Journals of Gerontology Series B-Psychological Sciences and Social Sciences最新文献

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Daily Stress and Cortisol Patterns in Midlife and Older Parents of Children With Developmental Disabilities. 发育障碍儿童中老年父母的日常压力和皮质醇模式。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf067
Jooyoung Kong, Marsha R Mailick, David M Almeida, Jinkuk Hong, Jieun Song, Robert S Dembo
{"title":"Daily Stress and Cortisol Patterns in Midlife and Older Parents of Children With Developmental Disabilities.","authors":"Jooyoung Kong, Marsha R Mailick, David M Almeida, Jinkuk Hong, Jieun Song, Robert S Dembo","doi":"10.1093/geronb/gbaf067","DOIUrl":"10.1093/geronb/gbaf067","url":null,"abstract":"<p><strong>Objectives: </strong>The current study aims to investigate the association between daily stressful experiences and daily diurnal cortisol in midlife and older parents of children with developmental disabilities (DD) and a matched sample of parents of children without DD.</p><p><strong>Methods: </strong>Analyses were employed using data from the third wave of the National Study of Daily Experiences (NSDE 3) within the Midlife in the United States (MIDUS) study, a population-based sample. The study sample included 55 parents of children with DD and 591 comparison parents who provided diurnal cortisol data.</p><p><strong>Results: </strong>Multilevel modeling showed that parents of children with DD exhibited a less pronounced cortisol awakening response (CAR) on days when the severity of daily stressors was higher than their average level across days, a pattern that was different than in the comparison group. This finding may suggest a blunted CAR, which aligns with previous research on parents of children with DD and other groups facing chronic stress.</p><p><strong>Discussion: </strong>The current study describes a distinct pattern of cortisol response to stressful parenting, evident in midlife and older age, reflecting the lifelong impacts of parenting children with DD.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Loneliness Links Adverse Childhood Experiences to Mortality Risk Across 26 Years. 孤独将童年不良经历与26年的死亡风险联系起来。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf016
Aisling Curtis, Emma M Kirwan, Martina Luchetti, Ann-Marie Creaven, Nicholas Turiano, Máire McGeehan, Eileen K Graham, Páraic S O'Súilleabháin
{"title":"Loneliness Links Adverse Childhood Experiences to Mortality Risk Across 26 Years.","authors":"Aisling Curtis, Emma M Kirwan, Martina Luchetti, Ann-Marie Creaven, Nicholas Turiano, Máire McGeehan, Eileen K Graham, Páraic S O'Súilleabháin","doi":"10.1093/geronb/gbaf016","DOIUrl":"10.1093/geronb/gbaf016","url":null,"abstract":"<p><strong>Objectives: </strong>Adverse childhood experiences (ACEs) are associated with increased mortality risk. Individuals with a history of certain adversity during childhood tend to report higher levels of loneliness in later life. In our preregistered study, we examined whether loneliness mediates the ACEs to mortality risk relation.</p><p><strong>Methods: </strong>Participants were from the Midlife in the United States Survey (N = 4,963; M [SD] = 46.44 [12.52] years, 53.3% female). Follow-up period spanned 26 years. A comprehensive measure of ACEs was employed consisting of 20 ACEs from 5 categories: physical abuse, emotional abuse, socioeconomic disadvantage, adverse family structure, and poor health at age 16 years.</p><p><strong>Results: </strong>ACE was a significant predictor of mortality risk. Loneliness mediated the ACEs-mortality risk relation. In other words, loneliness in adulthood accounted for the relation between ACEs and future death. These effects withstood a range of sensitivity checks and adjustments for important factors, such as social isolation.</p><p><strong>Discussion: </strong>Loneliness appears to be a central mechanism in the long-term impact of ACEs on longevity, such that, for adversity during childhood, loneliness experienced during adulthood may be a toxic pathway to future death.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gay Men as Caregivers for Spouses with Dementia: Intersections of Gender and Sexual Orientation. 男同性恋者作为痴呆症配偶的照顾者:性别和性取向的交叉点。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf026
Toni Calasanti, Sadie Snow, Brian de Vries, Jing Geng
