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Mitchell BA, Teichman S. Aging Parents and the Ties That Bind: Intergenerational Relationship Quality Among Culturally Diverse Canadian Families. Int J Aging Hum Dev 2024:914150241240120. [PMID: 38509694 DOI: 10.1177/00914150241240120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2024]
Abstract
Drawing from a life course perspective, this paper examines mid/later-life parent-child relationship quality among ethnically diverse families. Focus is on the role of culture, child, and parental characteristics. Data are drawn from a study of 588 parents aged 50+ of a least one child aged 19-35 who reside in Metro Vancouver, B.C. from four Canadian cultural groups: British, Chinese, Persian/Iranian, and South Asian. Using OLS regression methods, we use two dependent variable scales: positive and negative support/interaction appraisals of the relationship. The positive relationship quality scale is associated with South Asian versus British-Canadian parents, mothers, those with greater income satisfaction, and daughters. The negative scale is inversely associated among South Asian versus British-Canadian parents, income satisfaction, parental health, and being unpartnered (vs. partnered). Interaction effects are found between gender and ethnicity. Implications for theorizing and applied recommendations for those who work with culturally diverse aging families are discussed.
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Affiliation(s)
- Barbara A Mitchell
- Department of Sociology/Anthropology, Simon Fraser University, Burnaby, BC, Canada
- Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
| | - Samantha Teichman
- Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
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2
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Bosley-Smith E, Reczek R. Why LGBTQ Adults Keep Ambivalent Ties with Parents: Theorizing "Solidarity Rationales". SOCIAL PROBLEMS 2024; 71:220-236. [PMID: 38390287 PMCID: PMC10881195 DOI: 10.1093/socpro/spac007] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/24/2024]
Abstract
Many LGBTQ adults have ongoing relationships with their parents that are ambivalent, typified by both solidarity (e.g., frequent contact, emotional or financial exchange) as well as conflict (e.g., parents' heterosexism and cissexism). Yet, why LGBTQ people remain in-rather than end-their ambivalent intergenerational ties is underexplored. We analyze qualitative in-depth interview data with 76 LGBTQ adults to answer this question. We find that LGBTQ adult children deploy narratives that privilege intergenerational solidarity over strain-what we call "solidarity rationales"- to explain why they remain in their ambivalent intergenerational ties. Four solidarity rationales were identified: 1) closeness and love, 2) parental growth, 3) the unique parent-child role, and 4) the importance of parental resources. Identifying LGBTQ adults' solidarity rationales pulls back the curtain on the compulsory social forces driving persistent intergenerational relationships. This study also advances our thinking about how socially marginalized people cope with complex social ties that include interpersonal discrimination and stigma.
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Affiliation(s)
| | - Rin Reczek
- The Department of Sociology, Ohio State University
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3
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Hwang W, Fu X, Brown MT, Silverstein M. Intergenerational solidarity with digital communication and psychological well-being among older parents during the COVID-19 pandemic. FAMILY PROCESS 2023:10.1111/famp.12910. [PMID: 37345490 PMCID: PMC10741250 DOI: 10.1111/famp.12910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 04/30/2023] [Accepted: 06/12/2023] [Indexed: 06/23/2023]
Abstract
We aimed to identify intergenerational solidarity (emotional closeness, in-person contact, phone contact, geographic proximity, consensus, and conflict) with digital communication (texting, video call, and social media interaction) with adult children among older parents during the COVID-19 pandemic. In addition, we aimed to investigate whether intergenerational solidarity with digital communication latent classes were associated with older parents' psychological well-being. We used the 2022 survey of the Longitudinal Study of Generations (LSOG). The sample consisted of 519 older parents who reported about 1245 adult children. Two-level latent class analysis identified six classes at the child level (Level 1: distant but digitally connected, tight-knit and digitally connected, tight-knit traditional, detached, intimate but distant, and sociable). In addition, the analysis identified three classes at the parent level (Level 2: digitally connected, mixed, and intimate but distant). Results of multivariate regression showed that older parents in the digitally connected latent class had better psychological well-being than those in the mixed latent class. Consequently, our finding indicates that digital solidarity with adult children can be beneficial for older parents' psychological well-being during the COVID-19 pandemic.
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Affiliation(s)
- Woosang Hwang
- Department of Human Development and Family Sciences, Texas Tech University, USA
| | - Xiaoyu Fu
- Department of Human Development and Family Science, Syracuse University, USA
| | - Maria T. Brown
- School of Social Work & Aging Studies Institute, Syracuse University, USA
| | - Merril Silverstein
- Department of Sociology, Department of Human Development and Family Sciences, & Aging Studies Institute, Syracuse University, USA
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Jeon S, Lee D, Weems CF. COVID-19 and Family Distancing Efforts: Contextual Demographic and Family Conflict Correlates. JOURNAL OF FAMILY ISSUES 2023; 44:1662-1695. [PMID: 38603270 PMCID: PMC9174139 DOI: 10.1177/0192513x211055123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
Since the COVID-19 outbreak, family members have spent more time together at home. This study introduces the concept of "family distancing"-the efforts to prevent the spread of the coronavirus to family members. We explore which demographic characteristics are associated with family distancing efforts and how the family distancing efforts are associated with family conflicts. Survey data were collected from adults (N = 324, M = 37 years; SD = 10.5 years; 65.1% female) in Korea. We found that gender, education, marital status, physical health status, and number of family members who live together were significantly associated with family distancing efforts. In addition, lower compliance with the request for family distancing was significantly associated with a higher degree of negative emotions (i.e., anger), which in turn was associated with more family conflict. The findings highlight the potential importance of family distancing efforts to maintain health but also their potential to increase family conflict.
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Affiliation(s)
- Sesong Jeon
- Kyungpook National
University, Daegu, South Korea
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The Influence of Parent- and Adult Child-level Factors on Intergenerational Relationship Quality: A Study of Chinese Families with Multiple Children in Hong Kong. J Cross Cult Gerontol 2023; 38:19-37. [PMID: 36692664 PMCID: PMC9974718 DOI: 10.1007/s10823-022-09467-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 12/04/2022] [Accepted: 12/05/2022] [Indexed: 01/25/2023]
Abstract
Intergenerational relationships have become increasingly crucial for maintaining well-being in aging families. Under a changing sociocultural background, families in Hong Kong increasingly exhibit diverse intergenerational relationships and functioning. Focusing on families with mutiple children, this study investigated how the characteristics of parents and their adult children jointly affect different domains of intergenerational relationship quality. A two-stage stratified random sampling design was adopted. Face-to-face questionnaire interviews were conducted between November 2016 and March 2017 with 1,001 Hong Kong residents aged ≥ 50 years. Data of 612 parents and 1,745 adult children were included for analysis. Hierarchical linear modeling was performed to examine child- and parent-level correlates of intergenerational relationship quality. Parents who were female, were married, had higher self-perceived economic status, owned a house, and had fewer depressive symptoms, exhibited higher intergenerational relationship quality. Parents' age was positively related to affectual closeness, whereas their educational level was negatively related to both affectual closeness and conflict. More favorable intergenerational relationships were reported by aging parents whose adult children were younger, female, and married. Children with higher educational levels exhibited higher levels of both affectual closeness and conflict with their parents. Moreover, affectual closeness was found to be transmitted between generations. The findings can help improve awareness of the factors affecting the different domains of intergenerational relationships, thus informing the development of targeted services and interventions to promote family relationships and well-being.
