the caregiver's perceptions of the relationship influence his or her caregiving motives, (d) different motivations for caregiving predict different patterns of caregiving behavior, and (e) responsive caregiving predicts the recipient's perceptions of healthy relationship functioning both immediately and over time. Implications of identifying the motivations that promote or inhibit the provision of responsive support in intimate relationships are discussed.     

Family caregiving to dependent older adults: stress, appraisal, and coping

Articles presented in this 1987 APA symposium adopt a stress, appraisal, and coping framework for conceptualizing the experience of family caregiving. Each article emphasizes 2 themes: (a) caregivers' adaptation to the chronic demands of in-home caregiving and (b) factors that mediate the relationship between caregiving stress and caregiver's adaptation. The articles presented in this symposium illustrate both the utility of this theoretical approach to studying caregiving stress and the difficulty inherent in its use.     

Exasperations as Blessings: Meaning-Making and the Caregiving Experience

This study examines the process of how caregivers can shape the frustrations and exasperations of caring for a family member with Alzheimer's disease into blessings. Heidegger's hermeneutic phenomenological perspective is used to interpret a caregiver's narrative, in which she describes caring for her husband with Alzheimer's disease. The interpretive analysis focuses specifically on how the caregiver finds meaning in the caregiving process. The analysis reveals that the caregiver constructs meaning by emphasizing particular aspects of her experiences, including cherished memories, creating a happy life by living life intensely, and counting her blessings. While some caregivers naturally find such meaning, this study suggests that reading the narratives of others as well as writing about one's own thoughts and feelings can facilitate this meaning-making process. Structured written emotional expression, in particular, fosters meaning-making, diminishes psychological distress, improves immune function, and promotes health and well-being.     

Value-Congruent Information Processing: The Role of Issue Involvement and Argument Strength

Two experimental studies were carried out to investigate the influence of value-congruent information on information processing. We hypothesized that recipients would engage in systematic processing in value-congruent conditions, whereas heuristic processing would be used in value-incongruent conditions. One hundred participants in each experiment received a message that was framed in either environmental/altruistic or economical/egoistic terms, containing either strong or weak arguments. Results showed that value-congruent messages resulted in discrimination between strong and weak arguments, whereas for value-incongruent messages argument strength had either weak or no effects. Implications and future research are discussed.     

Defining the caregiving system: Toward a theory of caregiving

The purpose of this paper is to present a preliminary framework for conceptualizing the caregiving behavioral system. Following Bowlby (1982), we propose that caregiving is organized within a goal-corrected behavioral system that is reciprocal to attachment. The set-goal of the system is to keep dependent offspring close or safe; its adaptive function is protection of the young. The caregiving system is designed to provide changing levels and forms of protection depending upon the developmental and individual requirements of the young. However, the evolutionary interests of the parent are not entirely overlapping with that of the child because the parent's evolutionary fitness depends on the fitness of all her offspring. Caregiving is one of several motivational systems in the parent. Depending upon circumstances, parents may select from a range of caregiving strategies, which are believed to correspond to the continuum of child attachment relationships (secure, avoidant, ambivalent). The adult caregiving system is believed to be guided by an internal representation or mental model of caregiving. This system has its roots in early attachment—caregiver experiences, but is distinct from them. We suggest that the caregiving representational system becomes consolidated initially in adolescence and undergoes change during the transition to parenthood and as a function of interaction with the child. Once this development is complete, situations of danger and safety should activate the caregiving behavioral system. Under normal circumstances, if the parent's own attachment system is aroused she would appeal to her own attachment figures rather than to the child. However, situations that engender feelings of helplessness in the mother (i.e., which cause her to perceive herself as unable to protect the child) may disorganize or disable the caregiving system on both the behavioral and representational levels.     

Adjustment of caregivers to depressed older adults.

