Die Belastung und das Wohlbefinden bei der Pflege von Menschen mit Schwerbehinderung

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Cover of Volume: Behindertenpädagogik Volume 62 (2023), Edition 1
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Vierteljahresschrift für Behindertenpädagogik und Integration Behinderter in Praxis, Forschung und Lehre

Volume 62 (2023), Edition 1


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Publisher
Psychosozial-Verlag, Gießen
Publication year
2023
ISSN-Online
0341-7301
ISSN-Print
0341-7301

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Volume 62 (2023), Edition 1

Die Belastung und das Wohlbefinden bei der Pflege von Menschen mit Schwerbehinderung

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Authors:
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ISSN-Print
0341-7301
ISSN-Online
0341-7301


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Caring for persons with multiple and profound disabilities, family members are exposed to a special burden and challenges. The aim of this study was to investigate the subjective burden of caring relatives of people with severe disabilities and the effects of caring on their subjective well-being. In particular, the aim was to find out whether, and to what extent, caregiving burden is compatible with the experience of well-being or not. The research study sample consisted of 549 »informal« caregivers, of which 292 were caregivers of people with disabilities and 257 were caregivers of people without disabilities. The results of the study showed the higher and lower levels of burden and well-being, respectively, of family caregivers of people with severe disabilities, compared to family caregivers of people without disabilities. The terms »burden« and »well-being« are usually treated as separate concepts in related studies of family caregivers. In this study, burden is also examined and analyzed in relation to feelings of well-being. The results show that family caregivers may be burdened, but at the same time experience equally high levels of satisfaction. Finally, the joint assessment of the dimensions of strain and well-being that coexist in the experience of family caregivers enables the identification of personal and social resources that can be incorporated into interventions targeting family caregivers.