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Wong LP, Alias H, Farid NDN, Yusop SM, Musa Z, Hu Z, Lin Y. Parent-child relationships and psychological distress: survey of parents from low-income families after the COVID-19 pandemic. Front Public Health 2023; 11:1158698. [PMID: 37213607 PMCID: PMC10196452 DOI: 10.3389/fpubh.2023.1158698] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 03/24/2023] [Indexed: 05/23/2023] Open
Abstract
Introduction This study aims to shed light on parent-child relationships and the psychological health of parents from low-income families after the easing of the COVID-19 pandemic restrictions. Methods This cross-sectional study recruited 553 parents of children aged 13-24 years in low-income community settings. The Parent-Child Conflict scale of the Parental Environment Questionnaire (PEQ) was used to measure parent-child conflict. Psychological distress was assessed using the Depression, Anxiety, and Stress Scale short form (DASS-21). Results The study revealed a low level of parent-child conflict in the overall study population, with a median PEQ of 48.0 (interquartile range [IQR] 36 to 48). Concerning demographics, married parents reported a likelihood of having a higher level of parent-child conflict over 3 times higher than single parents (OR = 3.18 95%, CI 1.30-7.75). More parent-child conflicts were also found in parents aged 60-72 years old who were unemployed, retired, or housewives and from lower-income groups. In regard to lifestyle factors, a higher level of physical activity and having enough sleep were associated with lower levels of parent-child conflict. Only approximately 1% of the participants reported symptoms of depression, anxiety, or stress. Discussion Low risk exists for parent-child conflict and psychological sequelae following the easing of the COVID-19 pandemic restrictions, which could be due to various support measures implemented by the government. Vulnerable parents identified as being at risk of parent-child conflict warrant attention in future advocacy efforts.
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Affiliation(s)
- Li Ping Wong
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
- Li Ping Wong,
| | - Haridah Alias
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Nik Daliana Nik Farid
- Centre for Population Health (CePH), Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Sofia Md Yusop
- National Population and Family Development Board (LPPKN), LPPKN Building, Jalan Raja Laut, Kuala Lumpur, Malaysia
| | - Zuhrah Musa
- National Population and Family Development Board (LPPKN), LPPKN Building, Jalan Raja Laut, Kuala Lumpur, Malaysia
| | - Zhijian Hu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
| | - Yulan Lin
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
- *Correspondence: Yulan Lin,
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Guo M, Lemke A, Dong X. Sources of Intergenerational Conflict in Chinese Immigrant Families in the United States. JOURNAL OF FAMILY ISSUES 2022; 43:2275-2294. [PMID: 36168328 PMCID: PMC9512278 DOI: 10.1177/0192513x211030724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Studies of family relations have not kept pace with the acceleration of international migration. To address this gap, this study relied on a survey of 545 Chinese immigrants in Chicago who reported information of 869 older parents to examine the sources of intergenerational conflict in five domains: norms/values, relationship itself, money, health, and parenting. The results of logistic regression showed that maintaining one's traditional culture, in the form of endorsing a sense of filial obligation, was a significant protective factor against all types of conflict. Immigrants with a higher level of acculturation were more likely to report conflict regarding norms/values and relationship itself, but not more so regarding practical issues such as health, money, and parenting. Helping parents with ADLs, not IADLs, was associated with more conflict regarding monetary and health issues. Immigrants' greater sense of mastery was associated with a lower chance of reporting norm/value-related intergenerational conflict.
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Affiliation(s)
- Man Guo
- School of Social Work, University of Iowa, Iowa City, IA, USA
| | - Amy Lemke
- School of Social Work, University of Iowa, Iowa City, IA, USA
| | - Xinqi Dong
- Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA
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Liu C, Zhou S, Bai X. Intergenerational relationship quality, sense of loneliness, and attitude toward later life among aging Chinese adults in Hong Kong. Front Psychol 2022; 13:930857. [PMID: 36017420 PMCID: PMC9397484 DOI: 10.3389/fpsyg.2022.930857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 07/20/2022] [Indexed: 11/13/2022] Open
Abstract
A positive attitude toward later life is crucial for wellbeing among older adults. Maintaining a healthy relationship with adult children can help reduce older parents’ sense of loneliness and nurture a positive life attitude. This study aimed to investigate the associations between multidimensional intergenerational relationship quality and attitudes toward later life among aging Chinese adults in Hong Kong and examine the mediating effects of a sense of loneliness. Representative survey data were collected from 801 participants (aged 50 years and over) with at least one adult child. Multiple linear regression was employed to investigate the associations between overall intergenerational relationship quality with a sense of loneliness as well as the attitude toward later life. To examine the mediating effects of a sense of loneliness, causal mediational analyses were performed. Results demonstrated that overall intergenerational relationship quality was positively associated with aging parents’ attitude toward later life, and this relationship could be partially mediated by a sense of loneliness. Among the four subdomains of intergenerational relationship quality, the influences of structural-associational solidarity and intergenerational conflict on attitude toward later life were almost fully mediated by a sense of loneliness, whereas the influences of consensual-normative solidarity and affectual closeness were partially mediated. These findings contributed to an improved understanding of the relationship between intergenerational relationship quality, sense of loneliness, and attitude toward later life, and could inform future policies and service programs that promote aging adults’ social integration and positive aging.
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Affiliation(s)
- Chang Liu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Shuai Zhou
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
- *Correspondence: Shuai Zhou,
| | - Xue Bai
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
- Institute of Active Ageing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
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Zhou JJ, Bai X. Influence of intergenerational relationships on depressive symptoms in ageing Chinese adults in Hong Kong: Mediating effects of sense of loneliness. BMC Geriatr 2022; 22:587. [PMID: 35840878 PMCID: PMC9287879 DOI: 10.1186/s12877-022-03269-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 06/03/2022] [Indexed: 11/10/2022] Open
Abstract
Background Mental health of older adults could be positively predicted by harmonious parent–adult children relationships, although the mechanism has not been sufficiently demonstrated. This study employed sense of loneliness as mediator to examine the influence of multiple domains of intergenerational relationships on depressive symptoms in ageing Chinese adults. Methods Data was extracted from a representative survey in Hong Kong among Chinese adults aged over 50 with at least one adult child (n = 801). Four key domains (structural–associational, consensual–normative, affectual closeness, and intergenerational conflict) were adopted to measure the intergenerational relationship quality. Depressive symptoms were assessed using the five-item Geriatric Depression Scale. The mediating role of sense of loneliness in the association between intergenerational relationships and depressive symptoms were tested by the PROCESS macro in SPSS. Results The influence of overall intergenerational relationship quality and its four subdomains on depressive symptoms were significantly mediated by sense of loneliness. Among the four domains, affectual closeness presented the strongest association with older people’s depressive symptoms. The effect of intergenerational conflict on depressive symptoms was completely mediated by sense of loneliness, and the effects of remaining three domains were partially mediated. The domain of consensual–normative solidarity received the lowest rating by Chinese older adults. Conclusion The psychological pathway that loneliness links intergenerational relationships and depressive symptoms was supported in this study. With respect to improving intergenerational relationships, enhancing affectual connection between older parents and adult children was essential to prevent mental problems. This study calls for more attention to the protective role of diverse social relationships in improving mental health through multiple pathways.
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Affiliation(s)
- Jia-Jia Zhou
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
| | - Xue Bai
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China. .,Institute of Active Ageing, The Hong Kong Polytechnic University, Hong Kong, China.
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Lee MJ, Ryu JH, Lee J. Psychological mistreatment by married children in Korea: using the contextual theory to explain mistreatment of aging parents and parents-in-law. J Elder Abuse Negl 2022; 34:174-197. [PMID: 35610967 DOI: 10.1080/08946566.2022.2079039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Guided by the contextual theory of elder mistreatment, this study examined the psychological mistreatment (PM) of aging parents and parents-in-law by their married children and compared the risk factors of PM. We used nationally representative data on the adverse experiences of Korean adults in 2017 (n=2,974). Results showed similarities and differences in the PM of aging parents and parents-in-law. Common risk factors included children's sex, greater victimization experiences, and co-residence. Daughters and daughters-in-law were more likely than their male counterparts to psychologically mistreat parents and parents-in-law. While parents' PM was more frequent when children had a temporary work status and when parents were younger, PM of parents-in-law occurred more often when children had a full-time job, poor self-rated health, and a negative perception of family relations. These findings provide insights into policy intervention against PM, suggesting the need for complex prevention strategies for PM of aging parents and parents-in-law.
