Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses
Identifieur interne : 001505 ( Main/Corpus ); précédent : 001504; suivant : 001506Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses
Auteurs : Karen S. Lyons ; Barbara J. Stewart ; Patricia G. Archbold ; Julie H. CarterSource :
- The Gerontologist [ 0016-9013 ] ; 2009-04-22.
Abstract
Purpose: There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinsons disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality, and spouse gender in predicting role strain in PD spouses. Design and Methods: A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variablesglobal strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. Results: Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. Implications: This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.
Url:
DOI: 10.1093/geront/gnp046
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title><author><name sortKey="Lyons, Karen S" sort="Lyons, Karen S" uniqKey="Lyons K" first="Karen S." last="Lyons">Karen S. Lyons</name><affiliation><mods:affiliation></mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: lyonsk@ohsu.edu</mods:affiliation></affiliation></author><author><name sortKey="Stewart, Barbara J" sort="Stewart, Barbara J" uniqKey="Stewart B" first="Barbara J." last="Stewart">Barbara J. Stewart</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Archbold, Patricia G" sort="Archbold, Patricia G" uniqKey="Archbold P" first="Patricia G." last="Archbold">Patricia G. Archbold</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Carter, Julie H" sort="Carter, Julie H" uniqKey="Carter J" first="Julie H." last="Carter">Julie H. Carter</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D78130D090DC915465E8AE3ADE6C828C8A2E7203</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1093/geront/gnp046</idno><idno type="url">https://api.istex.fr/document/D78130D090DC915465E8AE3ADE6C828C8A2E7203/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001505</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title><author><name sortKey="Lyons, Karen S" sort="Lyons, Karen S" uniqKey="Lyons K" first="Karen S." last="Lyons">Karen S. Lyons</name><affiliation><mods:affiliation></mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: lyonsk@ohsu.edu</mods:affiliation></affiliation></author><author><name sortKey="Stewart, Barbara J" sort="Stewart, Barbara J" uniqKey="Stewart B" first="Barbara J." last="Stewart">Barbara J. Stewart</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Archbold, Patricia G" sort="Archbold, Patricia G" uniqKey="Archbold P" first="Patricia G." last="Archbold">Patricia G. Archbold</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Carter, Julie H" sort="Carter, Julie H" uniqKey="Carter J" first="Julie H." last="Carter">Julie H. Carter</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Gerontologist</title><idno type="ISSN">0016-9013</idno><idno type="eISSN">1758-5341</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2009-04-22">2009-04-22</date><biblScope unit="volume">49</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="378">378</biblScope><biblScope unit="page" to="387">387</biblScope></imprint><idno type="ISSN">0016-9013</idno></series><idno type="istex">D78130D090DC915465E8AE3ADE6C828C8A2E7203</idno><idno type="DOI">10.1093/geront/gnp046</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0016-9013</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Purpose: There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinsons disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality, and spouse gender in predicting role strain in PD spouses. Design and Methods: A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variablesglobal strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. Results: Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. Implications: This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.</div></front></TEI><istex><corpusName>oup</corpusName><author><json:item><name>Karen S. Lyons</name><affiliations><json:string>School of Nursing, Oregon Health & Science University, Portland</json:string><json:string>E-mail: lyonsk@ohsu.edu</json:string></affiliations></json:item><json:item><name>Barbara J. Stewart</name><affiliations><json:string>School of Nursing, Oregon Health & Science University, Portland</json:string></affiliations></json:item><json:item><name>Patricia G. Archbold</name><affiliations><json:string>School of Nursing, Oregon Health & Science University, Portland</json:string></affiliations></json:item><json:item><name>Julie H. Carter</name><affiliations><json:string>School of Medicine, Oregon Health & Science University, Portland</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>CAREGIVER STRESS, STRAIN, AND BURDEN</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Family care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Longitudinal research</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Early-stage disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Chronic illness</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Risk factors</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Purpose: There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinsons disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality, and spouse gender in predicting role strain in PD spouses. Design and Methods: A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variablesglobal strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. Results: Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. Implications: This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.