Bibliography


  1. Andrén, S. & Elmståhl, S. (2005). Family caregivers’ subjective experiences of satisfaction in dementia care: aspects of burden, subjective health and sense of coherence. Scandinavian journal of caring sciences, 19(2), 157–168. Open Google Scholar
  2. Arai, Y. (2004). Family caregiver burden in the context of the long-term care insurance system. Journal of epidemiology, 14(5), 139–142. Open Google Scholar
  3. Baker-Ericzén, M.J., Brookman-Frazee, L. & Stahmer, A. (2005). Stress levels and adaptability in parents of toddlers with and without autism spectrum disorders. Research and practice for persons with severe disabilities, 30(4), 194–204. Open Google Scholar
  4. Braun, M., Scholz, U., Hornung, R. & Martin, M. (2010). The burden of spousal caregiving: a preliminary psychometric evaluation of the German version of the Zarit burden interview. Aging & Mental Health, 14(2), 159–167. Open Google Scholar
  5. Burgener, S. & Twigg, P. (2002). Relationships among caregiver factors and quality of life in care recipients with irreversible dementia. Alzheimer Disease & Associated Disorders, 16(2), 88–102. Open Google Scholar
  6. Caplan, B., Bogner, J., Brenner, L., Manskow, U.S., Sigurdardottir, S., Røe, C. & Anke, A. (2015). Factors affecting caregiver burden 1 year after severe traumatic brain injury: a prospective nationwide multicenter study. Journal of Head Trauma Rehabilitation, 30(6), 411–423. Open Google Scholar
  7. Chappell, N.L. & Reid, R.C. (2002). Burden and well-being among caregivers: examining the distinction. The Gerontologist, 42(6), 772–780. Open Google Scholar
  8. Chen, F.P. & Greenberg, J.S. (2004). A positive aspect of caregiving: The influence of social support on caregiving gains for family members of relatives with schizophrenia. Community mental health journal,40(5), 423–435. Open Google Scholar
  9. Cho, E., Kim, E.Y. & Lee, N.J. (2013). Effects of informal caregivers on function of older adults in home health care. Western Journal of Nursing Research, 35(1), 57–75. Open Google Scholar
  10. Clyburn, L.D., Stones, M.J., Hadjistavropoulos, T. & Tuokko, H. (2000). Predicting caregiver burden and depression in Alzheimer’s disease. Journals of Gerontology series b, 55(1), 2–13. Open Google Scholar
  11. Dabrowska, A. & Pisula, E. (2010). Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome. Journal of Intellectual Disability Research, 54(3), 266–280. Open Google Scholar
  12. Davis, N.O. & Carter, A.S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: Associations with child characteristics. Journal of autism and developmental disorders, 38(7), 1278–1291. http://doi.org/10.1007/s10803-007-0512-z Open Google Scholar
  13. Dhiman, S., Sahu, P.K., Reed, W.R., Ganesh, G.S., Goyal, R.K. & Jain, S. (2020). Impact of COVID-19 outbreak on mental health and perceived strain among caregivers tending children with special needs. Research in Developmental Disabilities, 107, 103790. Open Google Scholar
  14. Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American psychologist, 55(1), 34. Open Google Scholar
  15. Diener, E. & Seligman, M.E. (2002). Very happy people. Psychological science, 13(1), 81–84. Open Google Scholar
  16. Donovan, R., Williams, A., Stajduhar, K., Brazil, K. & Marshall, D. (2011). The influence of culture on home-based family caregiving at end-of-life: A case study of Dutch reformed family care givers in Ontario, Canada. Social Science & Medicine, 72(3), 338–346. Open Google Scholar
  17. Emerson, E., Hatton, C., Llewellyn, G., Blacher, J. & Graham, H. (2006). Socio-economic position, household composition, health status and indicators of the well-being of mothers of children with and without intellectual disabilities. Journal of Intellectual Disability Research, 50, 862–873. http://doi.org/10.1111/j.1365-2788.2006. 00900.x Open Google Scholar
  18. Fianco, A., Sartori, R.D., Negri, L., Lorini, S., Valle, G. & Delle Fave, A. (2015). The relationship between burden and well-being among caregivers of Italian people diagnosed with severe neuromotor and cognitive disorders. Research in developmental disabilities, 39, 43–54. Open Google Scholar
  19. Hastings, R.P., Allen, R., McDermott, K. & Still, D. (2002). Factors related to positive perceptions in mothers of children with intellectual disabilities. Journal of applied research in intellectual disabilities, 15(3), 269–275. Open Google Scholar
  20. Hills, P. & Argyle, M. (2002). The Oxford Happiness Questionnaire: A compact scale for the measurement of psychological well-being. Personality and Individual Differences, 33(7), 1071–1082. https://doi.org/10.1016/S0191-8869(01)00213-6 Open Google Scholar
  21. Khanna, R., Madhavan, S.S., Smith, M.J., Tworek, C., Patrick, J.H. & Becker-Cottrill, B. (2012). Psychometric properties of the Caregiver Strain Questionnaire (CGSQ) among caregivers of children with autism. Autism, 16(2), 179–199. Open Google Scholar