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Affiliation(s)
- Mi Jin Lee
- Department of Social Welfare, Konkuk University, Chungju, Korea
| | - Jeong-Hee Ryu
- Korea Institute for Health and Social Affairs, Sejong, Korea
| | - Juyeon Lee
- Korea Institute for Health and Social Affairs, Sejong, Korea
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Marquez B, Benitez T, Lister Z. Acculturation, Communication Competence, and Family Functioning in Mexican-American Mother-Daughter Dyads. J Immigr Minor Health 2022; 24:580-587. [PMID: 34363574 PMCID: PMC9072505 DOI: 10.1007/s10903-021-01256-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2021] [Indexed: 12/15/2022]
Abstract
Little is known of how intergenerational acculturation discrepancy relates to communication skills differences that may influence relationship quality among parents and adult children. Mexican-American mother-daughter dyads (n = 59) were studied using the Actor Partner Interdependence Model to examine dyadic associations of acculturation and communication competence with family functioning and mediation analysis to determine the indirect effect of acculturation discrepancy on family functioning through communication competence differences. Communication competence of mothers exerted significant actor and partner effects on daughter-perceived cohesion and closeness. Higher acculturation discrepancy predicted greater communication competence difference which in turn was associated with lower cohesion and closeness. There was a significant indirect effect of acculturation discrepancy on daughter-perceived cohesion through communication competence difference. Communication competence of mothers impacts their own as well as their daughters' perceptions of dyad cohesion and closeness. Intergenerational discrepant acculturation contributes to discordant communication skills that impair family functioning, which has implications for psychological well-being.
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Affiliation(s)
- Becky Marquez
- Herbert Wertheim School of Public Health, University of California San Diego, La Jolla, CA, USA.
| | - Tanya Benitez
- School of Public Health, Brown University, Providence, RI, USA
| | - Zephon Lister
- Department of Counseling and Family Sciences, Loma Linda University, Loma Linda, CA, USA
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Hwang W, Yoon J, Brown MT, Silverstein M. Is the Relationship Between Religiosity and Filial Elder-Care Norms Declining? A Comparison Between Two Middle-Aged Generations. JOURNAL OF RELIGION SPIRITUALITY & AGING 2021; 33:362-381. [PMID: 34720769 DOI: 10.1080/15528030.2021.1900021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
We investigated whether religiosity among middle-aged adults in the Baby Boom generation and Generation-X was associated with filial elder-care norms. The sample consisted of 720 Baby Boom and 520 Gen-X respondents participating in the Longitudinal Study of Generations. A cohort-comparative model was devised using data from Baby Boomers in 1994 and Gen-Xers in 2016, when they were 42 and 40 years old, respectively. A three-step latent class modeling technique identified three religious classes in both generations: strongly religious, weakly religious, and doctrinally religious. Weakly religious Baby Boomers and Gen-Xers reported weaker filial elder-care norms than the strongly religious in each generation. No difference in these effects were detected by generation. However, only among Baby Boomers did the doctrinally religious express stronger filial norms, suggesting cross-cohort weakening in how beliefs translate into filial responsibility in the absence of congregational practice. This research opens lines of inquiry that examine long-term effects of adult children's religiosity on the actual provision of assistance to older parents when they face health difficulties.
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Müller M, Halová D, Jedličková L, Cserge T. Existential Disruptions of Managers as a Collapse of Childhood Patterns: An Interpretative Phenomenological Investigation. Integr Psychol Behav Sci 2021; 56:779-800. [PMID: 34596838 DOI: 10.1007/s12124-021-09662-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2021] [Indexed: 12/23/2022]
Abstract
This article presents the results of qualitative research on the lived experience of managers related to critical moments of practice that arise due to behavioral patterns acquired during childhood that are incompatible with their own mindsets. The research is based on interpretive phenomenological analysis and is enriched at the interpretive level with existential hermeneutic phenomenology perspectives. The article concludes that both childhood experience and adopted parental behavioral patterns that are not in accordance with their own mindset can lead to serious issues in managers' career development. These are typically dysfunctional interpersonal relationships, feelings of failure, and disrupted management activities and processes that affect career plans and personal life. The novelty of our approach lies in the fact that a phenomenological approach can be used not only to analyze traumatic childhood experiences and events, but also to reveal how a common family background can shape future business practice.
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Affiliation(s)
- Michal Müller
- Department of Economic and Managerial Studies, Faculty of Arts, Palacký University Olomouc, Křížkovského 12, 779 00, Olomouc, Czech Republic.
| | - Dagmar Halová
- Department of Economic and Managerial Studies, Faculty of Arts, Palacký University Olomouc, Křížkovského 12, 779 00, Olomouc, Czech Republic
| | - Lenka Jedličková
- Department of Sociology, Andragogy and Cultural Anthropology, Faculty of Arts, Palacký University Olomouc, Třída Svobody 26, 779 00, Olomouc, Czech Republic
| | - Tereza Cserge
- Department of Economic and Managerial Studies, Faculty of Arts, Palacký University Olomouc, Křížkovského 12, 779 00, Olomouc, Czech Republic
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Kozlov E, McDarby M, Duberstein P, Carpenter BD. The Feasibility and Acceptability of an Intergenerational, Web-Based Intervention to Enhance Later-Life Family Care Planning. THE GERONTOLOGIST 2021; 61:1153-1163. [PMID: 32946554 DOI: 10.1093/geront/gnaa137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Adult children collaborate with older parents on care needs, yet later-life families are often uncertain about how to approach these conversations. Using the McMaster Model of Family Functioning as a framework, we developed a web-based tool for later-life families to enhance communication, knowledge, and problem solving around parent preferences for care. RESEARCH DESIGN AND METHODS Participants were older adult parents aged 65+ and at least one of their adult children. Families answered questions about the parent's care preferences via a web-based survey. Responses were aggregated in a tailored PDF that was distributed to each participant. Descriptive statistics were calculated to examine recruitment, retention, and satisfaction with the program. Repeated measures analyses of variance were calculated to determine preliminary efficacy of the intervention. RESULTS This study included 142 participants across 49 families (n = 49 older adult parents, n = 93 adult children). Of them, 75.4% completed all three phases of the study while 18.3% completed two phases and 6.3% completed only one phase. Seventy-four percent of participants reported being satisfied or very satisfied with the intervention. At baseline, most families were modestly incongruent in their ratings of future care preferences. Participants reported increased conversations about care across the course of the study (F(1.71,179.32) = 42.18, p < .001). DISCUSSION AND IMPLICATIONS This study demonstrated that a web-based intervention to enhance intergenerational communication is feasible, acceptable, and has preliminary efficacy to improve intergenerational communication. Despite recruitment challenges, similarly designed web-based resources may improve accessibility and scalability of intergenerational communication-enhancing interventions.
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Affiliation(s)
- Elissa Kozlov
- Institute for Health, Health Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey
| | - Meghan McDarby
- Department of Psychological & Brain Sciences, Washington University in St. Louis, Missouri
| | - Paul Duberstein
- School of Public Health, Rutgers University, New Brunswick, New Jersey
| | - Brian D Carpenter
- Department of Psychological & Brain Sciences, Washington University in St. Louis, Missouri
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15
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Drieves AA. Case Examples and Process-Oriented Questions in Teletherapy with Couples and Families. FAMILY PROCESS 2021; 60:1048-1061. [PMID: 34189727 DOI: 10.1111/famp.12680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This paper shares learned experiences in teletherapy (also called tele-mental-health, remote video therapy, and virtual therapy) with couples and families. It aims to enhance teletherapy practice with couples and families by providing tools for screening and coaching. The paper describes common pitfalls in teletherapy with couples and families and how to avoid or address them, describes the opportunities for added insight when engaging couples and families in teletherapy from their homes, provides concrete interventions in the form of process-focused questions which therapists can draw from, and provides case examples. The case examples and process-oriented questions focus on four areas: screening, logistical coaching of technology, using the family's meeting place to learn about the family, and avoiding pitfalls.
