본문 바로가기
KERD
논문KCI 등재

Caring Caregivers : Actor-Partner Interdependence Model between Patients with Serious Mental Illness and Their Caregivers in Korea

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Dealing with serious mental illness is a dyadic process that involves both patients and caregivers. The goal of the present study is to explore whether patients’ and caregivers’ perceived social support positively affect their partners’ quality of life as well as their own quality of life in Korea, where public stigma toward serious mental illness is more severe than in Western countries. We recruited inpatients with serious mental illness and their primary caregivers (N = 48 dyads) from a mental hospital in Korea. Actor-Partner Interdependence Model (APIM) was used to analyze our dyadic data. Results indicated that patients’ and caregivers’ perceived social support positively affected their own quality of life, supporting actor effects for both patients and caregivers. More importantly, caregivers’ perceived social support positively influenced patients’ quality of life, supporting a caregivers’ partner effect on patients. However, patients’ perceived social support did not improve caregivers’ quality of life. Based on these findings, the present study suggests the degree of functional impairment of patients and socio-cultural contexts need to be considered in patient-caregiver dyad research. The importance of social support for caregivers is also discussed.

Abstract

Dealing with serious mental illness is a dyadic process that involves both patients and caregivers. The goal of the present study is to explore whether patients’ and caregivers’ perceived social support positively affect their partners’ quality of life as well as their own quality of life in Korea, where public stigma toward serious mental illness is more severe than in Western countries. We recruited inpatients with serious mental illness and their primary caregivers (N = 48 dyads) from a mental hospital in Korea. Actor-Partner Interdependence Model (APIM) was used to analyze our dyadic data. Results indicated that patients’ and caregivers’ perceived social support positively affected their own quality of life, supporting actor effects for both patients and caregivers. More importantly, caregivers’ perceived social support positively influenced patients’ quality of life, supporting a caregivers’ partner effect on patients. However, patients’ perceived social support did not improve caregivers’ quality of life. Based on these findings, the present study suggests the degree of functional impairment of patients and socio-cultural contexts need to be considered in patient-caregiver dyad research. The importance of social support for caregivers is also discussed.

참고문헌 (53)

