Look on the bright side: the relation between family values, positive aspects of care and caregiver burden.

IF 3.7 2区 社会学 Q1 GERONTOLOGY European Journal of Ageing Pub Date : 2024-08-30 DOI:10.1007/s10433-024-00819-9
Larissa Zwar, Hans-Helmut König, André Hajek
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Abstract

Family-centered values are important for caregiving. However, findings on their association with burden are inconsistent. We aim to analyze whether positive aspects of caregiving are mediating the effect of familism on burden among informal caregivers of older adults in Germany. Participants (n = 277) were drawn from the Attitudes Toward Informal Caregivers (ATTIC) project and include informal long-term caregivers of older relatives (aged ≥ 60) quota-sampled from Germany (December 2023). Mediation analyses (linear OLS regression) with robust standard errors were conducted with the classic and the counterfactual causal mediation framework. The classic approach indicated a significant positive direct effect of familism on burden, a significant negative direct effect of PAC on burden and a significant negative indirect effect of familism via PAC on burden; the total effect was not significant. The causal mediation approach supports this; the interaction between familism and PAC was not significant. Thus, sociocultural family-centered values seemed to worsen burden but also to reduce it through positive experiences of caregiving, which did not depend on the strength of familism values. The findings advance our understanding of the mechanisms underlying the stress appraisal of the informal care situation and emphasize the role of positive experiences of care.

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往好的方面看:家庭价值观、护理的积极方面与护理负担之间的关系。
以家庭为中心的价值观对护理工作非常重要。然而,有关其与负担之间关系的研究结果并不一致。我们的目的是分析护理的积极方面是否会调节家庭主义对德国老年人非正式护理者负担的影响。参与者(n = 277)来自 "对非正式照护者的态度"(ATTIC)项目,包括从德国(2023 年 12 月)配额抽取的老年亲属(年龄≥ 60 岁)的非正式长期照护者。采用经典和反事实因果中介框架进行了带有稳健标准误差的中介分析(线性 OLS 回归)。经典方法表明,家庭主义对负担有显著的正向直接影响,PAC 对负担有显著的负向直接影响,家庭主义通过 PAC 对负担有显著的负向间接影响;总影响不显著。因果中介法支持这一观点;家庭主义与 PAC 之间的交互作用不显著。因此,以家庭为中心的社会文化价值观似乎会加重负担,但也会通过积极的护理体验减轻负担,而这并不取决于家庭主义价值观的强弱。这些研究结果加深了我们对非正式护理情况的压力评估机制的理解,并强调了积极护理体验的作用。
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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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