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The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 57:P195-P204 (2002)
© 2002 The Gerontological Society of America

RESEARCH ARTICLE

Caregiving as a Dyadic Process

Perspectives From Caregiver and Receiver

Karen S. Lyonsa, Steven H. Zarita, Aline G. Sayerb and Carol J. Whitlatchc

a The Pennsylvania State University, University Park
b Harvard University, Cambridge, Massachusetts
c The Margaret Blenkner Research Center, Cleveland, Ohio

Karen S. Lyons, School of Nursing, Oregon Health Sciences University, 3181 Southwest Sam Jackson Park Road, SN-5N, Portland, OR 97201-3098 E-mail: Lyonsk{at}ohsu.edu.

Decsion Editor: Toni C. Antonucci, PhD

Most family caregiving research has relied on the perspective of the caregiver but has not systematically examined the views and opinions of the elder who is receiving care. The present study examined 63 caregiving dyads to determine how the responses of each member had an impact on the well-being of the other member of the dyad. Caregiver relationship strain predicted his or her own depression and negative health, but no significant association was found between caregiver and care recipient outcomes. Multilevel modeling was used to assess the level of dyadic discrepancy over the care recipient's needs and appraisal of caregiving difficulties. Results indicate that there is little disagreement over the care recipient's needs, but a significant amount of variation in how much the care recipient and caregiver agree on their appraisals of caregiving difficulties. Relationship strain perceived by the caregiver, but not the care recipient, was significantly associated with this disagreement.




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