DOI QR코드

DOI QR Code

가족부양자의 대처자원이 삶의 만족도에 미치는 영향

Family Caregivers' Coping Resources and Life Satisfaction

  • 황지선 (연세대학교 생활과학대학 아동가족학과) ;
  • 전혜정 (연세대학교 생활과학대학 아동가족학과) ;
  • 이은지 (연세대학교 생활과학대학 아동가족학과)
  • Hwang, Ji Seon (Department of Child and Family Studies, Yonsei University) ;
  • Jun, Hey Jung (Department of Child and Family Studies, Yonsei University) ;
  • Lee, Eun Jee (Department of Child and Family Studies, Yonsei University)
  • 투고 : 2015.09.16
  • 심사 : 2015.06.04
  • 발행 : 2015.10.30

초록

This study examines the effects of coping resources on life satisfaction of middle and older caregivers looking after family members with activities of daily living disabilities. Personal resources and socio-relational resources were included as predictors after controlling for demographic characteristics. We studied 154 middle and 132 older adults drawn from the Korean Longitudinal Study of Ageing (KLoSA). The multiple regression results of this study were as follows. First, subjective health and family satisfaction had significant effects on middle-aged caregivers' life satisfaction. Specifically higher levels of subjective health and better relationships with their family predicted higher levels of life satisfaction. Second, cognitive function, household income, and family satisfaction had significant effects on middle-aged caregivers' life satisfaction. Higher household incomes, higher levels of cognitive function, and better relationships with family predicted higher levels of life satisfaction. For both middle and older adults, the effect size of family satisfaction was the largest out of all coping resources. The results revealed discrepancies regarding the importance of coping resources between middle and older caregivers, implying that developing interventions for middle and older caregivers (in accordance with their need for coping resources) is necessary. The results also indicated that having good relationships with one's family was the most important factor for both middle aged and older caregivers' life satisfaction. The results suggest that policies or services focused on endorsing healthy family relationships should be developed to improve the life satisfaction of caregivers.