  1. "Family caregivers' needs are often invisible" (2011)[URL]
  2. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders (DSM-5®)" (2013), American Psychiatric Publishing
  3. Christakis, N. A., "Social contagion theory : Examining dynamic social networks and human behavior", Statistics in medicine, 32(4), pp.556~577 (2013)
  4. Becker, M., "A new patient focused index for measuring quality of life in persons with severe and persistent mental illness", Quality of life research, 2(4), pp.239~251 (1993)
  5. Bola, J. R., "Reassessing the high proportion of involuntary psychiatric hospital admissions in South Korea", Community mental health journal, 47(5), pp.603~606 (2011)
  6. Boyer, L., "Emotional intelligence and coping strategies as determinants of quality of life in depressed patient–caregiver dyads : An actor–partner interdependence analysis", Comprehensive Psychiatry, 74, pp.70~79 (2017)
  7. Brand, C., "Social support mediates the association between benefit finding and quality of life in caregivers", Journal of health psychology, 21(6), pp.1126~1136 (2016)
  8. Caqueo-Urízar, A., "Quality of life in caregivers of patients with schizophrenia : A literature review", Health and Quality of Life Outcomes, 7(1), pp.84~88 (2009)
  9. Chen, S. X., "Is it cultural context or cultural value? Unpackaging cultural influences on stigma toward mental illness and barrier to help-seeking", Social Psychological and Personality Science (2020)[DOI]
  10. Cheon, B. K., "Cultural variation in implicit mental illness stigma", Journal of Cross-cultural Psychology, 43(7), pp.1058~1062 (2012)
  11. Cohen, S., "Stress, social support, and the buffering hypothesis", Psychological Bulletin, 98(2), pp.310~357 (1985)
  12. De Maria, M., "Perceived social support and health-related quality of life in older adults who have multiple chronic conditions and their caregivers : a dyadic analysis", Social Science & Medicine, 262, pp.113~193 (2020)
  13. Formica, I., "The role of social support and emotional intelligence on negative mood states among couples during pregnancy : An actor-partner interdependence model approach", Clinical Neuropsychiatry : Journal of Treatment Evaluation, 15(1), pp.19~26 (2018)
  14. Fowler, J. H., "Dynamic spread of happiness in a large social network : Longitudinal analysis over 20 years in the Framingham Heart Study", The Bmj (2008)[DOI]
  15. Gellert, P., "Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia", PloS one, 13(1), pp.e0189849~ (2018)
  16. Grazia, T., "The Relationship Between Dyadic Adjustment and Psychiatric Symptomatology in Expectant Couples : An Actor–Partner Interdependency Model Approach", Journal of Affective Disorders, 273, pp.468~475 (2020)
  17. Gustafson, D. H., "Use and impact of eHealth system by low-income women with breast cancer", Journal of Health Communication, 10(S1), pp.195~218 (2005)
  18. Hasson‐Ohayon, I., "Women with advanced breast cancer and their spouses : Diversity of support and psychological distress", Psycho‐oncology, 19(11), pp.1195~1204 (2010)
  19. Hofer, A., "Resilience, internalized stigma, self-esteem, and hopelessness among people with schizophrenia : Cultural comparison in Austria and Japan", Schizophrenia research, 171(1-3), pp.86~91 (2016)
  20. Hsee, C. K., "The effect of power on susceptibility to emotional contagion", Cognition and Emotion, 4(4), pp.327~340 (1990)
  21. Hyun, M. S., "Experiences of family stigma among mothers of adult children with mental illness in South Korea", Issues in Mental Health Nursing, 38(10), pp.845~851 (2017)
  22. Jeong, J. S., "Who is caring for the caregiver? The role of cybercoping for dementia caregivers", Health Communication, 33(1), pp.5~13 (2018)
  23. Kashy, D. A., "Handbook of research methods in social psychology", pp.451~477 (2000), Cambridge University Press.
  24. Kelley, H. H., "An atlas of interpersonal situations" (2003), Cambridge University Press
  25. Kenny, D. A., "Dyadic data analysis" (2006), Guilford press
  26. Ki, E. J., "Social support and mental health : An analysis of online support forums for Asian immigrant women", Journal of Asian Pacific Communication, 28(2), pp.226~250 (2018)
  27. Kim, H. S., "Culture and social support", American psychologist, 63(6), pp.518~526 (2008)
  28. Kim, J., "The roles of social support and coping strategies in predicting breast cancer patients’emotional well-being : Testing mediation and moderation models", Journal of health psychology, 15(4), pp.543~552 (2010)
  29. Ko, L. K., "The role of giving and receiving emotional support in depressive symptomatology among older couples : An application of the actor-partner interdependence model", Journal of social and personal relationships, 28(1), pp.83~99 (2011)
  30. Ledermann, T., "A toolbox with programs to restructure and describe dyadic data", Journal of Social and Personal Relationships, 32(8), pp.997~1011 (2015)
  31. "Revised health law to protect patients’ human rights" (2017)[URL]
  32. Lyons, K. S., "The theory of dyadic illness management", Journal of family nursing, 24(1), pp.8~28 (2018)
  33. Lyons, K. S., "The role of patient pain and physical function on depressive symptoms in couples with lung cancer : A longitudinal dyadic analysis", Journal of Family Psychology, 28(5), pp.692~700 (2014)
  34. Martins, M. V., "Dyadic dynamics of perceived social support in couples facing infertility", Human Reproduction, 29(1), pp.83~89 (2014)
  35. Mueller, B., "Social support modifies perceived stigmatization in the first years of mental illness : A longitudinal approach", Social Science & Medicine, 62(1), pp.39~49 (2006)
  36. "Mental illness" (2021)[URL]
  37. Ng, C. H., "The stigma of mental illness in Asian cultures", Australian &New Zealand Journal of Psychiatry, 31(3), pp.382~390 (1997)
  38. Ong, H. L., "Resilience and burden in caregivers of older adults: moderating and mediating effects of perceived social support", BMC psychiatry, 18(1), pp.27~35 (2018)
  39. Park, J., "Clarifying the links between social support and health : Culture, stress, and neuroticism matter", Journal of health psychology, 18(2), pp.226~235 (2013)
  40. Park, K., "Care burden of parents of adult children with mental illness : The role of associative stigma", Comprehensive psychiatry, 70, pp.159~164 (2016)
  41. Ritsner, M., "Determinants of changes in perceived quality of life in the course of schizophrenia", Quality of Life Research, 15(3), pp.515~526 (2006)
  42. Rosseel, Y., "Lavaan: An R package for structural equation modeling and more. Version 0.5–12 (BETA)", Journal of statistical software, 48(2), pp.1~36 (2012)
  43. Sanchez-Moreno, J., "The role and impact of contextual factors on functioning in patients with bipolar disorder", Disability and Rehabilitation, 32(sup1), pp.S94~S104 (2010)
  44. Saunders, J. C., "Families living with severe mental illness : A literature review", Issues in mental health nursing, 24(2), pp.175~198 (2003)
  45. Shin, J. Y., "Social support for families of children with mental retardation : Comparison between Korea and the United States", Mental Retardation, 40(2), pp.103~118 (2002)
  46. Stas, L., "Giving dyadic data analysis away : A user‐friendly app for actor–partner interdependence models", Personal Relationships, 25(1), pp.103~119 (2018)
  47. The World Health Organization Quality of Life Group, "The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties", Social science & medicine, 46(12), pp.1569~1585 (1998)
  48. Thomson, P., "The effects of perceived social support on quality of life in patients awaiting coronary artery bypass grafting and their partners: Testing dyadic dynamics using the Actor–Partner Interdependence Model", Psychology, health & medicine, 17(1), pp.35~46 (2012)
  49. Uchida, Y., "Is perceived emotional support beneficial? Well-being and health in independent and interdependent cultures", Personality and social psychology bulletin, 34(6), pp.741~754 (2008)
  50. Weinberg, M., "The bidirectional dyadic association between tendency to forgive, Self‐Esteem, social support, and PTSD symptoms among Terror‐Attack survivors and their spouses", Journal of traumatic stress, 26(6), pp.744~752 (2013)
  51. Weinberg, M., "Bidirectional associations between hope, optimism and social support, and trauma-related symptoms among survivors of terrorism and their spouses", Journal of Research in Personality, 62, pp.29~38 (2016)
  52. World Health Organization, "WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: field trial version", World Health Organization, ~ (1996)
  53. "International statistical classification of disease and related health problems" (2016)[URL]

관련 논문AI추천

이 간행물의 다른 논문 (1건)