Abstract
The issue of elderly care has generated great interest because today, most of us live in an aging society. It has been found that caring for one’s elderly parents is a stressful experience that is related to negative outcomes. In addition, accompanied with the decline in fertility may make adult children feel heavier caregiver’s burden. Therefore, the current study investigates moderators that may help reduce the caregiver burden. Following the conservation of resources theory (COR), we hypothesized that feedback from others and a good parent–child relationship serve as resources that may help the individual manage the stress associated with caring for his or her elderly parents. To examine our hypotheses, we collected data from 502 adult children who were primary caregivers for their elderly parents. All participants completed the Burden Assessment Scale (BAS), the Center for Epidemiological Studies Depression Scale (CES-D), the Feedback from Others Scale, and the Parent–Child Relationship Satisfaction Scale. Supporting our prediction, we found a positive correlation between the caregiver’s burden and the caregiver’s levels of depression. Furthermore, both moderation effects were significant. Consistent with our hypotheses, the relationship between caregiver burden and his or her level of depression was weaker when participants had high feedback from others or had a better parent–child relationship. Our findings highlight the view that possessing more resources may help the individual manage the stress associated with caring for elderly parents. Implications for issues related to elderly care are discussed.
References
Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: Testing and interpreting interactions. London: Sage Publications, Inc.
Amirkhanyan, A. A., & Wolf, D. A. (2006). Parent care and the stress process: Findings from panel data. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 61(5), S248–S255.
Barnett, R. C., Kibria, N., Baruch, G. K., & Pleck, J. H. (1991). Adult daughter-parent relationships and their associations with daughters’ subjective well-being and psychological distress. Journal of Marriage and the Family, 53(1), 29–42.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.
Bookwala, J. (2009). The impact of parent care on marital quality and well-being in adult daughters and sons. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64B(3), 339–347.
Bromley, M. C., & Blieszner, R. (1997). Planning for long-term care: Filial behavior and relationship quality of adult children with independent parents. Family Relations, 46, 155–162.
Chang, T. T., & Lu, L. (2009). The effects of resource loss and resource gain on work-family conflict: The perspective of resource conservation. NTU Management Review, 20(1), 69–98.
Chiao, C., Weng, L. J., & Botticello, A. (2009). Do older adults become more depressed with age in Taiwan? The role of social position and birth cohort. Journal of Epidemiology and Community Health, 63(8), 625–632.
Chien, C. P., & Cheng, T. A. (1985). Depression in Taiwan: Epidemiological survey utilizing CES-D. Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica, 87(5), 335–338.
Choi, H., & Marks, N. F. (2006). Transition to caregiving, marital disagreement, and psychological well-being: A prospective U.S. national study. Journal of Family Issues, 27(12), 1701–1722.
Chun, H., & Li, T. (2008). Filial obligation and anxiety of adult children: The effect of satisfaction with parent-child relationship. Indigenous Psychological Research in Chinese Societies, 30, 155–197.
Clyburn, L. D., Stones, M. J., Hadjistavropoulos, T., & Tuokko, H. (2000). Predicting caregiver burden and depression in Alzheimer’s disease. The Journals of Gerontology, Series B, 55(1), 2–13.
Cobb, S. (1976). Presidential address-1976. Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300–314.
Cohen, S., Tyrrell, D. A., & Smith, A. P. (1993). Negative life events, perceived stress, negative effect, and susceptibility to the common cold. Journal of Personality and Social Psychology, 64(1), 131–140.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.
Cook, W. L., & Kenny, D. A. (2005). The actor–partner interdependence model: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29(2), 101–109.
Dean, A., & Lin, N. (1977). The stress-buffering role of social support. Journal of Nervous and Mental Disease, 165, 403–417.
Delongis, A., Folkman, S., & Lazarus, R. S. (1988). The impact of daily stress on health and mood: Psychological and social resources as mediators. Journal of Personality and Social Psychology, 54(3), 486–495.
Doty, P. (1986). Family care of the Elderly: The role of public policy. The Milbank Quarterly, 64(1), 34–75.
Etzion, D. (1984). Moderating effect of social support on the stress–burnout relationship. Journal of Applied Psychology, 69(4), 615–622.
Fiore, J., Becker, J., & Coppel, D. B. (1983). Social network interactions: A buffer or a stress. American Journal of Community Psychology, 11(4), 423–439.
Gilleard, C., Gilleard, E., Gledhill, K., & Whittick, J. (1984). Caring for the elderly mentally infirm at home: A survey of the supporters. Journal of Epidemiology and Community Health, 38(4), 319–325.
Haley, W. E., Levine, E. G., Brown, S. L., & Bartolucci, A. A. (1987). Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. Psychology and Aging, 2(4), 323–330.
Hendrick, S. S. (1988). A generic measure of relationship satisfaction. Journal of Marriage and the Family, 50(1), 93–98.
Hirsch, B. J. (1980). Natural support systems and coping with major life changes. American Journal of Community Psychology, 8(2), 159–172.
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513–524.
Hobfoll, S. E., Freedy, J., Lane, C., & Geller, P. (1990). Conservation of social resources: Social support resource theory. Journal of Social and Personal Relationships, 7(4), 465–478.
Hobfoll, S. E., & Lilly, R. S. (1993). Resource conservation as a strategy for community psychology. Journal of Community Psychology, 21(2), 128–148.
Horowitz, A., & Shindelman, L. W. (1983). Reciprocity and affection: Past influences on current caregiving. Journal of Gerontological Social Work, 5, 5–20.