</abstract><qualityIndicators><score>7.664</score><pdfVersion>1.3</pdfVersion><pdfPageSize>595 x 782 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>6</keywordCount><abstractCharCount>1449</abstractCharCount><pdfWordCount>6462</pdfWordCount><pdfCharCount>41183</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>222</abstractWordCount></qualityIndicators><title>Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title><genre><json:string>research-article</json:string></genre><host><volume>49</volume><pages><last>387</last><first>378</first></pages><issn><json:string>0016-9013</json:string></issn><issue>3</issue><genre></genre><language><json:string>unknown</json:string></language><eissn><json:string>1758-5341</json:string></eissn><title>The Gerontologist</title></host><categories><wos><json:string>GERONTOLOGY</json:string></wos></categories><publicationDate>2009</publicationDate><copyrightDate>2009</copyrightDate><doi><json:string>10.1093/geront/gnp046</json:string></doi><id>D78130D090DC915465E8AE3ADE6C828C8A2E7203</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/D78130D090DC915465E8AE3ADE6C828C8A2E7203/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/D78130D090DC915465E8AE3ADE6C828C8A2E7203/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/D78130D090DC915465E8AE3ADE6C828C8A2E7203/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title><respStmt xml:id="ISTEX-API" resp="Références bibliographiques récupérées via GROBID" name="ISTEX-API (INIST-CNRS)"></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Oxford University Press</publisher><availability><p>OUP</p></availability><date>2009-04-22</date></publicationStmt><notesStmt><note>Decision Editor: William J. McAuley, PhD</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title><author corresp="yes"><persName><forename type="first">Karen S.</forename><surname>Lyons</surname></persName><email>lyonsk@ohsu.edu</email><affiliation></affiliation></author><author><persName><forename type="first">Barbara J.</forename><surname>Stewart</surname></persName><affiliation></affiliation></author><author><persName><forename type="first">Patricia G.</forename><surname>Archbold</surname></persName><affiliation></affiliation></author><author><persName><forename type="first">Julie H.</forename><surname>Carter</surname></persName><affiliation></affiliation></author></analytic><monogr><title level="j">The Gerontologist</title><idno type="pISSN">0016-9013</idno><idno type="eISSN">1758-5341</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2009-04-22"></date><biblScope unit="volume">49</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="378">378</biblScope><biblScope unit="page" to="387">387</biblScope></imprint></monogr><idno type="istex">D78130D090DC915465E8AE3ADE6C828C8A2E7203</idno><idno type="DOI">10.1093/geront/gnp046</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009-04-22</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Purpose: There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinsons disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality, and spouse gender in predicting role strain in PD spouses. Design and Methods: A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variablesglobal strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. Results: Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. Implications: This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.</p></abstract><textClass><keywords scheme="keyword"><list><item><term>CAREGIVER STRESS, STRAIN, AND BURDEN</term></item></list></keywords></textClass><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Family care</term></item><item><term>Longitudinal research</term></item><item><term>Early-stage disease</term></item><item><term>Chronic illness</term></item><item><term>Risk factors</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2009-04-22">Created</change><change when="2009-04-22">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2016-3-15">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/D78130D090DC915465E8AE3ADE6C828C8A2E7203/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus oup" wicri:toSee="no header"><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">geront</journal-id><journal-id journal-id-type="publisher-id">geront</journal-id><journal-title>The Gerontologist</journal-title><issn pub-type="epub">1758-5341</issn><issn pub-type="ppub">0016-9013</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.1093/geront/gnp046</article-id><article-categories><subj-group><subject>CAREGIVER STRESS, STRAIN, AND BURDEN</subject></subj-group></article-categories><title-group><article-title>Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Lyons</surname><given-names>Karen S.</given-names></name><degrees>PhD</degrees><xref ref-type="corresp" rid="cor1">1</xref><xref ref-type="aff" rid="aff1">2</xref></contrib><contrib contrib-type="author"><name><surname>Stewart</surname><given-names>Barbara J.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">2</xref></contrib><contrib contrib-type="author"><name><surname>Archbold</surname><given-names>Patricia G.</given-names></name><degrees>RN, DNSc, FAAN</degrees><xref ref-type="aff" rid="aff1">2</xref></contrib><contrib contrib-type="author"><name><surname>Carter</surname><given-names>Julie H.