{"title":"Gay Men as Caregivers for Spouses with Dementia: Intersections of Gender and Sexual Orientation.","authors":"Toni Calasanti, Sadie Snow, Brian de Vries, Jing Geng","doi":"10.1093/geronb/gbaf026","DOIUrl":"10.1093/geronb/gbaf026","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the importance of spousal caregiving, and the increase in same-sex marriages concomitant to its legalization in 2015, few studies have examined the experiences of same-sex spousal caregivers. We use an intersectional approach to explore how gender and sexual orientation shape gay men's particular caregiving approaches for their spouses living with dementia.</p><p><strong>Methods: </strong>We focused on a subsample of gay (N = 13) contrasted with straight husbands (N = 15) from a national study of spousal dementia caregivers. Data were obtained through in-depth interviews and analyzed thematically by a team.</p><p><strong>Results: </strong>We find that sexual minority status and gender interact to shape gay men's caregiving approaches. Gay men's broader division of labor in households combines with experiences of discrimination based on sexuality and HIV/AIDS, as well as being a part of a same-sex couple to influence their caregiving approaches in unique ways. Specifically, they combine a task-oriented approach with concern for the personhood of the care receiver; bring strength and empathy borne of struggle; and what they feel is a deeper understanding of the care receiver given their shared status as gay men.</p><p><strong>Discussion: </strong>Our findings indicate that gay men's flexibility in divisions of labor results in variable sets of skills, resources, and identities they bring to and approach their caregiving. In addition, some of the many negative experiences borne of HIV/AIDS and discrimination are reframed as sources of strength and guide caregiving efforts. Together, these findings highlight the intersecting effects of gender and sexual orientation on spousal caregiving.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Causal Effects of Schooling on Memory at Older Ages in Six Low- and Middle-Income Countries: Nonparametric Evidence With Harmonized Datasets. 六个低收入和中等收入国家教育对老年人记忆的因果影响:统一数据集的非参数证据。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf057
Vikesh Amin, Jere R Behrman, Jason M Fletcher, Carlos A Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D Stites
{"title":"Causal Effects of Schooling on Memory at Older Ages in Six Low- and Middle-Income Countries: Nonparametric Evidence With Harmonized Datasets.","authors":"Vikesh Amin, Jere R Behrman, Jason M Fletcher, Carlos A Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D Stites","doi":"10.1093/geronb/gbaf057","DOIUrl":"10.1093/geronb/gbaf057","url":null,"abstract":"<p><strong>Objectives: </strong>Higher schooling attainment is associated with better cognitive function at older ages, but it remains unclear whether the relationship is causal. We estimated causal effects of schooling on performances on the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) word-recall (memory) test at older ages in China, Ghana, India, Mexico, Russia, and South Africa.</p><p><strong>Methods: </strong>We used harmonized data (n = 30,896) on older adults (≥50 years) from the World Health Organization Study on Global Ageing and Adult Health. We applied an established nonparametric partial identification approach that bounds causal effects of increasing schooling attainment at different parts of the schooling distributions under relatively weak assumptions.</p><p><strong>Results: </strong>An additional year of schooling increased word-recall scores by between 0.01 and 0.13 SDs in China, 0.01 and 0.06 SDs in Ghana, 0.02 and 0.09 SDs in India, 0.02 and 0.12 SDs in Mexico, and 0 and 0.07 SDs in South Africa when increasing schooling from never attended to primary. No results were obtained for Russia at this margin due to the low proportion of older adults with primary schooling or lower. At higher parts of the schooling distributions (e.g., high school or university completion), the bounds cannot statistically reject null effects.</p><p><strong>Discussion: </strong>Our results indicate that increasing schooling from never attended to primary had long-lasting effects on memory decades later in life for older adults in 5 diverse low- and middle-income countries.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Social Engagement Frequency and the Risk of Depression in South Korea, the United States, and the United Kingdom: Multinational Evidence From Longitudinal Studies of Aging. 韩国、美国和英国社会参与频率与抑郁风险之间的关系:来自老龄化纵向研究的多国证据。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf036
Jaehyeong Cho, Tae Hyeon Kim, Jiyeon Oh, Sooji Lee, Kyeongeun Kim, Jaeyu Park, Hyesu Jo, Yi Deun Jeong, Seoyoung Park, Yejun Son, Nicola Veronese, Guillermo F López Sánchez, Louis Jacob, Selin Woo, Dong Keon Yon, Lee Smith
