Informal Care Networks in the Context of Multimorbidity: Size, Composition, and Associations With Recipient Psychological Well-Being

被引:31
作者
Andersson, Matthew A. [1 ]
Monin, Joan K. [2 ]
机构
[1] Baylor Univ, One Bear Pl,POB 97326, Waco, TX 76798 USA
[2] Yale Univ, New Haven, CT USA
关键词
caregiving; epidemiology; social networks; mental health; MULTIPLE CHRONIC CONDITIONS; OLDER-ADULTS; DEPRESSIVE SYMPTOMS; FAMILY CAREGIVERS; MENTAL-HEALTH; LIFE-COURSE; SUPPORT; STRESS; DISABILITY; CANCER;
D O I
10.1177/0898264316687623
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objective: We evaluate how the size and composition of care networks change with increasing morbidity count (i.e., multimorbidity) and how larger care networks relate to recipient psychological well-being. Method: Using the National Health and Aging Trends study (NHATS; N = 7,026), we conduct multivariate regressions to analyze size and compositional differences in care networks by morbidity count and recipient gender, and to examine differences in recipient psychological well-being linked to care network size. Results: Women report larger and more diverse care networks than men. These gender differences strengthen with increasing morbidity count. Larger care networks are associated with diminished psychological well-being among care recipients, especially as morbidity increases. Discussion: These findings reveal how increasing morbidity translates differently to care network size and diversity for men and women. They also suggest that having multiple caregivers may undermine the psychological well-being of care recipients who face complex health challenges.
引用
收藏
页码:641 / 664
页数:24
相关论文
共 32 条
  • [1] Aneshensel C.S., 1995, PROFILES CAREGIVING
  • [2] Antonucci T.C., 1995, Handbook of aging and the family, P355
  • [3] Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities
    Bayliss, Elizabeth A.
    Ellis, Jennifer L.
    Steiner, John F.
    [J]. ANNALS OF FAMILY MEDICINE, 2007, 5 (05) : 395 - 402
  • [4] Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions "Nobody Rushes You Through"
    Boult, Chad
    Wieland, G. Darryl
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 304 (17): : 1936 - 1943
  • [5] Care-giver network transformations: the need for an integrated perspective
    Carpentier, N
    Ducharme, F
    [J]. AGEING & SOCIETY, 2003, 23 : 507 - 525
  • [6] STRESS, SOCIAL SUPPORT, AND THE BUFFERING HYPOTHESIS
    COHEN, S
    WILLS, TA
    [J]. PSYCHOLOGICAL BULLETIN, 1985, 98 (02) : 310 - 357
  • [7] Intergenerational support and depression among elders in rural China: Do daughters-in-law matter?
    Cong, Zhen
    Silverstein, Merril
    [J]. JOURNAL OF MARRIAGE AND FAMILY, 2008, 70 (03) : 599 - 612
  • [8] Receiving Instrumental Support in Late Parent-Child Relationships and Parental Depression
    Djundeva, Maja
    Mills, Melinda
    Wittek, Rafael
    Steverink, Nardi
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2015, 70 (06): : 981 - 994
  • [9] The effects of caregiver emotional stress on the depressive symptomatology of the care recipient
    Ejem, Deborah B.
    Drentea, Patricia
    Clay, Olivio J.
    [J]. AGING & MENTAL HEALTH, 2015, 19 (01) : 55 - 62
  • [10] Disability and Care Needs Among Older Americans
    Freedman, Vicki A.
    Spillman, Brenda C.
    [J]. MILBANK QUARTERLY, 2014, 92 (03) : 509 - 541