Volume 13, Issue 3 (10-2018)
Salmand: Iranian Journal of Ageing 2018, 13(3): 346-361 |
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Aghajani A, Nazari A M, Zahrakar K. Study of Psychological Distresses in Married Children Caring for Their Aging Parents: A Qualitative Study. Salmand: Iranian Journal of Ageing 2018; 13 (3) :346-361
URL: http://salmandj.uswr.ac.ir/article-1-1379-en.html
URL: http://salmandj.uswr.ac.ir/article-1-1379-en.html
1- Department of Professional Training, Taleghani Branch, Farhangian University, Qom Iran. , a.aghajani1347@gmail.com
2- Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
3- Department of Counseling, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran.
2- Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
3- Department of Counseling, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran.
Abstract: (9179 Views)
Objectives Considering the phenomenon of aging population in societies like Iran, and increasing pressure of caring for elderly people on middle-aged generations, as well as the need to have a regional view to the subject, this study aims to identify psychological distresses in married children who should take care of their elderly parent(s).
Methods & Materials This research was carried out qualitatively by means of phenomenological approach. The study field was the married caregivers of their parent(s) who lived in Qom City, Iran, in 2016. The participants (13 males and females) were selected with purposeful sampling method through referring to the related institutions. Sample size was determined through theoretical saturation. The relevant data were collected using deep interview with the participants, and data analysis was carried out using 7-step method of Colaizzi.
Results The psychological distresses experienced by the participants were categorized into 3 main categories, 7 subcategories, and 39 concepts. The first category contains unpleasant excitements that includes two subcategories of emotions and concerns. The second category embraces the neurotic states, which includes three subcategories: depression, anxiety, and obsession. And the third category embodies conflicts, which covers the two subcategories of role conflict and doubts.
Conclusion The care of the elderly parent(s) for married children who are already involved in several tasks have undesirable psychological outcomes which were identified in this study. The results of this research can be considered as the basis for providing psychological services and counseling to the target population. They can also motivate quantitative and statistical research based on existing findings.
Methods & Materials This research was carried out qualitatively by means of phenomenological approach. The study field was the married caregivers of their parent(s) who lived in Qom City, Iran, in 2016. The participants (13 males and females) were selected with purposeful sampling method through referring to the related institutions. Sample size was determined through theoretical saturation. The relevant data were collected using deep interview with the participants, and data analysis was carried out using 7-step method of Colaizzi.
Results The psychological distresses experienced by the participants were categorized into 3 main categories, 7 subcategories, and 39 concepts. The first category contains unpleasant excitements that includes two subcategories of emotions and concerns. The second category embraces the neurotic states, which includes three subcategories: depression, anxiety, and obsession. And the third category embodies conflicts, which covers the two subcategories of role conflict and doubts.
Conclusion The care of the elderly parent(s) for married children who are already involved in several tasks have undesirable psychological outcomes which were identified in this study. The results of this research can be considered as the basis for providing psychological services and counseling to the target population. They can also motivate quantitative and statistical research based on existing findings.
Type of Study: Research |
Subject:
Psychology
Received: 2018/04/04 | Accepted: 2018/08/10 | Published: 2018/10/01
Received: 2018/04/04 | Accepted: 2018/08/10 | Published: 2018/10/01
References
1. Lachman ME. Handbook of midlife development. Hoboken: John Wiley & Sons; 2002. [PMCID]
2. Feist J, Feist GJ. Theories of personality. [Y. Seyed Mohammadi, Persian trans.]. Tehran: Ravan Publications; 2002.
3. Goldenberg H, Goldenberg I. Family therapy: An overview. [HR. Hosseinshahi Baravati, S. Naghshbandi, E. Arjmand, Persian trans.]. Tehran: Ravan Publications; 2000.
4. Tao H, McRoy S. Caring for and keeping the elderly in their homes. Chinese Nursing Research. 2015; 2(2-3):31-4. [DOI:10.1016/j.cnre.2015.08.002] [DOI:10.1016/j.cnre.2015.08.002]
5. Mirzaei M, Shams Ghahfarokhi M. [Demography of elder population in Iran over the period 1956 To 2006 (Persian)]. Iranian Journal of Ageing. 2007; 2(3):326-31.
6. Population pyramids of the world from 1950 to 2100 [Internet]. 2017 [Updated 2017 July 15]. Available from: https://www.populationpyramid.net/
7. Genovese RG. Americans at midlife: Caught between generations. Westport, CT: Bergin & Garvey; 1997.
8. Eldh AC, Carlsson E. Seeking a balance between employment and the care of an ageing parent. Scandinavian Journal of Caring Sciences. 2011; 25(2):285-93. [DOI:10.1111/j.1471-6712.2010.00824.x] [DOI:10.1111/j.1471-6712.2010.00824.x]
9. Statistical Center of Iran. [The results of the general census of population and housing (Persian)]. Tehran: Statistical Center of Iran; 2016.