{"title":"Association Between Social Engagement Frequency and the Risk of Depression in South Korea, the United States, and the United Kingdom: Multinational Evidence From Longitudinal Studies of Aging.","authors":"Jaehyeong Cho, Tae Hyeon Kim, Jiyeon Oh, Sooji Lee, Kyeongeun Kim, Jaeyu Park, Hyesu Jo, Yi Deun Jeong, Seoyoung Park, Yejun Son, Nicola Veronese, Guillermo F López Sánchez, Louis Jacob, Selin Woo, Dong Keon Yon, Lee Smith","doi":"10.1093/geronb/gbaf036","DOIUrl":"10.1093/geronb/gbaf036","url":null,"abstract":"<p><strong>Background: </strong>Although a greater social engagement is often associated with a reduced risk of depression, longitudinal studies that account for diverse social structures and cultural contexts among middle-aged or older are limited.</p><p><strong>Methods: </strong>This study utilized cohort data from the Korean Longitudinal Study of Aging (n = 11,174; 2006-2020) in South Korea (KR), the Health and Retirement Study (n = 42,405; 2004-2019) in the United States, and the English Longitudinal Study of Aging (n = 28,624; 2002-2019) in the United Kingdom, including a total of 29,378 individuals from the population aged ≥45 years. Social engagement frequency was categorized into infrequent, intermediate, and frequent, with changes classified as unchanged, increased, or decreased. The primary outcome was the onset of depression, assessed using the CES-D scale. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated using a Cox proportional hazards regression model.</p><p><strong>Results: </strong>In the KR cohort, increased social engagement significantly reduced depression risk only in the infrequent group (KR: HR, 0.20 [95% CI: 0.14-0.28]). However, decreased social engagement elevated depression risk in both the intermediate group (KR: 6.92 [3.73-12.83]; United States: 1.44 [1.16-1.79]) and the frequent group (KR: 1.50 [1.30-1.74]; United States: 1.24 [1.13-1.38]). Conversely, in the UK cohort, increased social engagement raised depression risk in the infrequent group (UK: 1.35 [1.01-1.79]) and intermediate group (UK: 1.63 [1.17-2.27]), whereas decreased engagement lowered depression risk only in the frequent group (UK: 0.80 [0.71-0.90]).</p><p><strong>Discussion: </strong>We observed notable national variations in the association between social engagement and depression risk, influenced by cultural and political differences.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overconfidence and Financial Risk Tolerance in Older Age. 老年人过度自信与金融风险承受能力。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf032
Colleen C Frank, Gary R Mottola, Meiru Chen, Lei Yu, Patricia A Boyle, Gregory R Samanez-Larkin, Kendra L Seaman
{"title":"Overconfidence and Financial Risk Tolerance in Older Age.","authors":"Colleen C Frank, Gary R Mottola, Meiru Chen, Lei Yu, Patricia A Boyle, Gregory R Samanez-Larkin, Kendra L Seaman","doi":"10.1093/geronb/gbaf032","DOIUrl":"10.1093/geronb/gbaf032","url":null,"abstract":"<p><strong>Objectives: </strong>Excessive financial risk-taking in older age can have harmful consequences as opportunities to recover lost wealth are limited. Understanding financial risk-taking in older age is important for identifying vulnerabilities and developing interventions to empower aging investors to make wise financial choices. In this paper, we explore how overconfidence in financial knowledge affects financial risk-taking among older adults.</p><p><strong>Methods: </strong>We examine this research question in older adults aged 58-101 (N = 1,242) using data from the Rush Memory and Aging Project (MAP).</p><p><strong>Results: </strong>After controlling for demographics, overconfidence was associated with self-reported financial risk tolerance such that those who were more overconfident reported tolerating more financial risks. Moreover, this relationship emerged for both healthy older adults and those diagnosed with mild cognitive impairment. However, overconfidence did not predict performance on a behavioral measure of risk aversion.</p><p><strong>Discussion: </strong>The present results suggest that overconfidence may partially contribute to financial risk-taking in older adults, regardless of cognitive status. Thus, interventions aimed at calibrating confidence to actual levels of financial knowledge could be an impactful target for intervention.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Offspring Educational Disadvantage and Parents' Dementia Onset: Does the Educational Success of One Child Moderate the Educational Disadvantage of Another? 子女教育劣势与父母痴呆发病:一个孩子的教育成功是否能调节另一个孩子的教育劣势?