  22. Kim, J., Kim, H., Park, S., Yoo, J. & Gelegjamts, D. (2021). Mediating effects of family functioning on the relationship between care burden and family quality of life of caregivers of children with intellectual disabilities in Mongolia. Journal of Applied Research in Intellectual Disabilities, 34(2), 507–515. Open Google Scholar
  23. Lawton, M.P., Moss, M., Kleban, M.H., Glicksman, A. & Rovine, M. (1991). A two-factor model of caregiving appraisal and psychological well-being. Journal of gerontology, 46(4), 181–189. Open Google Scholar
  24. Lin, J.D., Lin, P.Y., & Wu, C.L. (2010). Wellbeing perception of institutional caregivers working for people with disabilities: Use of Subjective Happiness Scale and Satisfaction with Life Scale analyses. Research in developmental disabilities, 31(5), 1083–1090. Open Google Scholar
  25. Lopez, V., Clifford, T., Minnes, P. & Ouellette-Kuntz, H. (2008). Parental stress and coping in families of children with and without developmental delays. Journal on Developmental Disabilities, 14, 99–104. Open Google Scholar
  26. Lozano, P., Finkelstein, J.A., Hecht, J., Shulruff, R. & Weiss, K.B. (2003). Asthma medication use and disease burden in children in a primary care population. Archives of pediatrics & adolescent medicine, 157(1), 81–88. Open Google Scholar
  27. Lyons, K.S., Zarit, S.H., Sayer, A.G. & Whitlatch, C.J. (2002). Caregiving as a dyadic process: Perspectives from caregiver and receiver. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(3), 195–204. Open Google Scholar
  28. Maes, B., Broekman, T.G., Došen, A. & Nauts, J. (2003). Caregiving burden of families looking after persons with intellectual disability and behavioural or psychiatric problems. Journal of Intellectual Disability Research, 47(6), 447–455. Open Google Scholar
  29. Magaña, S.M., Ramirez Garcia, J.I., Hernández, M.G. & Cortez, R. (2007). Psychological distress among Latino family caregivers of adults with schizophrenia: The roles of burden and stigma. Psychiatric services, 58(3), 378–384. Open Google Scholar
  30. McIntyre, L.L., Blacher, J. & Baker, B.L. (2002). Behaviour/mental health problems in young adults with intellectual disability: The impact on families. Journal of Intellectual Disability Research, 46(3), 239–249. Open Google Scholar
  31. Meyers, J.L. & Gray, L.N. (2001). The relationships between family primary caregiver characteristics and satisfaction with hospice care, quality of life, and burden. Oncology Nursing Forum, 28(1), 73–82. Open Google Scholar
  32. Molyneux, G.J., McCarthy, G.M., McEniff, S., Cryan, M. & Conroy, R.M. (2008). Prevalence and predictors of carer burden and depression in carers of patients referred to an old age psychiatric service. International Psychogeriatrics, 20(6), 1193–1202. Open Google Scholar
  33. Montgomery, R.J. & Borgatta, E.F. (1989). The effects of alternative support strategies on family caregiving. The Gerontologist, 29(4), 457–464. Open Google Scholar
  34. Montgomery, R.J., Gonyea, J.G. & Hooyman, N.R. (1985). Caregiving and the experience of subjective and objective burden. Family relations, 19–26. Open Google Scholar
  35. Mugno, D., Ruta, L., D’Arrigo, V.G. & Mazzone, L. (2007). Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and quality of life outcomes, 5(1), 1–9. Open Google Scholar
  36. Murphy, N.A., Christian, B., Caplin, D.A. & Young, P.C. (2007). The health of caregivers for children with disabilities: caregiver perspectives. Child: care, health and development, 33(2), 180–187. Open Google Scholar
  37. Myers, B.J., Mackintosh, V.H. & Goin-Kochel, R.P. (2009). »My greatest joy and my greatest heart ache«. Parents’ own words on how having a child in the autism spectrum has affected their lives and their families’ lives. Research in Autism Spectrum Disorders, 3(3), 670–684. Open Google Scholar
  38. Nam, S.J. & Park, E.Y. (2017). Relationship between caregiving burden and depression in caregivers of individuals with intellectual disabilities in Korea. Journal of Mental Health, 26(1), 50–56. Open Google Scholar
  39. Nimbalkar, S., Raithatha, S., Shah, R. & Panchal, D.A. (2014). A qualitative study of psychosocial problems among parents of children with cerebral palsy attending two tertiary care hospitals in western India. International Scholarly Research Notices, 2014(769619). Open Google Scholar
  40. Noonan, A.E. & Tennstedt, S.L. (1997). Meaning in caregiving and its contribution to caregiver well-being. The Gerontologist, 37(6), 785–794. Open Google Scholar
  41. Oh, H. & Lee, E.K.O. (2009). Caregiver burden and social support among mothers raising children with developmental disabilities in South Korea. International Journal of Disability, Development and Education, 56(2), 149–167. Open Google Scholar
  42. Olsson, M.B. & Hwang, C.P. (2008). Socioeconomic and psychological variables as risk and protective factors for parental well-being in families of children with intellectual disabilities. Journal of Intellectual Disability Research, 52(12), 1102–1113. Open Google Scholar