10. Mahmoodi M. [Population aging: a socio-demographic phenomenon (Persian)]. Motaleat-e Rahbordi-ye Zanan. 2016; 19(73): 178-183. [DOI:10.22095/JWSS.2016.44406]
11. Kazemipoor Sh. [Preliminary population analysis (Persian)]. Tehran: Payam-e Noor University Publications; 2008.
12. Arzani HR. [Ethical responsibility of children against parents in the Quran and the Bible (Persian)]. Akhlagh Research Extension Quarterly. 2014; 3(4): 121-164.
13. Tang ST, Li CY, Liao YC. Factors associated with depressive distress among Taiwanese family caregivers of cancer patients at the end of life. Palliative Medicine. 2007; 21(3):249-57.[DOI:10.1177/0269216307077334] [PMID] [DOI:10.1177/0269216307077334]
14. Feinberg L, Reinhard SC, Houser A, Choula R. Valuing the invaluable: 2011 update, the growing contributions and costs of family caregiving. Washington, DC: AARP Public Policy Institute; 2011.
15. Coe NB, Van Houtven CH. Caring for mom and neglecting yourself? The health effects of caring for an elderly parent. Health Economics. 2009; 18(9):991-1010. [DOI:10.1002/hec.1512] [DOI:10.1002/hec.1512]
16. Berk LE. Development through the lifespan. [Y Seyed Mohammadi, Persian trans.]. Tehran: Arasbaran Publications; 2001.
17. Kaplan HI, Sadock BJ. Synopsis of psychiatry: Behavioral sciences clinical psychiatry. [H Rafiee, F Rezaee, M Samyee, Persian trans.]. Tehran: Arjmand Publications; 1998.
18. Stephens MA, Townsend AL, Martire LM, Druley JA. Balancing parent care with other roles: Interrole conflict of adult daughter caregivers. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2001; 56(1):P24-34. [DOI:10.1093/geronb/56.1.P24] [DOI:10.1093/geronb/56.1.P24]
19. Conway K. The experience of adult children caregiving for aging parents [PhD dissertation]. South Orange, New Jersey: Seton Hall University; 2016.
20. Fingerman KL, Pitzer LM, Chan W, Birditt K, Franks MM, Zarit S. Who gets what and why? Help middle-aged adults provide to parents and grown children. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2010; 66(1):87-98. [DOI:10.1093/geronb/gbq009] [DOI:10.1093/geronb/gbq009]
21. Naldini M, Pavolini E, Solera C. Female employment and elderly care: The role of care policies and culture in 21 European countries. Work, Employment and Society. 2016; 30(4):607-30. [DOI:10.1177/0950017015625602] [DOI:10.1177/0950017015625602]
22. Cullen JC, Hammer LB, Neal MB, Sinclair RR. Development of a typology of dual-earner couples caring for children and aging parents. Journal of Family Issues. 2009; 30(4):458-83.[DOI:10.1177/0192513X08326003] [DOI:10.1177/0192513X08326003]
23. Mason DJ. The family's voice: Caregiving for an older adult. [MSc. thesis]. Saint Paul, Minnesota: St. Catherine University and the University of St. Thomas; 2014.
24. Killian T, Turner J, Cain, R. Depressive symptoms of caregiving women in midlife: The role of physical health. Journal of Women & Aging. 2005: 17(1-2); 115-27. [DOI:10.1300/J074v17n01_09] [DOI:10.1300/J074v17n01_09]
25. Murray SA, Kendall M, Boyd K, Grant L, Highet G, Sheikh A. Archetypal trajectories of social, psychological, and spiritual wellbeing and distress in family care givers of patients with lung cancer: Secondary analysis of serial qualitative interviews. BMJ Research. 2010; 340:c2581. [DOI:10.1136/bmj.c2581] [DOI:10.1136/bmj.c2581]
26. Lai DW. Filial piety, caregiving appraisal, and caregiving burden. Research on Aging. 2010; 32(2):200-23. [DOI:10.1177/0164027509351475] [DOI:10.1177/0164027509351475]
27. Johnson RW, Wiener JM. A profile of frail older Americans and their caregivers. Washington, DC: Urban Institute; 2006. [DOI:10.1037/e725622011-001] [DOI:10.1037/e725622011-001]
28. Park YJ, Kim YJ. The relationship among financial support for offspring, caregiving to parents, preparation for their own old age, and depression of baby-boomers. Advanced Science and Technology Letters. 2016; 131: 78-82. [DOI:10.14257/astl.2016.131.16] [DOI:10.14257/astl.2016.131.16]
29. Guberman N, Lavoie JP, Belin L, Olazabal I. Baby boom caregivers: Care in the age of individualization. Gerontologist. 2012; 52(2):210-8. [DOI:10.1093/geront/gnr140.] [DOI:10.1093/geront/gnr140]
30. Qualls SH. Caregiving families within the long-term services and support system for older adults. American Psychologist. 2016; 71(4):283. [DOI:10.1037/a0040252] [DOI:10.1037/a0040252]
31. Jansson W, Almberg B, Grafström M, Winblad B. A daughter is a daughter for the whole of her life: A study of daughters' responsibility for parents with dementia. Health Care in Later Life. 1998; 3(4):272-84.