</given-names></name><degrees>RN, MS, ANP</degrees><xref ref-type="aff" rid="aff2">3</xref></contrib></contrib-group><aff id="aff1"><label>2</label>School of Nursing, Oregon Health & Science University, Portland</aff><aff id="aff2"><label>3</label>School of Medicine, Oregon Health & Science University, Portland</aff><author-notes><corresp id="cor1"><label>1</label>Address correspondence to Karen S. Lyons, PhD, Oregon Health & Science University, 3455 S.W. U.S. Veterans Road, SN-ORD, Portland, OR 97239-2941. E-mail: <email>lyonsk@ohsu.edu</email></corresp><fn><p><italic>Decision Editor: William J. McAuley, PhD</italic></p></fn></author-notes><pub-date pub-type="epub-ppub"><month>6</month><year>2009</year></pub-date><pub-date pub-type="epub"><day>22</day><month>4</month><year>2009</year></pub-date><volume>49</volume><issue>3</issue><fpage>378</fpage><lpage>387</lpage><history><date date-type="received"><day>15</day><month>7</month><year>2008</year></date><date date-type="accepted"><day>8</day><month>9</month><year>2008</year></date></history><permissions><copyright-statement>© The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.</copyright-statement><copyright-year>2009</copyright-year></permissions><abstract><p><bold><italic>Purpose:</italic></bold> There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinson’s disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality, and spouse gender in predicting role strain in PD spouses. <bold><italic>Design and Methods</italic>:</bold> A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variables—global strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. <bold><italic>Results</italic>:</bold> Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. <bold><italic>Implications:</italic></bold> This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.</p></abstract><kwd-group><kwd><italic>Family care</italic></kwd><kwd><italic>Longitudinal research</italic></kwd><kwd><italic>Early-stage disease</italic></kwd><kwd><italic>Chronic illness</italic></kwd><kwd><italic>Risk factors</italic></kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Optimism, Pessimism, Mutuality, and Gender: Predicting 10-Year Role Strain in Parkinson's Disease Spouses</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Karen S.</namePart><namePart type="family">Lyons</namePart><affiliation></affiliation><affiliation>E-mail: lyonsk@ohsu.edu</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Barbara J.</namePart><namePart type="family">Stewart</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Patricia G.</namePart><namePart type="family">Archbold</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Julie H.</namePart><namePart type="family">Carter</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><subject><topic>CAREGIVER STRESS, STRAIN, AND BURDEN</topic></subject><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">2009-04-22</dateIssued><dateCreated encoding="w3cdtf">2009-04-22</dateCreated><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Purpose: There is wide variability in how spouses providing care respond to their care situations. Few studies focus on the roles of both intra- and interpersonal factors in long-term spousal care, particularly in the context of Parkinsons disease (PD). The current study uses longitudinal data over a 10-year period to examine the roles of optimism, pessimism, mutuality, and spouse gender in predicting role strain in PD spouses. Design and Methods: A longitudinal design was used to study 255 spouses of persons with PD over a 10-year period, with data points at baseline (Year 0), Year 2, and Year 10. A series of multilevel models were used to examine four role strain variablesglobal strain, strain from worry, strain from feelings of being manipulated, and strain from increased tension. Results: Female spouse gender predicted both higher Year 10 role strain and faster increases in role strain over the 10-year period. In addition, high mutuality and optimism and low pessimism at baseline played important protective roles against increased role strain at Year 10. Implications: This study focused on early-stage spousal care in a primarily physical disability context. Findings suggest that gender differences place wives at greater risk for negative outcomes, even in the absence of dementia. Additionally, clinicians have opportunities to target interventions early in the care trajectory based on intra- and interpersonal risk factors.</abstract><note type="footnotes">Decision Editor: William J. McAuley, PhD</note><subject><genre>Keywords</genre><topic>Family care</topic><topic>Longitudinal research</topic><topic>Early-stage disease</topic><topic>Chronic illness</topic><topic>Risk factors</topic></subject><relatedItem type="host"><titleInfo><title>The Gerontologist</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0016-9013</identifier><identifier type="eISSN">1758-5341</identifier><identifier type="PublisherID">geront</identifier><identifier type="PublisherID-hwp">geront</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>49</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>378</start><end>387</end></extent></part></relatedItem><identifier type="istex">D78130D090DC915465E8AE3ADE6C828C8A2E7203</identifier><identifier type="DOI">10.1093/geront/gnp046</identifier><accessCondition type="use and reproduction" contentType="copyright">The Author 2009. 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