키워드

참고문헌

  1. An, J. S., & Jun, H. J. (2012). Gender differences in the effects of transitioning into retirement on mental health among the middleaged: Focusing on the mediating effects of satisfaction in family relationship. Journal of Family Relations, 17(1), 65-85.
  2. Andren, S., & Elmstahl, S. (2007). Relationships between income, subjective health and caregiver burden in caregivers of people with dementia in group living care: A cross-sectional community-based study. International Journal of Nursing Studies, 44(3), 435-446. http://dx.doi.org/10.1016/j.ijnurstu.2006.08.016
  3. Bae, K. Y., Shin, I. S., Kim, S. W., Kim, J. M., Yang, S. J., Mun, J. U., et al. (2006). Care burden caregivers according to cognitive function of elderly persons. Journal of the Korean Society of Biological Therapies in Psychiatry, 12(1), 66-75.
  4. Baek, J. H., & Zarit, S. H. (2009). The impact of family caregiving for the elderly with dementia on depression in the United States: Does the relationship of caregivers to care recipients matter? Journal of the Korean Gerontological Society, 29(4), 1591-1609.
  5. Borg, C., & Hallberg, I. R. (2006). Life satisfaction among informal caregivers in comparison with non-caregivers. Scandinavian Journal of Caring Sciences, 20(4), 427-438. http://dx.doi.org/10.1111/j.1471-6712.2006.00424.x
  6. Carpenter, B. D. (2001). Attachment bonds between adult daughters and their older mothers: Associations with contemporary caregiving. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56(5), 257-266. http://dx.doi.org/10.1093/geronb/56.5.P257
  7. Carstensen, L. L. (1995). Evidence for a life-span theory of socioemotional selectivity. Current Directions in Psychological Science, 4(5), 151-156. http://dx.doi.org/10.1111/1467-8721.ep11512261
  8. Chappell, N. L., & Reid, R. C. (2002). Burden and well-being among caregivers: Examining the distinction. The Gerontologist, 42(6), 772-780. http://dx.doi.org/10.1093/geront/42.6.772
  9. Cho, K. Y., & Jun, H. J. (2011). A longitudinal study of the impacts of the transitions to caregiver role on mental health: The mediating effects of satisfaction in family relationship. Journal of Family Relations, 16(1), 117-141.
  10. Cho, S. Y. (2001). Study of Alzheimer's disease caregivers' caregiving burden, social support and mental health(Unpublished master's thesis). Ewha Womans University, Seoul, Korea.
  11. Choi, H. S., & Ryu, Y. K. (2003). A study on the levels, trends, and composition of the old-age poverty in Korea. Journal of the Korea Gerontological Society, 23(3), 143-160.
  12. Chung, K. H., Oh, Y. H., Lee, Y. K., Son, C. K., Bak, B. M., Lee, S. Y., et al. (2012). Survey of the elderly 2011(Government Publication No. 11-1352000-000672-12). Sejong: Korea Institute for Health and Social Affairs.
  13. Chung, O. B. (2011). Development psychology. Seoul: Hakjisa.
  14. Creber, R. M., Allison, P. D., & Riegel, B. (2013). Overall perceived health predicts risk of hospitalizations and death in adults with heart failure: A prospective longitudinal study. International Journal of Nursing Studies, 50(5), 671-677. http://dx.doi.org/10.1016/j.ijnurstu.2012.10.001
  15. Do, H. S., Lee, H. S., Kim, S. H., Choi, M. K., Lee, S. R., & Kim S. W. (2011). Human development and the family. Paju: Kyomunsa.
  16. Edwards, A. B., Zarit, S. H., Stephens, M. A. P., & Townsend, A. (2002). Employed family caregivers of cognitively impaired elderly: An examination of role strain and depressive symptoms. Aging and Mental Health, 6(1), 55-61. http://dx.doi.org/10.1080/13607860120101149
  17. Fitting, M., Rabins, P., Lucas, M. J., & Eastham, J. (1986). Caregivers for dementia patients: A comparison of husbands and wives. The Gerontologist, 26(3), 248-252. http://dx.doi.org/10.1093/geront/26.3.248
  18. Han, G. H., & Lee, S. Y. (2009). The effect of motivation and social support on burden of spouse caregivers: Focused on gender differences. Journal of the Korean Gerontological Society, 29(2), 683-699.
  19. Hwang, J. S., & Kim, J. N. (2000). The study of resources use and caregivers stress in giving home-care for the frail elderly. Journal of the Korea Gerontological Society, 20(2), 229-244.
  20. Hwang, R. I., Lim, J. Y., & Lee, Y. W. (2009). A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nursing, 39(5), 622-631. http://dx.doi.org/10.4040/jkan.2009.39.5.622
  21. Jenkins, C. L. (1997). Women, work, and caregiving: How do these roles affect women's well-being? Journal of Women and Aging, 9(3), 27-45. http://dx.doi.org/10.1300/J074v09n03_03
  22. Jeon, H. S. (2013). An Exploratory study on the predictors of cognitive improvement among older adults: Using Korean Longitudinal Study of Aging(KLoSA). Health and Social Welfare Review, 33(2), 461-488. http://dx.doi.org/10.15709/hswr.2013.33.2.461
  23. Jun, H. J., & Cho, K. Y. (2011). Transitions to caregiving, social ties, and depression among Korean middle aged and elderly. Journal of Community Welfare, 37, 387-411.
  24. Kim, D. B., Yoo, B. S., Jeong, Y. H., & Oh, Y. K. (2013). Trajectories of the elderly's life satisfaction after their retirement: A longitudinal growth curve model. Korean Journal of Social Welfare Studies, 44(2), 171-201. http://dx.doi.org/10.16999/kasws.2013.44.2.171
  25. Kim, K. S., & Lee, S. M. (1998). A study on the middle-aged couples' caregiving burden and related variables. Journal of the Korean Home Economics Association, 36(9), 93-106.
  26. Kim, S. Y., Kim, J. S., & Youn, H. S. (2004). Predictors of depression and life satisfaction among family caregivers for demented elderly. Journal of the Korea Gerontological Society, 24(2), 111-128.
  27. Kim, S. Y., Yoon, H. S., Kim, J. S., & Haley, W. E. (2003). Factors affecting life satisfaction and depression of caregivers of the elderly with dementia: A comparative study of Korean and American caregivers. Journal of the Korea Gerontological Society, 23(3), 193-221.