Huang, C., & Zhang, Y. (2009). Clinical differences between late‐onset and early‐onset chronically hospitalized elderly schizophrenic patients in Taiwan. International journal of geriatric psychiatry, 24(10), 1166–1172.
Karel, M. J., Gatz, M., & Smyer, M. A. (2011). Aging and mental health in the decade ahead: What psychologists need to know. American Psychologist, 67(3), 184–198.
Kornblith, A. B., Herndon, J. E., Zuckerman, E., Viscoli, C. M., Horwitz, R. I., Cooper, M. R., et al. (2001). Social support as a buffer to the psychological impact of stressful life events in women with breast cancer. Cancer, 91(2), 443–454.
Lane, C., & Hobfoll, S. E. (1992). How loss affects anger and alienates potential supporters. [Article]. Journal of Consulting and Clinical Psychology, 60(6), 935–942.
Lapointe, E., Vandenberghe, C., & Panaccio, A. (2011). Organizational commitment, organization-based self-esteem, emotional exhaustion and turnover: A conservation of resources perspective. Human Relations, 64(12), 1609–1631.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Lee, C. Y. (2004). Family interaction, psychological need satisfaction, relationship satisfaction, and well-being. Master, National Pingtung University of Education, PingTung.
Li, S. Y., & Chang, Y. Y. (2010). The intergenerational care-giving relationship: A qualitative inquiry of adult children’s experience in urban Taiwan. Formosa Journal of Mental Health, 23(1), 99–124.
Li, L. W. L., & Seltzer, M. M. (2003). Parent care, intergenerational relationship quality, and mental health of adult daughters. Research on Aging, 25(5), 484–504.
Lindell, M. K., & Whitney, D. J. (2001). Accounting for common method variance in cross-sectional research designs. Journal of Applied Psychology, 86(1), 114–121.
Mack, K., & Thompson, L. (2004). Family caregivers of older persons: Adult children. Data profile. From http://www.aging-society.org.
Marks, N. F. (1998). Does it hurt to care? Caregiving, work-family conflict, and midlife well-being. Journal of Marriage and the Family, 60(4), 951–966.
Marks, N. F., Lambert, J. D., & Choi, H. (2002). Transitions to caregiving, gender, and psychological well-being: A prospective US national study. Journal of Marriage and Family, 64(3), 657–667.
McCarty, E. F. (1996). Caring for a parent with Alzheimer’s disease: Process of daughter caregiver stress. Journal of Advanced Nursing, 23(4), 792–803.
Miller, B., & Cafasso, L. (1992). Gender differences in caregiving: Fact or artifact? The Gerontologist, 32(4), 498–507.
Montgomery, R. J. V. (1992). Gender differences in patterns of child-parent caregiving relationships. In J. W. Dwyer & R. T. Coward (Eds.), Gender, families and elder care (pp. 65–83). Newbury Park, CA: Sage.
Mutran, E., & Reitzes, D. C. (1984). Intergenerational support activities and well-being among the elderly: A convergence of exchange and symbolic interaction perspectives. American Sociological Review, 49(1), 117–130.
Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250–267.
Rabkin, J. G., & Struening, E. L. (1976). Life events, stress, and illness. Science, 194(4269), 1013–1020.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
Reinhard, S., & Horwitz, A. (1995). Caregiver burden: Differentiating the content and consequences of family caregiving. Journal of Marriage and the Family, 57(3), 741–750.
Roberto, K. A., & Jarrott, S. E. (2008). Family caregivers of older adults: A life span perspective. Family Relations, 57(1), 100–111.
Schulz, R., Tompkins, C. A., Wood, D., & Decker, S. (1987). The social psychology of caregiving: Physical and psychological costs of providing support to the disabled. Journal of Applied Social Psychology, 17(4), 401–428.
Shanas, E. (1979). The family as a social support system in old age. The Gerontologist, 19(2), 169–174.
Silverstein, M., & Bengtson, V. L. (1991). Do close parent-child relations reduce the mortality risk of older parents? Journal of Health and Social Behavior, 32(4), 382–395.
Silverstein, M., Gans, D., & Yang, F. M. (2006). Intergenerational support to aging parents. Journal of Family Issues, 27(8), 1068–1084.
Silverstein, M., & Giarrusso, R. (2010). Aging and family life: A decade review. Journal of Marriage and Family, 72(5), 1039–1058.
Son, J., Erno, A., Shea, D. G., Femia, E. E., Zarit, S. H., & Parris Stephens, M. A. (2007). The caregiver stress process and health outcomes. Journal of Aging and Health, 19(6), 871–887.
Umberson, D. (1992). Relationships between adult children and their parents: Psychological consequences for both generations. Journal of Marriage and the Family, 54(3), 664–674.
Williams, A. W., Ware, J. E, Jr, & Donald, C. A. (1981). A model of mental health, life events, and social supports applicable to general populations. Journal of Health and Social Behavior, 22(4), 324–336.
Wolff, J. L., & Kasper, J. D. (2006). Caregivers of frail elders: Updating a national profile. The Gerontologist, 46(3), 344–356.
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6), 649–655.
Acknowledgments
This study was supported by a grant from the National Science Council to Tsui-Shan Li (NSC 96-2413-H-030-002-MY3 & NSC 99-2410-H-030 -037 -MY3).
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Lin, W.F., Chen, L.H. & Li, TS. Adult Children’s Caregiver Burden and Depression: The Moderating Roles of Parent–Child Relationship Satisfaction and Feedback from Others. J Happiness Stud 14, 673–687 (2013). https://doi.org/10.1007/s10902-012-9348-0
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DOI: https://doi.org/10.1007/s10902-012-9348-0