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首页> 外文期刊>Psychology and aging >Reduced Mortality Rates Among Caregivers: Does Family Caregiving Provide a Stress-Buffering Effect?
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Reduced Mortality Rates Among Caregivers: Does Family Caregiving Provide a Stress-Buffering Effect?

机译：降低护理人员的死亡率：家庭护理是否提供压力缓冲效果？

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Multiple studies have confirmed a seemingly paradoxical finding that family caregivers have lower mortality rates than comparable samples of noncaregivers. Caregivers are often also found to report more symptoms of depression and higher stress levels, but psychological distress and mortality are rarely examined in the same study. This study tests a possible mechanism for the mortality effect by applying a theoretical model that posits psychological and physiological stress-buffering benefits from prosocial helping behaviors. Participants in the population-based REasons for Geographic and Racial Differences in Stroke (REGARDS) study included 3,580 family caregivers who were individually matched to 3,580 noncaregivers on 15 demographic, health history, and health behavior variables using a propensity score matching algorithm. Baseline measures of depressive symptoms and perceived stress levels were also collected. The results indicated that caregivers reported significantly more depressive symptoms and higher perceived stress levels than propensity-matched noncaregivers (ps .0001). However, consistent with our previous analysis (Roth et al.. 2013), an analysis of 7-year survival rates showed that caregivers had a 16.5% lower mortality rate than noncaregivers (hazard ratio = 0.835. 95% CI = 0.719, 0.970). Significant caregiving. psychological distress interaction effects supported the stress-buffering hypothesis. Both depressive symptoms and perceived stress scores were significant predictors of mortality for the matched noncaregivers (ps .0001), but not for the caregivers (ps .49). Family caregiving appears to be similar to other prosocial helping behaviors in that it provides stress-buffering adaptations that ameliorate the impact of stress on major health outcomes such as mortality.
机译：多项研究证实了一个看似矛盾的发现，家庭护理人员比非公民指导者的相当样本较低的死亡率。护理人员通常还发现报告更多的抑郁症和压力水平的症状，但在同一研究中很少检查心理困扰和死亡率。本研究通过应用从口语帮助行为中占据心理和生理压力缓冲益处的理论模型来测试死亡效应的可能机制。参与者以人口的地理和种族差异的地理和种族差异（关于）研究包括3,580名家庭护理人员，使用倾向得分匹配算法在15个人口，卫生历史和健康行为变量上单独匹配至3,580名非公民人员。还收集了抑郁症状和感知压力水平的基线措施。结果表明，护理人员报告的抑郁症状显着比匹配的非公共者（PS＆ .0001）显着抑郁症状和更高的感知应力水平。但是，与我们之前的分析（Roth等人2013）一致，分析了7年的生存率，表明，看护人的死亡率低于非公民权利人（危险比= 0.835）的死亡率率为16.5％。95％CI = 0.719,0.970） 。显着的护理。心理困扰互动效应支持压力缓冲假设。抑郁症状和感知的应力分数都是匹配的非公民指导者的死亡率的显着预测因子（PS＆ .0001），但不是护理人员（ps＆。49）。家庭护理似乎类似于其他女性技术帮助行为，因为它提供了压力缓冲适应，从而改善了压力对死亡率等重大健康结果的影响。

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