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Hill TD, Zeng L, Rambotti S, Mossakowski KN, Johnson RJ. Sad Eyes, Crooked Crosses: Religious Struggles, Psychological Distress and the Mediating Role of Psychosocial Resources. JOURNAL OF RELIGION AND HEALTH 2021; 60:2573-2591. [PMID: 33970412 DOI: 10.1007/s10943-021-01273-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/27/2021] [Indexed: 05/17/2023]
Abstract
In this paper, we employed data from the 2011 Miami-Dade Health Survey (n = 444) to formally test whether the association between religious struggles and psychological distress is mediated by psychosocial resources. We found that religious struggles were associated with lower levels of social support, self-esteem, the sense of control, and self-control. We also observed that religious struggles were associated with higher levels of non-specific emotional distress, depression, and anxiety, but not somatization. Our mediation analyses revealed significant indirect effects of religious struggles on emotional distress (not somatization) through social support, self-esteem, and the sense of control, but not self-control.
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Affiliation(s)
- Terrence D Hill
- Department of Sociology, The University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249-1644, USA.
| | - Liwen Zeng
- School of Sociology, University of Arizona, Tucson, AZ, USA
| | - Simone Rambotti
- Department of Sociology, Loyola University, New Orleans, USA
| | | | - Robert J Johnson
- Department of Sociology, University of Miami, Coral Gables, FL, USA
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Boerner K, Kim YK, Gallagher EA, Kim K, Jopp DS. "I'm Getting Older Too": Challenges and Benefits Experienced by Very Old Parents and Their Children. J Appl Gerontol 2021; 41:769-779. [PMID: 34027691 DOI: 10.1177/07334648211016113] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Very old parents and their "old" children are a growing group in industrialized countries worldwide. However, virtually nothing is known about the nature and implications of this relationship constellation. To fill this gap, this study explored the challenges and rewards of the very old parent-child relationship. In-depth interviews were conducted with 114 parent-child dyads (parent age ≥90; child age ≥65). While both challenges and rewards were present, the balance of challenges and rewards was notably less favorable for children with more challenges experienced overall. Challenges reported by children were often characterized by references to children's own advanced age and health problems, and the prolonged caregiving involvement due to their parents' longevity. Health care professionals, policymakers, and families should be made aware of this increasingly common phenomenon, and specific services and policies will be needed to adequately support very old adults and their families.
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Affiliation(s)
| | | | | | | | - Daniela S Jopp
- University of Lausanne/Swiss National Centre of Competence in Research LIVES, Switzerland
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18
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Di Gessa G, Bordone V, Arpino B. Becoming a Grandparent and Its Effect on Well-Being: The Role of Order of Transitions, Time, and Gender. J Gerontol B Psychol Sci Soc Sci 2021; 75:2250-2262. [PMID: 31628843 PMCID: PMC7664312 DOI: 10.1093/geronb/gbz135] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Indexed: 11/13/2022] Open
Abstract
Objectives Although the majority of older people are grandparents, little is known on whether and how the transition into grandparenthood affects their well-being. Moreover, evidence on whether the order of the transition, the time since grandchild’s birth, and the sociodemographic characteristics of the offspring modify the grandparental well-being is scarce. Taking into account these factors, our study examines the association between becoming a grandparent and subsequent well-being. Methods Our study is based on grandparents aged 50 and older from Waves 4–6 of the Survey of Health, Ageing and Retirement in Europe. Using longitudinal analyses, we investigate associations between becoming a grandparent and subsequent life satisfaction, positive affect, and depression controlling for demographic and socioeconomic factors as well as health and well-being at baseline. Furthermore, we explore the role of modifying factors such as whether the grandchild was first-born, the time since transition, and sociodemographic characteristics of the offspring who became a parent. Results Becoming a grandparent has a positive effect on well-being only among women who became grandmothers for the first time and via their daughters. Moreover, this effect is particularly strong in the proximity of the birth of the grandchild. No effects were found among first-time grandfathers. Having an additional grandchild does not affect well-being of grandparents, regardless of the offspring’s characteristics. Discussion Transitioning to grandparenthood per se does not affect well-being. More research is needed to further investigate if interpersonal relationships and changes in roles triggered by becoming a grandparent could help promote well-being in later life.
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Affiliation(s)
- Giorgio Di Gessa
- Research Department of Epidemiology and Public Health, University College London, UK
| | | | - Bruno Arpino
- Department of Statistics, Computer Science, Applications, University of Florence, Italy
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Hoang NPT, Haslam D, Sanders M. Coparenting Conflict and Cooperation between Parents and Grandparents in Vietnamese Families: The Role of Grandparent Psychological Control and Parent-Grandparent Communication. FAMILY PROCESS 2020; 59:1161-1174. [PMID: 31556115 DOI: 10.1111/famp.12496] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Shared care between parents and grandparents is common in Asian cultures. This cocare practice provides many benefits to families but is also particularly complex, as both parents and grandparents must simultaneously fulfill their roles as cocaregivers as well as maintain their relationship with each other. This study aims to explore the determinants of coparenting relationships between parents and grandparents in Vietnam. Data were collected from 501 Vietnamese parents whose aging parents are active carers for their children. The results indicated that grandparent psychological control and parent-grandparent quality of communication explain the largest variance in both parent-grandparent coparenting conflict and cooperation. The results suggest that parenting interventions aimed at the Asian cultures, where grandparent care is common, may benefit from the inclusion of a content focus on promoting the coparenting relationship between parents and grandparents.
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Affiliation(s)
- Nam-Phuong T Hoang
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, Brisbane, Qld, Australia
| | - Divna Haslam
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, Brisbane, Qld, Australia
| | - Matthew Sanders
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, Brisbane, Qld, Australia
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20
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Zawisza K, Galas A, Tobiasz-Adamczyk B, Grodzicki T. Validity of a Self-Reported Neglect Scale Among Older Adults in Poland. THE GERONTOLOGIST 2020; 60:e117-e126. [PMID: 30874295 DOI: 10.1093/geront/gnz014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 01/10/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The purpose of the study was to create and validate a tool that could be implemented easily to recognize the presence and assess the level of neglect in community-dwelling older adults, and to provide information about the prevalence of the phenomenon in different subgroups of older adults in Poland. RESEARCH DESIGN AND METHODS The cross-sectional study of elder neglect and self-neglect was conducted in Lesser Poland in 2017. It included 2,443 face-to-face interviews with randomly selected community-dwelling individuals from among the general population (1,635), social service users (280), and hospital patients (528). Classical Test Theory and Item Response Theory (IRT) were used to build the scale, and its content and construct validity and reliability were assessed. RESULTS The Self-Reported Neglect Scale (SRNS) with a 2-factor structure (basic needs and psychological needs dimensions) was created. Results of the IRT analysis showed high item discrimination (2.7-4.8 for the first factor, 0.8-3.2 for the second). The 1-year prevalence of neglect as a percentage of nonzero values of the SRNS was estimated at 11.4%. DISCUSSION AND IMPLICATIONS The SRNS exhibited good psychometric properties. It may have promise as a tool for the assessment of neglect in epidemiological studies as well in the everyday practice of medical professionals and social workers.