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf033
Jenjira J Yahirun, Jaycob S Applegate, Krysia N Mossakowski, Mark D Hayward
{"title":"Offspring Educational Disadvantage and Parents' Dementia Onset: Does the Educational Success of One Child Moderate the Educational Disadvantage of Another?","authors":"Jenjira J Yahirun, Jaycob S Applegate, Krysia N Mossakowski, Mark D Hayward","doi":"10.1093/geronb/gbaf033","DOIUrl":"10.1093/geronb/gbaf033","url":null,"abstract":"<p><strong>Objectives: </strong>A growing body of research examines how adult children's education influences older parents' cognitive health. Whereas prior studies tend to focus on educational advantage, this study seeks to understand how various measures of educational disadvantage are associated with parents' dementia likelihood. In addition, we ask how the risks associated with one child's educational disadvantage are shaped by a sibling's educational success.</p><p><strong>Methods: </strong>Using data from the U.S. Health and Retirement Study (2000-2018) and event history analyses, comparisons are made between measures of offspring educational disadvantage and their relationships with parents' risk of dementia onset. In addition, analyses are conducted to understand whether the link between one child's educational disadvantage and parental dementia onset is influenced by a sibling's educational advantage.</p><p><strong>Results: </strong>Educational disadvantage is associated with an increased risk of parental dementia onset, with a threshold measure for whether a parent had at least one child without a high school education providing the best model fit for the data. Moreover, the heightened risks associated with one child's educational disadvantage are not offset by another sibling's educational success.</p><p><strong>Discussion: </strong>Children's educational deficits are a hidden source of health disparities among older parents. Although scholars in recent years have rightly focused on the importance of offspring education, more attention should be paid to conceptualizing how educational disadvantage matters for parents and how the educational attainment of each child shapes parents' cognitive health.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aging and Mentorship in the Margins: Multigenerational Knowledge Transfer Among LGBTQ+ Chosen Families. 边缘的老龄化和师徒关系:LGBTQ+选择家庭的多代知识转移。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf027
Angela K Perone, Lindsay Toman, Beth Glover Reed, Tré Coldon, Ashlee Osborne, Justice Cook
{"title":"Aging and Mentorship in the Margins: Multigenerational Knowledge Transfer Among LGBTQ+ Chosen Families.","authors":"Angela K Perone, Lindsay Toman, Beth Glover Reed, Tré Coldon, Ashlee Osborne, Justice Cook","doi":"10.1093/geronb/gbaf027","DOIUrl":"10.1093/geronb/gbaf027","url":null,"abstract":"<p><strong>Objectives: </strong>For LGBTQ+ communities, learning often happens among chosen families, including older adults. Building on Pierre Bourdieu's theoretical concepts of capital (e.g., economic, social, cultural, symbolic) and queer theory of sexual capital, this article examines how LGBTQ+ chosen families share expertise to build knowledge and power across the life course.</p><p><strong>Methods: </strong>Using a transformative sequential mixed-methods design from a larger project, this subproject includes data from 6 intracategorical focus groups with multigenerational and multiracial LGBTQ+ participants (n = 37), including older adults, in a Midwestern community to center their voices, understand their experiences within and outside LGBTQ+ communities, foreground experiences of LGBTQ+ aging, and explore challenges and supports.</p><p><strong>Results: </strong>We identified 3 ways in which LGBTQ+ chosen families shared knowledge about various forms of capital: latent mentorship, bi- or multi-directional mentorship, and transgressive mentorship. We call these 3 types of knowledge sharing \"mentorship in the margins,\" in which knowledge is shared within and among communities whose intersecting positionalities both limit and expand ways to imagine mentorship for navigating structural barriers and social, economic, and political inequities, especially regarding shared housing, family formation, and marriage equality.</p><p><strong>Discussion: </strong>The breadth and depth of multigenerational transfers of knowledge across the life course demonstrate the centrality of multigenerational chosen families for LGBTQ+ communities as they age, especially among multiply-minoritized communities (e.g., transgender women, Black, Indigenous, and People of Color [BIPOC] same-gender-loving communities). Knowledge shared among chosen families also reflects how \"mentorship in the margins\" builds individual and collective power that helps LGBTQ+ communities survive and thrive as they age.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association Between Disability Status of the Caregivers and Their Perceived Mental Strain: Hong Kong Population-Based Study of Caregivers of Older Adults With Disabilities. 照顾者的残疾状况与心理压力的关系:香港残疾长者照顾者的研究。