In this research, older adults (N = 150) hospitalized for major depression and their wife, husband, daughter, or son caregivers were interviewed. The primary purpose of the research was to evaluate the ability of caregiver background characteristics, patient illness characteristics, caregiver coping, and strategies for managing the patient at home to predict caregiver adjustment. Among the caregiver characteristics, being in functional health, being male, and being a spouse caregiver were associated with better adjustment. Husbands evidenced the best adaptation to caregiving and daughters the poorest. Patient illness characteristics were not related to caregiver adjustment. Coping with caregiving stresses by using tension reduction and deliberate effort behaviors and managing the patient with criticism and guidance were related to poorer caregiver adjustment.     

Caregiver behavior in center and family day care

In an effort to examine relationships between variations within day care settings and adult caregiving behaviors the social experiences of 40 toddlers and their caregivers in family and center care were systematically observed. Caregivers were interviewed and conditions of caregiving recorded. Caregivers in both settings with fewer children in their care, who worked shorter hours, with less housework responsibilities engaged in more facilitative social stimulation, expressed more positive affect, were more responsive, and less restrictive and negative. Family day care caregivers who worked in spaces specifically designed to be safe and appropriate for children were less restrictive of toddler activity. Adult-child ratio and caregiver training appeared to be the best indicators of quality care in center day care, while a safe and appropriate caregiving environment and small groups appeared as quality indicators in family day care.     

Interpersonal loss in the context of family caregiving: Implications of communal relationships theory

Abstract

Much is known about the emotional costs of providing care to an ill or disabled family member. However, surprisingly little attention has been devoted to investigating how caregiver distress is related to interpersonal loss (i.e., reactions to changes in the typical day-to-day support behaviors that formerly characterized the caregiver–care recipient relationship). Drawing on the theory of communal relationships (e.g., Clark & Mills, 1979, 1993), this study proposes that the magnitude of interpersonal loss that caregivers experience, as well as its contributions to depressed affect, both directly and indirectly (through impact of interpersonal loss on perceived caregiving burden) are likely to depend on the type of relationship that existed between caregiver and care recipient prior to the onset of illness or disability. In this context, several hypotheses and directions for further research are proposed. It is hoped that future researchers will incorporate loss measures into their research and consider how aspects of preexisting relationships influence associations among interpersonal loss and variables (e.g., burden, social support) known to predict caregiver well-being.     

Child-care structure-->process-->outcome: direct and indirect effects of child-care quality on young children's development

With data from the NICHD Study of Early Child Care, we used structural equation modeling to test paths from structural indicators of child-care quality, specifically caregiver training and child-staff ratio, through a process indicator to child outcomes. There were three main findings: (a) Quality of maternal caregiving was the strongest predictor of cognitive competence, as well as caregivers' ratings of social competence; (b) quality of nonmaternal caregiving was associated with cognitive competence and caregivers' ratings of social competence; and (c) there was a mediated path from both caregiver training and child-staff ratio through quality of nonmaternal caregiving to cognitive competence, as well as to caregivers' ratings of social competence, that was not accounted for entirely by family variables. These findings provide empirical support for policies that improve state regulations for caregiver training and child-staff ratios.     

Informal Caregiving to Persons with AIDS in the United States: Caregiver Burden Among Central Cities Residents Eighteen to Forty-Nine Years Old

Characteristics and caregiving experiences of friends and family members caring for people with AIDS (PWAs) were examined. Based on a probability sample of informal AIDS caregivers ages 18–49 living in central cities of the United States (n = 260), analyses were conducted to (a) identify the sociodemographic characteristics of young central city caregivers; and (b) examine the effects of caregiver characteristics (relationship to PWA, gender, race/ethnicity, income, sexual orientation, HIV status, perceived susceptibility), and level of objective caregiving demands, on subjective caregiver burden. Results indicate that the largest group of caregivers in this age category are male friends of the PWA—a group not typically found among caregivers to persons with other types of illnesses. In general, gay or bisexual caregivers, caregivers who have traditional family ties to the PWA, men relative to women, and lower income caregivers, report the greatest burden. While level of caregiving demands represents the most influential predictor of caregiver burden, white and male caregivers experience greater burden, independent of level of involvement and other caregiver characteristics. Receiving instrumental support with caregiving buffers the impact of high objective demands on subjective burden.