配偶认知衰退与婚姻紧张关系中的性别差异:来自美国老年夫妇的证据
Meiyi Li1, Yiang Li2, Michal Engelman1
1Department of Sociology, University of Wisconsin-Madison, 8128 William H. Sewell Social Sciences Building, 1180 Observatory Drive, Madison, WI, 53706, USA.
Social science & medicine (1982)
|November 18, 2025
概括
当丈夫经历认知衰退时,妻子会感受到更多的婚姻压力. 然而,当妻子患有轻度认知障碍或痴呆症时,丈夫的压力较小,社会支持会影响这些动态.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 婚姻显著影响健康,但相反的情况 - - 健康变化如何影响婚姻质量 - - 人们不太了解.
- 一个配偶的认知能力下降可以深刻地改变婚姻的动态和感知压力.
- 压力过程模型提供了一个框架来检查这些双向健康影响.
研究的目的:
- 为了研究一个配偶的认知衰退与另一个配偶的婚姻紧张关系之间的联系.
- 探索认知衰退如何影响婚姻压力的性别差异.
- 检查社会支持,社会参与和社区参与的调节作用.
主要方法:
- 利用行为者与合作伙伴相互依赖模型 (APIM) 进行二元分析.
- 分析了来自国家社会生活,健康和衰老项目 (NSHAP) 浪潮2和3的620对夫妇的数据.
- 检查认知衰退 (轻度认知障碍,痴呆症) 和感知到的婚姻压力.
主要成果:
- 在二次性压力过程中观察到显著的性别不对称性.
- 妻子报告说,当丈夫患有痴呆症时,婚姻压力增加.
- 丈夫报告说,当妻子有轻度认知障碍或痴呆症时,婚姻压力下降;朋友的支持缓冲了妻子的压力,而社交影响了丈夫的压力.
结论:
- 配偶的认知能力下降会产生独特的婚姻压力模式,根据性别而异.
- 朋友支持和社交等社会因素可以调节认知衰退对婚姻压力的影响.
- 这些发现强调了需要针对性别敏感的干预措施,以支持面临认知障碍的夫妇.
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