32. Spence A, Hasson F, Waldron M, Kernohan G, McLaughlin D, Cochrane B, Watson B. Active carers: Living with chronic obstructive pulmonary disease. International Journal of Palliative Nursing. 2008; 14(8):368-72. [DOI:10.12968/ijpn.2008.14.8.30771] [PMID] [DOI:10.12968/ijpn.2008.14.8.30771]
33. Chan CL, Ho AH, Leung PP, Chochinov HM, Neimeyer RA, Pang SM, Tse DM. The blessings and the curses of filial piety on dignity at the end of life: Lived experience of Hong Kong Chinese adult children caregivers. Journal of Ethnic and Cultural Diversity in Social Work. 2012; 21(4):277-96. [DOI:10.1080/15313204.2012.729177] [DOI:10.1080/15313204.2012.729177]
34. Pereira HR, Rebelo Botelho MA. Sudden informal caregivers: The lived experience of informal caregivers after an unexpected event. Journal of Clinical Nursing. 2011; 20(17-18):2448–57. [DOI:10.1111/j.1365-2702.2010.03644.x] [DOI:10.1111/j.1365-2702.2010.03644.x]
35. Kang S, Marks NF. Filial caregiving is associated with greater neuroendocrine dysfunction: Evidence from the 2005 National Survey of Midlife in the United States. SAGE Open Medicine. 2014; 2:2050312113520152. [DOI:10.1177/2050312113520152] [DOI:10.1177/2050312113520152]
36. Igarashi H, Hooker K, Coehlo DP, Manoogian MM. "My nest is full:" Intergenerational relationships at midlife. Journal of Aging Studies. 2013; 27(2):102-12. [DOI:10.1016/j.jaging.2012.12.004] [PMID] [DOI:10.1016/j.jaging.2012.12.004]
37. van Gaalen RI, Dykstra PA, Komter AE. Where is the exit? Intergenerational ambivalence and relationship quality in high contact ties. Journal of Aging Studies. 2010; 24(2):105-14. [DOI:10.1016/j.jaging.2008.10.006] [DOI:10.1016/j.jaging.2008.10.006]
38. Sakka M, Sato I, Ikeda M, Hashizume H, Uemori M, Kamibeppu K. Family-to-work spillover and appraisals of caregiving by employed women caring for their elderly parents in Japan. Industrial Health. 2016; 54(3):272-81. [DOI:10.2486/indhealth.2015-0029] [PMID] [PMCID] [DOI:10.2486/indhealth.2015-0029]
39. Boop DL. Expanding the second shift: Exploring women's work in elder care [PhD dissertation]. Ohio: University of Cincinnati; 2007.
40. Yumi H. Releasing from the oppression: Caregiving for the elderly parents of Japanese working women. Qualitative Health Research. 2010; 20(6):830-44. [DOI:10.1177/1049732310362399] [DOI:10.1177/1049732310362399]
41. Abolma'ali Kh. [Qualitative research from theory to practice (Persian)]. Tehran: Nashr-e Elm; 2011.
42. Hassanzadeh R. [Research methods for behavioral sciences (Persian)]. Tehran: Nashr-e Savalan; 2005.
43. Mohammadpur A. [Qualitative research method of counter methods (Steps and practical procedures in qualitative methodology) (Volume 2) (Persian)]. Tehran: Jame'e Shenasan; 2011.
44. Penning MJ, Wu Z. Caregiver stress and mental health: Impact of caregiving relationship and gender. The Gerontologist. 2015; 56(6):1102-13. [DOI:10.1093/geront/gnv038] [DOI:10.1093/geront/gnv038]
45. Merz EM, Schulze HJ, Schuengel C. Consequences of filial support for two generations: A narrative and quantitative review. Journal of Family Issues. 2010; 31(11): 1530-54. [DOI:10.1177/0192513X10365116] [DOI:10.1177/0192513X10365116]
46. Strauss A, Corbin J. Basics of qualitative research grounded theory. [B Mohammadi, Persian trans.]. Tehran: Institute of Humanities Cultural Studies; 2014.
47. Zhang ZR, Joycey L. Caregiver burnout: The impact of adult day programs on caregivers. Paper presented at: The National Conference on Undergraduate Research (NCUR). Cheney, Washington, United States, 16-18 April 2015.
48. Pope ND. Views on aging: How caring for an aging parent influences adult daughters' perspectives on later life. Journal of Adult Development. 2013; 20(1):46-56. [DOI:10.1007/s10804-013-9155-9] [DOI:10.1007/s10804-013-9155-9]
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