  43. Pearlin, L.I., Mullan, J.T., Semple, S.J. & Skaff, M.M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The gerontologist, 30(5), 583–594. Open Google Scholar
  44. Phipps, S., Dunavant, M., Lensing, S. & Rai, S.N. (2005). Psychosocial predictors of distress in parents of children undergoing stem cell or bone marrow transplantation. Journal of Pediatric Psychology, 30(2), 139–153. Open Google Scholar
  45. 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. Open Google Scholar
  46. Raina, P., O’Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., Brehaut, J. & Wood, E. (2004). Caregiving process and caregiver burden: conceptual models to guide research and practice. BMC pediatrics, 4(1), 1–13. Open Google Scholar
  47. Sales, E. (2003). Family burden and quality of life. Quality of life research, 12(1), 33–41. Open Google Scholar
  48. Sales, E., Greeno, C., Shear, M.K. & Anderson, C. (2004). Maternal caregiving strain as a mediator in the relationship between child and mother mental health problems. Social Work Research, 28(4), 211–223. Open Google Scholar
  49. Schablon, K.-U. (2009). Community Care: Spurensuche, Begriffsklärung und Realisierungsbedingungen einer behindertenpädagogischen Konzeption zur Gemeinwesenseinbindung erwachsener geistig behinderter Menschen. Vierteljahreszeitschrift für Heilpädagogik und ihre Nachbargebiete (VHN), 1, 34–45. Open Google Scholar
  50. Schulz, R. & Beach, S.R. (1999). Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. Jama, 282(23), 2215–2219. Open Google Scholar
  51. Schulz, R. & Martire, L.M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American journal of geriatric psychiatry, 12(3), 240–249. Open Google Scholar
  52. Silver, E.J., Crain, E.F. & Weiss, K.B. (1998). Burden of wheezing illness among US children reported by parents not to have asthma. Journal of Asthma, 35(5), 437–443. Open Google Scholar
  53. Sloper, P. & Turner, S. (1993). Determinants of parental satisfaction with disclosure of disability. Developmental Medicine & Child Neurology, 35(9), 816–825. Open Google Scholar
  54. Soulis, S.-G. & Kessler-Kakoulidis, L. (2020). Inklusive Kulturschöpfung. Wie Menschen mit und ohne Behinderungen zur Entwicklung unserer Gesellschaft beitragen. Gießen: Psychosozial-Verlag. Open Google Scholar
  55. Stull, D.E., Kosloski, K. & Kercher, K. (1994). Caregiver burden and generic well-being: Opposite sides of the same coin? The Gerontologist, 34(1), 88–94. Open Google Scholar
  56. Sussman, T. & Regehr, C. (2009). The influence of community-based services on the burden of spouses caring for their partners with dementia. Health & Social Work, 34(1), 29–39. Open Google Scholar
  57. Thompson, A., Fan, M.Y., Unützer, J. & Katon, W. (2008). One extra month of depression: the effects of caregiving on depression outcomes in the IMPACT trial. International journal of geriatric psychiatry, 23(5), 511–516. Open Google Scholar
  58. Vagharseyyedin, S.A. & Molazem, Z. (2013). Burden, resilience, and happiness in family caregivers of spinal cord injured patients. Middle East Journal of Family Medicine, 7(10), 29–35. Open Google Scholar
  59. van Campen, J.S., Jansen, F.E., Steinbusch, L.C., Joëls, M. & Braun, K.P. (2012). Stress sensitivity of childhood epilepsy is related to experienced negative life events. Epilepsia, 53(9), 1554–1562. Open Google Scholar
  60. van Durme, T., Macq, J., Jeanmart, C. & Gobert, M. (2012). Tools for measuring the impact of informal caregiving of the elderly: a literature review. International journal of nursing studies, 49(4), 490–504. Open Google Scholar
  61. Veenhoven, R. (2007). Subjective measures of well-being. In M. McGillivray (Hrsg.), Human well-being (S. 214–239). London: Palgrave Macmillan. Open Google Scholar
  62. Verbakel, E. (2014). Informal caregiving and well-being in Europe: What can ease the negative consequences for caregivers? Journal of European Social Policy, 24(5), 424–441. Open Google Scholar
  63. Wang, M., Summers, J.A., Little, T., Turnbull, A., Poston, D. & Mannan, H. (2006). Perspectives of fathers and mothers of children in early intervention programmes in assessing family quality of life. Journal of Intellectual Disability Research, 50(12), 977–988. Open Google Scholar
  64. Yates, M.E., Tennstedt, S. & Chang, B.H. (1999). Contributors to and mediators of psychological well-being for informal caregivers. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 54(1), 12–22. Open Google Scholar
  65. Yoon, S.O. & Kim, W.H. (2015). The effect of parenting burden on quality of life of parents of children with disabilities: Focusing on mediating effect of family resilience. The Korean Journal of Early Childhood Special Education, 15(2), 133–149. Open Google Scholar
  66. 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. Open Google Scholar

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