  28. Kim, T. H., & Jun, G. Y. (1996). A study on caregiving situations and resources for adjustment among family caregivers of the elderly with dementia. Journal of the Korean Home Economics Association, 34(4), 145-160.
  29. Korea Labor Institute. (2007). Korean longitudinal study of ageing: User's guide. Masan: Korea Labor Institute.
  30. Lawrence, R. H., Tennstedt, S. L., & Assmann, S. F. (1998). Quality of the caregiver-care recipient relationship: Does it offset negative consequences of caregiving for family caregivers? Psychology and Aging, 13(1), 150-158. http://dx.doi.org/10.1037/0882-7974.13.1.150
  31. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New york, NY: Springer Publishing Company, Inc.
  32. Lee, S. C. (2013). Social role and life satisfaction of Korean older adults. Korea Social Policy Review, 20(4), 9-35. http://dx.doi.org/10.17000/kspr.20.4.201312.9
  33. Lee, Y. H. (2003). A study on the effect of social participation of the elderly on their empowerment. Journal of Community Welfare, 13, 111-129.
  34. Li, J., Lambert, C. E., & Lambert, V. A. (2007). Predictors of family caregivers' burden and quality of life when providing care for a family member with schizophrenia in the People's Republic of China. Nursing and Health Sciences, 9(3), 192-198. http://dx.doi.org/10.1111/j.1442-2018.2007.00327.x
  35. Li, L. W., Seltzer, M. M., & Greenberg, J. S. (1997). Social support and depressive symptoms: Differential patterns in wife and daughter caregivers. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 52(4), S200-S211. http://dx.doi.org/10.1093/geronb/52B.4.S200
  36. Marks, N. F., Lambert, J. D., & Choi, H. (2002). Transitions to caregiving, gender, and psychological well-being: A prospective U.S. national study. Journal of Marriage and Family, 64(3), 657-667. http://dx.doi.org/10.1111/j.1741-3737.2002.00657.x
  37. Miller, B., Townsend, A., Carpenter, E., Montgomery, R. V. J., Stull, D., & Young, R. F. (2001). Social support and caregiver distress a replication analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56(4), S249-S256. http://dx.doi.org/10.1093/geronb/56.4.S249
  38. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. (2002). 2001 National health and nutrition survey: Chronic diseases. Sejong: Korea Institute for Health and Social Affairs.
  39. Montgomery, R. J., & Kosloski, K. (1994). A longitudinal analysis of nursing home placement for dependent elders cared for by spouses vs adult children. Journal of Gerontology, 49(2), S62-S74. http://dx.doi.org/10.1093/geronj/49.2.S62
  40. No, H. J., & Choi, Y. H. (2013). Factors influencing the quality of life of caregiver using day care service. Journal of East-West Nursing Research, 19(1), 1-6. http://dx.doi.org/10.14370/jewnr.2013.19.1.001
  41. Oh, C. S. (2012). The effects of the elderly's subjective health perceptions and quality of life on their depression and suicide ideation. The Korean Journal of Health Service Management, 6(2), 179-191. http://dx.doi.org/10.12811/kshsm.2012.6.2.179
  42. Park, C., Kim, S. Y., & Joo, S. H. (2009). Cost analysis of long term care services. Journal of the Korean Gerontological Society, 29(3), 1043-1061.
  43. Pavalko, E. K., & Woodbury, S. (2000). Social roles as process: Caregiving careers and women's health. Journal of Health and Social Behavior, 41(1), 91-105. http://dx.doi.org/10.2307/2676362
  44. Penning, M. J. (1995). Cognitive impairment, caregiver burden, and the utilization of home health services. Journal of Aging and Health, 7(2), 233-253. http://dx.doi.org/10.1177/089826439500700204
  45. Pinquart, M., & Sorensen, S. (2003a). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(2), P112-P128. http://dx.doi.org/10.1093/geronb/58.2.P112
  46. Pinquart, M., & Sorensen, S. (2003b). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250-267. http://dx.doi.org/10.1037/0882-7974.18.2.250
  47. Pratt, C. C., Schmall, V. L., Wright, S., & Cleland, M. (1985). Burden and coping strategies of caregivers to Alzheimer's patients. Family Relations, 34(1), 27-33. http://dx.doi.org/10.2307/583754
  48. St. John, P. D., & Montgomery, P. R. (2010). Cognitive impairment and life satisfaction in older adults. International Journal of Geriatric Psychiatry, 25(8), 814-821. http://dx.doi.org/10.1002/gps.2422
  49. Statistics Korea. (2012). A life table 2012 . Retrieved August 23, 2015, from http://kostat.go.kr/portal/korea
  50. Strawbridge, W. J. (1991). The effects of social factors on adult children caring for older parents(Unpublished doctoral dissertation). University of Washington, Seattle, WA, USA.
  51. Sung, J. A. (2007). A study on the cognitive function and quality of life in the elderly people living at home(Unpublished master's thesis). Ewha Womans University, Seoul, Korea.
  52. Teri, L., & Wagner, A. (1992). Alzheimer's disease and depression. Journal of Consulting and Clinical Psychology, 60(3), 379-391. http://dx.doi.org/10.1037/0022-006X.60.3.379
  53. Weisser, F. B., Bristowe, K., & Jackson, D. (2015). Experiences of burden, needs, rewards and resilience in family caregivers of people living with Motor Neurone Disease/Amyotrophic Lateral Sclerosis: A secondary thematic analysis of qualitative interviews. Palliative Medicine, 29(8), 737-745. http://dx.doi.org/10.1177/0269216315575851
  54. World Health Organization. (2014). World health statistics 2014. Retrieved June 30, 2014, from http://apps.who.int/iris/bitstream/10665/112738/1/9789240692671_eng.pdf
  55. Yoo, J., & Sung, H. (2009). The Moderating effect of family relationship on depression in the elderly. Journal of the Korean Gerontological Society, 29(2), 717-728.

피인용 문헌

  1. Mediating Effects of Family Cohesion and Coping between Consciousness of Family Crisis and Life Satisfaction vol.26, pp.6, 2017, https://doi.org/10.5934/kjhe.2017.26.6.529