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Affiliation(s)
| | - Aleksander Galas
- Department of Epidemiology, Chair of Epidemiology and Preventive Medicine
| | | | - Tomasz Grodzicki
- Chair of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
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21
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Wu H. How do Co- and Non-Residential Children Impact your Subjective Life Expectancy: An Empirical Study on CHARLS Data? Int J Health Plann Manage 2019; 35:532-544. [PMID: 31679156 DOI: 10.1002/hpm.2946] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 10/11/2019] [Accepted: 10/14/2019] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Existing studies conclude SLE predicts decision-making in the future. This paper studied how contacts with children influence subjective life expectancy (SLE) of the mid-age and elderly in China. We also investigated the moderation effect of living arrangement preference (LAP). A better understanding of impact factors that contribute to the mid-age and elderly's thoughts about their lifetime is essential for the late-career financial planning and health interventions. METHODS Our study examines the relationship between co- and non-residential children and SLE by using two waves of data from China Health and Retirement Longitudinal Study (CHARLS). RESULTS Our findings suggest that contacts with children help older people construct positive SLE. However, with an increased number of non-residential children, older people will become pessimistic about their SLE. When older people prefer living alone, it decreases the impact of the number of non-residential children on SLE. CONCLUSION Our results encourage children to live with their parents and contact their parents from time to time. Interventions that change their ideas about living arrangement preference may actually be useful for mid-age and elderly. The best living arrangement should take the living arrangement preference of older people into consideration and give them the best arrangement according to their preference.
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Affiliation(s)
- Hong Wu
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, China
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22
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Filial piety and intergenerational ambivalence among mother–adult child dyads in rural China. AGEING & SOCIETY 2019. [DOI: 10.1017/s0144686x19000783] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractThis study examines the relationship between filial piety (adult children's filial behaviours and attitudes as well as elderly mothers’ overall evaluation of children's filial piety) and elderly mothers’ reports of intergenerational ambivalence (positive feelings, negative feelings and combined ambivalence) in rural China. We analysed the data from a survey in 2016 covering 2,203 adult children and 802 elderly mothers in Sichuan Province using a two-level mixed-effects modelling analysis. The results indicate that most components of filial piety are associated with mothers’ ambivalence, in that less ambivalence was reported by mothers when their adult children provided more emotional support to, had less conflict with and were evaluated as more filial by their mothers. Interestingly, mothers demonstrated greater positive feelings when their children were more filial in behaviour and attitude, but they also reported greater negative feelings and ambivalence when their children were more obedient, implying that absolute obedience to elderly parents might no longer be accepted by people. These findings may provide further understanding about the correlation between the culture of filial piety and intergenerational relationships in rural China.
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23
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Bai X. Development and Validation of a Multidimensional Intergenerational Relationship Quality Scale for Aging Chinese Parents. THE GERONTOLOGIST 2019; 58:e338-e348. [PMID: 29045751 PMCID: PMC6215467 DOI: 10.1093/geront/gnx156] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Indexed: 11/13/2022] Open
Abstract
Background and Objectives The quality of intergenerational relationships is crucial for maintaining the well-being of parents and adult children. This study developed and validated an Intergenerational Relationship Quality Scale for Aging Chinese Parents (IRQS-AP) based on the solidarity, conflict, and ambivalence models. Research Design and Methods The data were derived from a cross-sectional study in Hong Kong which included a random sample of 1,001 community-dwelling individuals aged ≥50 years. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to examine the factor structure of the scale. The internal consistency reliability and convergent validity of the scale were also assessed. Results EFA resulted in a 13-item four-factor (i.e., consensual-normative solidarity, structural-associational solidarity, affectual closeness, and intergenerational conflict) model, which was supported by the CFA and explained 70.7% of the total variance. The reliability of the scale measured using Cronbach's alpha was .776. The convergent validity of the IRQS-AP was established by its significant correlation with depressive symptoms (r = -.385), sense of loneliness (r = -.449), and self-image (r = .384). Discussion and Implications The IRQS-AP as a reliable and valid scale can enable researchers and service practitioners to measure the relationship quality between older people and their adult children accurately, inform the development of interventions to strengthen intergenerational relationships in target domains, and evaluate the effectiveness of related services.
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Affiliation(s)
- Xue Bai
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
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24
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Li C, Jiang S, Zhang X. Intergenerational relationship, family social support, and depression among Chinese elderly: A structural equation modeling analysis. J Affect Disord 2019; 248:73-80. [PMID: 30716614 DOI: 10.1016/j.jad.2019.01.032] [Citation(s) in RCA: 77] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 08/13/2018] [Accepted: 01/26/2019] [Indexed: 02/07/2023]
Abstract
OBJECTIVE This study aimed to investigate the association among intergenerational relationship, family social support, and elderly's depression symptoms. METHOD Data were obtained from China Longitudinal Aging Social Survey (CLASS) 2014, which is a continuous large-scale national social survey project conducted by the National Survey Research Center at Renmin University of China. Stratified multi-stage probability sampling method was used to collect the sample (N = 11,511). Structural equation modeling was adopted to analyze the association among intergenerational relationship, family social support, and elderly's depression. RESULTS Intergenerational relationship and family social support were negatively correlated with an elderly's depression level. Elderly who enjoyed positive intergenerational relationships with their children would experience adequate family social support and likely have few depression symptoms. CONCLUSION Intergenerational relationship directly affected the elderly's depression level. Family social support played a mediating role between intergenerational relationship and depression. Our findings could contribute to current theories and knowledge and provide implications in social policy, pension service, and social work intervention for the elderly in China.
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Affiliation(s)
- Chunkai Li
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China.
| | - Shan Jiang
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
| | - Xinwen Zhang
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
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25
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Bai X. Whom should I rely on for my future care? Patterns of care expectations and intergenerational correlates among ageing Chinese adults in Hong Kong. HEALTH & SOCIAL CARE IN THE COMMUNITY 2019; 27:115-125. [PMID: 30106203 PMCID: PMC7379681 DOI: 10.1111/hsc.12629] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2017] [Revised: 06/12/2018] [Accepted: 07/03/2018] [Indexed: 06/06/2023]
Abstract
This study examined ageing parents' care expectations across multiple care domains (financial and material, emotional, personal and informational) towards filial and formal sources and identified intergenerational correlates of care expectation patterns using a proposed care expectation model. Data of 780 eligible ageing parents were drawn from a representative household survey of ageing adults (≥50 years) conducted in 2016-2017. Latent class analysis was used to examine the typological structure underlying ageing parents' care expectations. Four patterns of care expectations were discovered: mixed-maximal, filial-modest, formal-modest and neither-minimal. Multinomial logistic regression analysis was conducted to validate the newly proposed care expectation model. In addition to certain predisposing factors (participants' age, sex and education), parental enabling resources (economic status), health characteristics (physical, mental and functional health status), children-related enabling characteristics (number of sons and marital status of children), and intergenerational enabling circumstances (intergenerational relationships and caregiving to their own parents) were introduced into the model and found to be associated with ageing parents' care expectations. The findings can inform policy and programmes that effectively respond to ageing adults' diverse care expectations in Hong Kong and have implications for other Asian societies facing rapid population ageing and increasing care demands.