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf044
Shan Mao, Tarani Chandola, Vivian Weiqun Lou, Dara Kiu Yi Leung
{"title":"The Association Between Disability Status of the Caregivers and Their Perceived Mental Strain: Hong Kong Population-Based Study of Caregivers of Older Adults With Disabilities.","authors":"Shan Mao, Tarani Chandola, Vivian Weiqun Lou, Dara Kiu Yi Leung","doi":"10.1093/geronb/gbaf044","DOIUrl":"10.1093/geronb/gbaf044","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the association between caregivers' disability status and their mental strain when caring for family members with disabilities. Moreover, we examined the moderating roles of caregiving time and the presence of additional caregivers in this association.</p><p><strong>Methods: </strong>Data were selected from a territory-wide survey of people with disabilities in Hong Kong, which included 85,700 family caregivers of people with disabilities. Logistic regression was adopted to test the study hypotheses. Weights were applied for all analyses to ensure the sample was representative of the population.</p><p><strong>Results: </strong>Caregivers' disability status was associated with higher levels of mental strain among family caregivers of people with disabilities (odds ratio [OR] = 2.58, p < .001). More caregiving hours per week predicted higher risks of caregiving mental strain (20.0-39.9 hr: OR = 3.38, p = .005; 40.0-59.9 hr: OR = 5.01, p = .001; 60.0 hr or more: OR = 9.08, p < .001). The presence of additional caregivers did not reduce the mental strain of primary caregivers. Additionally, no significant moderating effects were observed. However, the results suggest that caregivers with disabilities were more sensitive to the adverse effect of more caregiving time on mental strain.</p><p><strong>Discussion: </strong>This study highlights the significant impact of caregivers' disability status on mental strain, underscoring the need for targeted social services and policies to reduce caregiving burdens and protect caregivers' health, especially for those with disabilities.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parent-Child Disconnectedness and Older European Adults' Mental Health: Do Patterns Differ by Marital Status and Gender? 亲子脱节与欧洲老年人的心理健康:婚姻状况和性别是否不同?
IF 4.8 2区 医学
Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf024
Lisa Jessee, Deborah Carr
{"title":"Parent-Child Disconnectedness and Older European Adults' Mental Health: Do Patterns Differ by Marital Status and Gender?","authors":"Lisa Jessee, Deborah Carr","doi":"10.1093/geronb/gbaf024","DOIUrl":"10.1093/geronb/gbaf024","url":null,"abstract":"<p><strong>Objectives: </strong>Disconnectedness from one's adult child(ren) can undermine older adults' well-being. However, the psychological consequences of disconnectedness may differ across marital contexts and by gender. Drawing on stress and normative violation frameworks, we examine the association between parent-child disconnectedness and European older adults' depressive symptoms, and the extent to which these patterns differ by marital status (married, remarried, cohabiting, divorced, widowed, and never married) and gender.</p><p><strong>Methods: </strong>We used pooled data from 8 waves (2004-2022) of the Survey of Health and Retirement in Europe (SHARE, n = 216,469) and multivariable pooled ordinary least squares regression to evaluate whether marital status and gender moderate the association between disconnectedness and depressive symptoms. Analyses were adjusted for socioeconomic, health, survey year, and contextual covariates.</p><p><strong>Results: </strong>Disconnectedness rates range from 1% among older adults in their first marriages to 13%-14% among divorced and remarried men and 17% among never-married men. Men have consistently higher rates of disconnectedness than women. Parent-child disconnectedness is associated with heightened depressive symptoms in many marital and gender categories. However, moderation analyses show the strongest associations in marital contexts in which disconnectedness is rare (first marriage, especially among women). Disconnectedness also is associated with heightened depressive symptoms among widowed and divorced persons, yet has negligible effects among remarried persons.</p><p><strong>Discussion: </strong>We discuss the implications of disconnectedness for older adults' socioemotional and caregiving needs. We encourage interventions that focus on engaging older adults' supportive familial or nonfamilial ties rather than reestablishing potentially distressing ties with a disconnected child.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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