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Affiliation(s)
- Xue Bai
- Department of Applied Social SciencesThe Hong Kong Polytechnic UniversityHong KongChina
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26
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Cross CJ, Nguyen AW, Chatters LM, Taylor RJ. Instrumental Social Support Exchanges in African American Extended Families. JOURNAL OF FAMILY ISSUES 2018; 39:3535-3563. [PMID: 30083024 PMCID: PMC6075685 DOI: 10.1177/0192513x18783805] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Affiliation(s)
- Christina J Cross
- Department of Sociology, Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, MI 48109,
| | - Ann W Nguyen
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106,
| | - Linda M Chatters
- School of Public Health, School of Social Work, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109,
| | - Robert Joseph Taylor
- School of Social Work, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109,
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27
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Cross CJ, Taylor RJ, Chatters LM. Family Social Support Networks of African American and Black Caribbean Adolescents. JOURNAL OF CHILD AND FAMILY STUDIES 2018; 27:2757-2771. [PMID: 30344428 PMCID: PMC6190710 DOI: 10.1007/s10826-018-1116-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Christina J Cross
- Department of Sociology, Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, MI 48109
| | - Robert Joseph Taylor
- School of Social Work, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109
| | - Linda M Chatters
- School of Public Health, School of Social Work, Institute for Social Research, University of Michigan, Ann Arbor, MI 48109
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28
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Ingersoll-Dayton B, Tangchonlatip K, Punpuing S, Yakas L. Relationships between grandchildren and grandparents in skipped generation families in Thailand. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2018. [DOI: 10.1080/15350770.2018.1477646] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
| | | | - Sureeporn Punpuing
- Institute for Population and Social Research, Mahidol University, Salaya, Thailand
| | - Laura Yakas
- School of Social Work and Department of Anthropology, University of Michigan, Ann Arbor, Michigan, USA
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29
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Sethi B, Williams A, Desjardins E, Zhu H, Shen E. Family conflict and future concerns: Opportunities for social workers to better support Chinese immigrant caregiver employees. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2018; 61:375-392. [PMID: 29261434 DOI: 10.1080/01634372.2017.1419395] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This paper explores the experiences of Chinese immigrant caregiver employees (CEs) residing in Southern Ontario, Canada. Qualitative analysis of participant interviews with thirteen Mandarin Chinese immigrant CEs revealed family conflicts due to cultural differences and an intergenerational gap between CEs and their care recipients. CEs also had future concerns in regards to their own health and the lack of long-term care facilities that offer cultural services for immigrant seniors. These findings provide an opportunity for social workers to collaborate with other service providers to provide ethno-specific and culturally sensitive health, community. and employment services to immigrant ethnic minority CEs.
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Affiliation(s)
- Bharati Sethi
- a King's College, Western University , London , Ontario , Canada
| | - Allison Williams
- b McMaster University, School of Geography and Earth Sciences , Hamilton , Ontario , Canada
| | - Elise Desjardins
- b McMaster University, School of Geography and Earth Sciences , Hamilton , Ontario , Canada
| | - Hanzhuang Zhu
- c Arts and Science Program , McMaster University , Hamilton , Ontario , Canada
| | - Emile Shen
- c Arts and Science Program , McMaster University , Hamilton , Ontario , Canada
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Condon J, Luszcz M, McKee I. The transition to grandparenthood: a prospective study of mental health implications. Aging Ment Health 2018; 22:336-343. [PMID: 27827550 DOI: 10.1080/13607863.2016.1248897] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES This study investigated the mental health of a cohort of 262 female and 168 male grandparents across the first two years of their transition to grandparenthood, with particular focus on the impact of providing childcare for the grandchild. METHOD Baseline assessments were made during the pregnancy with the first grandchild, and subsequent assessments were at one and two years after the birth. The influence of demographic and psychosocial variables which could be expected to influence change in mental health from baseline was explored. RESULTS The lack of change in mental health measures in this cohort was more prominent than change. Specifically, there was a small significant decrease in anxiety over the first year for females, and a small significant increase in depression for males. Other variables, not unique to the transition to grandparenthood such as physical health and adverse life events, were strongly associated with changes in mental health. Notably, more time spent babysitting the grandchild was associated with improvement in mental health. CONCLUSION The transition to grandparenthood did not have any substantial adverse impact on five well-validated measures of mental health, in contrast to earlier American findings of adverse effects which implied that childcare was burdensome.
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Affiliation(s)
- John Condon
- a Department of Psychiatry , Flinders University , Bedford Park , Australia
| | - Mary Luszcz
- b School of Psychology & Flinders Centre for Ageing Studies , Flinders University , Bedford Park , Australia
| | - Ian McKee
- b School of Psychology & Flinders Centre for Ageing Studies , Flinders University , Bedford Park , Australia
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31
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The “Kinship Penalty”: Parenthood and In-Law Conflict in Contemporary Finland. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2017. [DOI: 10.1007/s40806-017-0114-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Celdrán M, Villar F, Antón M, Benito E. Grandparent Visitation Rights in Spain: Which Psychosocial Arguments are Taken into Account to Grant or Deny Visits? PSYCHIATRY, PSYCHOLOGY, AND LAW : AN INTERDISCIPLINARY JOURNAL OF THE AUSTRALIAN AND NEW ZEALAND ASSOCIATION OF PSYCHIATRY, PSYCHOLOGY AND LAW 2017; 25:59-71. [PMID: 31984006 PMCID: PMC6876421 DOI: 10.1080/13218719.2017.1347934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The purpose of this study was to assess reports by psychologists and social workers in lawsuits regarding grandparent visitation rights in Barcelona (Spain). Seventy-three reports written during a five-year period were analysed Sixty-three per cent of cases recommended grandparents being granted visitation rights. A content analysis of the reports revealed that they were more likely to contain negative rather than positive comments about a family member (especially grandparents). Finally, the analysis showed that aspects such as grandparent abilities and a hidden agenda on the part of grandparents were associated with a recommendation that a visitation schedule be denied, whereas the presence of a strong bond between grandparents and the grandchild was related to a favourable recommendation. The article discusses directions for further research and the potential value of drawing up guidelines to assess grandparent rights in the event of family conflict.
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Affiliation(s)
- Montserrat Celdrán
- Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain
| | - Feliciano Villar
- Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain
| | - Montse Antón
- Equip d'Assessorament Tècnic en l’Àmbit de Família [Technical assessment service in family issues], Catalonian Department of Justice, Barcelona, Spain
| | - Esther Benito
- Equip d'Assessorament Tècnic en l’Àmbit de Família [Technical assessment service in family issues], Catalonian Department of Justice, Barcelona, Spain
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Keum BT. Older adult research in the Journal of Counseling Psychology, The Counseling Psychologist, and Counselling Psychology Quarterly: A 15-year review and implications for research. COUNSELLING PSYCHOLOGY QUARTERLY 2017. [DOI: 10.1080/09515070.2017.1324762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Brian TaeHyuk Keum
- Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park, MD, USA
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Abstract
ABSTRACTIn many parts of the world, grandparents live with their grandchildren in ‘skipped-generation households’ in which no parent resides. In Thailand, this living arrangement is more common in rural areas where parents often migrate to find employment. The focus of this article is on how grandparents make the decision to live in skipped-generation households. Our study is based upon open-ended interviews with 48 grandparents who lived in three rural areas of Thailand. Using an interpretative phenomenological approach, the analysis uncovers several factors that contribute to grandparents’ decisions about their living arrangements. These factors include: norms about care-giving and family obligation, inadequate child-care options, the need for financial support, problematic relationships within the family and a desire for companionship. We also identify three different decision-making patterns: grandparents initiating the decision to provide grandchild care, adult children asking grandparents to assume this role and adult children abandoning grandchildren to the grandparents. Based upon these findings, we provide implications for practice that address the conditions of grandparents and their family members.
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Ron P. Care Giving Offspring to Aging Parents: How it Affects Their Marital Relations, Parenthood, and Mental Health. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/105413730601400101] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
The study examined the effect of direct and indirect stresses on the mental health of offspring caring for an aging parent. The study is based on Pearlin, Lieberman, Menaghan, and Mullan's (1981) Stress Development Model. The research examined 345 subjects, men and women aged 40-59 who filled a questionnaire sent by post within their workplace. The research findings show that the various stresses of the caregiver role are mutually connected and have a significant positive effect on the mental health of caregiving offspring. Another finding shows that the extended family support variable acts as a buffer on the caregiving burden on the adult child.
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Older people's relationships with their adult children in multicultural Australia: a comparison of Australian-born people and Chinese immigrants. AGEING & SOCIETY 2016. [DOI: 10.1017/s0144686x16000829] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
ABSTRACTAgainst the background of population ageing and increasing cultural diversity in many Western countries, the study examined differences and similarities between Australian-born people and Chinese immigrants in their relationships with adult children. The specific research questions were: (a) are there differences between these groups in the nature of parent–child relationships; and (b) if there were differences, did these differences reflect the Confucian concept of filial piety among older Chinese immigrants. The solidarity–conflict model and the concept of ambivalence were used to quantify parent–child relationships. Data from 122 community-dwelling people aged 65 and over (60 Australian-born and 62 Chinese-born people) were collected using standardised interviews. There were significant differences between the two groups for all relationship dimensions except associative solidarity. Compared to Australian participants, Chinese participants were more likely to live with their children. However, when they did not live with their children, they lived further away. They were also more likely to receive, but less likely to provide, instrumental help. Finally, they reported higher levels of normative solidarity, conflict and ambivalence, and lower levels of affectual and consensual solidarity. The differences in solidarity dimensions persisted when socio-demographic variables were controlled for. The study revealed complex differences in the nature of older parent–child relationships between Australian-born people and Chinese immigrants. Some of these differences, such as more prevalent multigenerational living among older Chinese immigrants, likely reflect the strong influence of filial piety among this group. However, differences in other dimensions, such as lower levels of consensual solidarity, might be associated with the Chinese participants’ experience as immigrants. This study also highlights the usefulness of the solidarity–conflict model as a theoretical framework to understand the nature of parent–child relationships among older Chinese immigrants.
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Abstract
This article examines how conflict and change manifest themselves in leisureoriented retirement communities. An analytical framework for studying conflict in the communities is applied to case examples to illustrate the nature and variety of conflict in retirement communities. These case examples are drawn from observations conducted by the authors as well as from previously published reports in related literature. These examples indicate that for some residents, participation in community conflict is viewed as a kind of “recreation.” Most of the residents, however, tend to stay out of community conflicts. Unless their economic interests or style of life are severely threatened or a major change is involved, the residents will generally attempt to avoid situations resulting in conflict.
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Abstract
This research adds to recent discussions of intergenerational ambivalence by analyzing accounts of relations with adult children from focus group interviews with older parents. When discussing their adult children, participants reveal strong desires for both autonomy and connection, leading to ambivalence about receiving assistance from them. They define themselves as independent but hope that children’s help will be available if needed. They are annoyed by children’s over protectiveness but appreciate the concern it expresses. They use a variety of strategies to deal with their ambivalent feelings, such as minimizing the help they receive, ignoring or resisting children’s attempts to control, withholding information from children to maintain clear boundaries, seeking others as confidants, and rationalizing children’s unavailability. They actively strive for a balance in their relationships with children. The authors interpret their findings in relation to their children’s styles of offering help and discuss implications for practitioners.
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Abstract
This study examined age differences in topics that generate interpersonal tensions as well as relationship level characteristics that may account for variability in the content of interpersonal tensions. Participants aged 13 to 99 years ( N = 184) diagramed their close and problematic social networks, and then provided open-ended descriptions of recent tensions with up to 6 social partners. Multilevel models were conducted to examine variability in 5 types of tensions (i.e., financial issues, daily activities, scheduling, job/school, and self). Older adults were less likely than younger ages to describe tensions over job/school and daily activities. Job/school tensions were more likely to occur with acquaintances and negative network members. Tensions over scheduling were more likely to occur with positive and ambivalent network members, and tensions over daily activities were associated with less emotional distress. Results suggest relationship characteristics contribute to the content of tensions.
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Affiliation(s)
- Kelly E Cichy
- Department of Human Development and Family Studies, Pennsylvania State University, University Park 16802, USA.
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Abstract
BACKGROUND In any aging society, the sociolegal construction of intergenerational relationships is of great importance. This study conducts an international comparison of a specific judicial issue: whether active labor unions have the legal right to strike for the purpose of improving the benefits given to nonactive workers (specifically, pensioners). METHOD A comparative case law methodology was used. The texts of three different Supreme Court cases-in the United States, Canada, and Israel-were analyzed and compared. FINDINGS Despite the different legal outcomes, all three court rulings reflect a disregard of known and relevant social gerontology theories of intergenerational relationships. CONCLUSION Social gerontological theories can play an important role in both understanding and shaping judicial policies and assisting the courts in choosing their sociojudicial narratives.
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Affiliation(s)
| | | | - Simon Biggs
- 2 University of Melbourne, Victoria, Australia
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Mesidor M, Maru M. Mother-Daughter Relationships in the Recovery and Rehabilitation of Women with Major Depression. WOMEN & THERAPY 2015. [DOI: 10.1080/02703149.2014.978222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Park JM, Lewin AB, Storch EA. Adult offspring perspectives on parental hoarding behaviors. Psychiatry Res 2014; 220:328-34. [PMID: 25129564 DOI: 10.1016/j.psychres.2014.07.061] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2013] [Revised: 07/25/2014] [Accepted: 07/27/2014] [Indexed: 10/24/2022]
Abstract
Hoarding disorder (HD) is characterized by difficulty discarding unneeded items and the accumulation of items within living spaces and is associated with significant functional impairment and distress. Along with the negative impact of hoarding on the individual, HD is substantially impairing for family members, and linked to disruptions in family functioning. The present study utilized a path model analysis to examine the associations between an array of hoarding variables hypothesized to impact family functioning and parent-offspring relationships in 150 adult-aged children of hoarders who responded to online requests to participate in a research study. It was hypothesized that increased hoarding severity, decreased insight, and increased family accommodation (i.e., act of family members facilitating or assisting in hoarding behaviors) would be associated with decreased family functioning, decreased quality of parent-offspring relationships, and increased offspring impairment. Results from the path model revealed that family functioning mediated the relationship between hoarding severity and parent-offspring relationship. Diminished insight in the hoarding parent (as reported by the offspring) was associated with increased familial conflict and family functioning partially mediated the relationship between insight and quality of parent-offspring relationship. Increased family accommodation was significantly associated with increased impairment (work, social, and family domains) in offspring of hoarders.
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Affiliation(s)
- Jennifer M Park
- Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Child CBT Program, 151 Merrimac Street, 3rd Floor, Boston, MA 02114-3117, United States.
| | - Adam B Lewin
- Departments of Psychology and Pediatrics, University of South Florida, United States; Departments of Psychiatry and Behavioral Neurosciences, University of South Florida, United States
| | - Eric A Storch
- Departments of Psychology and Pediatrics, University of South Florida, United States; Departments of Psychiatry and Behavioral Neurosciences, University of South Florida, United States
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Buhl HM, Scholwin B, Noack P. Individuation in Adults’ Family Interactions: An Observational Study. JOURNAL OF ADULT DEVELOPMENT 2014. [DOI: 10.1007/s10804-014-9204-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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44
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Reczek C. The intergenerational relationships of gay men and lesbian women. J Gerontol B Psychol Sci Soc Sci 2014; 69:909-19. [PMID: 24809853 DOI: 10.1093/geronb/gbu042] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES Despite the demonstrated importance of intergenerational ties across the life course, few studies examine relationships between gay men and lesbians and their later life parents and parents-in-law. The present study examines how midlife to later life gay men and lesbians in intimate partnerships conceptualize these intergenerational ties. METHOD Qualitative analysis of 50 in-depth interviews collected with midlife to later life gay men and lesbians (ages 40-72) in long-term intimate partnerships. RESULTS Findings reveal 4 central ways respondents describe supportive parent-child and parent-child in-law relationships: integration, inclusion through language, social support, and affirmations. Findings reveal 3 central ways individuals distinguish strained parent-child and parent-child in-law relationships: rejection in everyday life, traumatic events, and the threat of being usurped. Findings further articulate how intergenerational ambivalence is distinguished through descriptions of a parent as simultaneously supportive (via subthemes of solidarity) and rejecting (via subthemes of strain). DISCUSSION Findings from this study provide empirical evidence of how support, strain, and ambivalence in intergenerational ties are identified and experienced by gay men and lesbian women. This study reveals a new lens to view relationships between midlife to later life adults and their aging parents and parents-in-law and further identifies linkages between solidarity-conflict and ambivalence paradigms.
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Affiliation(s)
- Corinne Reczek
- Department of Sociology, The Ohio State University, Columbus.
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Sechrist J, Suitor JJ, Howard AR, Pillemer K. Perceptions of Equity, Balance of Support Exchange, and Mother-Adult Child Relations. JOURNAL OF MARRIAGE AND THE FAMILY 2014; 76:285-299. [PMID: 24683270 PMCID: PMC3966197 DOI: 10.1111/jomf.12102] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Accepted: 11/21/2013] [Indexed: 06/03/2023]
Abstract
Equity theory suggests that relationships are more harmonious when both members of a dyad believe that their exchanges are fair. However, the level and frequency of exchange, rather than perceptions of equity, have been the focus of most research on support and the quality of intergenerational relations. Using data from 1,426 mother-child dyads nested within 413 families collected as part of the Within-Family Differences Study, the authors explored whether mothers' perceptions of equity are better predictors of closeness and tension than are mothers' reports of balanced exchanges of support. Mixed-model analyses revealed that mothers' perceptions of equity were more consistent predictors of relationship quality than were the balanced exchanges of support, though the results varied somewhat by gender of adult child. These findings contribute to a growing body of research demonstrating that the psychological processes that shape intergenerational relationships mirror those of other ties.
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Affiliation(s)
- Jori Sechrist
- Department of Sociology and Anthropology, University of Texas-Pan American, 1201 W. University Dr., Edinburg, TX 78539 ( )
| | - J Jill Suitor
- Department of Sociology, Purdue University, 700 W. State St., West Lafayette, IN 47907
| | - Abigail R Howard
- Department of Sociology, Purdue University, 700 W. State St., West Lafayette, IN 47907
| | - Karl Pillemer
- Department of Human Development, Cornell University, 185 Martha Van Rensselaer Hall, Ithaca, NY 14850
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46
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Lin X, Bryant C, Boldero J, Dow B. Older Chinese Immigrants’ Relationships With Their Children: A Literature Review From a Solidarity–Conflict Perspective. THE GERONTOLOGIST 2014; 55:990-1005. [DOI: 10.1093/geront/gnu004] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2013] [Accepted: 01/16/2014] [Indexed: 11/13/2022] Open
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Carr D, Boerner K. Dating after late-life spousal loss: Does it compromise relationships with adult children? J Aging Stud 2013; 27:487-98. [PMID: 24300068 DOI: 10.1016/j.jaging.2012.12.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2012] [Revised: 07/08/2012] [Accepted: 12/04/2012] [Indexed: 11/16/2022]
Abstract
In Widowhood in an American City (1973), Helena Lopata observed that widows struggle with new romantic relationships because their children often are resentful toward these new partners. Since the publication of Lopata's classic work, however, few studies have explored empirically the ways that widow(er)'s dating affects their relationships with children. We use prospective data from the Changing Lives of Older Couples study (CLOC) to explore: (1) the impact of bereaved spouses' dating on positive and negative aspects of parent-child relationships six and 18 months postloss; (2) the extent to which these associations are explained by preloss characteristics; and (3) the factors that moderate the association between widow(er) dating and parent-child relations. Multivariate analyses show that widowers who are interested in dating six months postloss report low levels of support and high levels of conflict with their children, yet widows report enhanced relationship quality. This pattern reflects the fact that men who are interested in dating do form new relationships, whereas women's interests are not translated into actual dating. Widowers' dating six months postloss compromises parent-child closeness among those with a history of strained parent-child relations, yet enhances closeness among those with historically good relationships. Dating takes a harsher toll on parent-daughter compared to parent-son relationships. Overall, dating threatens parent-child relationships in specific cases, yet it may also strengthen widow(er) s' parent-child bonds. We discuss the implications for the well-being of older widow(er)s and adult children.
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Affiliation(s)
- Deborah Carr
- Department of Sociology and Institute for Health, Health Care Policy and Aging Research, Rutgers University, 112 Paterson Street, New Brunswick, NJ 08901, United States.
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Cichy KE, Lefkowitz ES, Fingerman KL. Conflict engagement and conflict disengagement during interactions between adults and their parents. J Gerontol B Psychol Sci Soc Sci 2013; 68:31-40. [PMID: 22562969 PMCID: PMC3605941 DOI: 10.1093/geronb/gbs046] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2011] [Accepted: 03/28/2012] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES This study examined generational, ethnic, and gender differences in conflict behaviors during interactions between adults and their parents. We considered associations between observed conflict engagement and conflict disengagement behaviors and participant-rated relationship quality. METHOD Participants included 155 African American and European American women and men (aged 22-49 years), their mothers and their fathers (N = 465). Adult children were videotaped separately with their mother and their father discussing relationship problems. Independent raters coded the conversations for conflict engagement (e.g., pressuring for change) and disengagement (e.g., withdrawing) behaviors. RESULTS In African American families, parents displayed more conflict engagement and adult children displayed more conflict disengagement, whereas European American parents and adult children did not differ in their conflict behaviors. Mothers, fathers, and adult children reported poorer relationship quality when they engaged in more conflict engagement behaviors. Adult children also reported poorer quality relationships when their mothers displayed more conflict engagement behaviors. Mothers reported poorer quality relationships when their adult children engaged in more conflict disengagement. DISCUSSION Findings suggest that even as adults, parents and children in poorer quality relationships may engage in potentially ineffective behaviors to resolve conflicts.
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Affiliation(s)
- Kelly E Cichy
- Department of Human Development & Family Studies, School of Lifespan Development and Educational Sciences, PO Box 5190, 405 White Hall, Kent State University, Kent, OH 44242-0001, USA.
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The Role of Children’s Support in Elders’ Decisions to Live in a Yanglaoyuan (Residential Long-Term Care). J Cross Cult Gerontol 2012; 28:75-87. [DOI: 10.1007/s10823-012-9185-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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50
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Boelk AZ, Kramer BJ. Advancing theory of family conflict at the end of life: a hospice case study. J Pain Symptom Manage 2012; 44:655-70. [PMID: 22727256 DOI: 10.1016/j.jpainsymman.2011.11.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2011] [Revised: 11/03/2011] [Accepted: 11/06/2011] [Indexed: 11/19/2022]
Abstract
CONTEXT Although family conflict is a common occurrence for families involved in caregiving for a dying family member, it has not been examined in the hospice context. OBJECTIVES The purpose of this study was to advance theory of family conflict at the end of life through replication and expansion of a case study involving professional perspectives in the context of a managed care program for low-income elders with advanced chronic disease in their last six months of life, by exploring the perceptions of professionals and family caregivers experiencing conflict in the hospice context. METHODS Data were gathered through in-depth interviews with 15 hospice family caregivers experiencing substantial family conflict, and focus groups with 37 professionals employed in a large multicounty and nonprofit hospice in the Midwest U.S. Dimensional analysis, a method for the generation of grounded theory, was used to refine and expand an explanatory matrix of family conflict at the end of life. RESULTS The initial matrix was expanded through the inclusion of eight new and two refined categories, strengthening our understanding of family conflict as a complex phenomenon influenced by salient contextual variables, conditions, and factors that may contribute to a number of negative outcomes for patients, family members, and professionals. CONCLUSION The study findings are discussed in terms of implications for assessment and intervention.
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Affiliation(s)
- Amy Z Boelk
- Department of Sociology and Social Work, University of Wisconsin-Stevens Point, Stevens Point, WI 54481, USA.
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