Interpersonal effects of suffering in older adult caregiving relationships.
Open accessAbstract
Examining the interpersonal effects of suffering in the context of family caregiving is an important step to a broader understanding of how exposure to suffering affects humans. In this review article, the authors first describe existing evidence that being exposed to the suffering of a care recipient (conceptualized as psychological distress, physical symptoms, and existential/spiritual distress) directly influences caregivers' emotional experiences. Drawing from past theory and research, the authors propose that caregivers experience similar, complementary, and/or defensive emotions in response to care recipient suffering through mechanisms such as cognitive empathy, mimicry, and conditioned learning, placing caregivers at risk for psychological and physical morbidity. The authors then describe how gender, relationship closeness, caregiving efficacy, and individual differences in emotion regulation moderate these processes. Finally, the authors provide directions for future research to deepen understanding of interpersonal phenomena among older adults, and they discuss implications for clinical interventions to alleviate the suffering of both caregivers and care recipients.
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Dyadic approaches in interventions for chronic disease are more effective than those only focused on patients.
“Dyadic approaches in interventions for chronic disease are more effective than those only focused on patients (Monin and Schulz, 2009).”
From Mindfulness-Based Intervention for People With Dementia and Their Partners: Results of a Mixed-Methods Study. (2019) · cites this paper as Monin and Schulz, 2009
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Schulz, R., Beach, S. R., Czaja, S. J., Martire, L. M., & Monin, J. K. (2020) · Annual Review of Psychology · doi:10.1146/annurev-psych-010419-050754 · Cited by 754 · see citing works
Self-citationAging and the HPA axis: Stress and resilience in older adults
Gaffey, A. E., Bergeman, C. S., Clark, L. A., & Wirth, M. M. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.05.036 · Cited by 273 · see citing works
Duberstein, P. R., Chapman, B. P., Tindle, H. A., Sink, K. M., Bamonti, P., Robbins, J., Jerant, A. F., & Franks, P. (2011) · Psychology and Aging · doi:10.1037/a0021377 · Cited by 146 · see citing works
Measuring the Experience and Perception of Suffering
Schulz, R., Monin, J. K., Czaja, S. J., Lingler, J. H., Beach, S. R., Martire, L. M., Dodds, A., Hebert, R. S., Zdaniuk, B., & Cook, T. B. (2010) · The Gerontologist · doi:10.1093/geront/gnq033 · Cited by 90 · see citing works
Self-citationMonin, J. K., Schulz, R., & Feeney, B. C. (2015) · The Gerontologist · doi:10.1093/geront/gnu001 · Cited by 64 · see citing works
Self-citationSuicide risk in caregivers of people with dementia: a systematic review and meta-analysis
Solimando, L., Fasulo, M., Cavallero, S., Veronese, N., Smith, L., Vernuccio, L., Bolzetta, F., Dominguez, L. J., & Barbagallo, M. (2022) · Aging Clinical and Experimental Research · doi:10.1007/s40520-022-02160-6 · Cited by 44 · see citing works
In-Home Monitoring Support for Dementia Caregivers: A Feasibility Study
Williams, K., Arthur, A., Niedens, M., Moushey, L., & Hutfles, L. (2013) · Clinical Nursing Research · doi:10.1177/1054773812460545 · Cited by 47 · see citing works
Berk, L., Warmenhoven, F., Stiekema, A. P. M., van Oorsouw, K., van Os, J., de Vugt, M., & van Boxtel, M. (2019) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2019.00092 · Cited by 45 · see citing works
“Dyadic approaches in interventions for chronic disease are more effective than those only focused on patients (Monin and Schulz, 2009).”
Background
- Authors
- Monin, J. K., & Schulz, R.
- Affiliations
- University of Pittsburgh (US)
- Venue
- Psychology and Aging
- Published
- 2009-09
- Volume
- 24
- Issue
- 3
- Pages
- 681-695
- ISSN
- 0882-7974 (ISSN-L)
- 1939-1498
- PMC
- PMC2765123
- OpenAlex
- W2054383905
- Cited by
- 244
- References
- 33
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 14 · 2023: 12 · 2022: 14 · 2021: 11 · 2020: 24 · 2019: 17 · 2018: 15 · 2017: 12 · 2016: 16 · 2015: 28 · 2014: 13 · 2013: 18 · 2012: 12
- FWCI
- 22.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology and Aging (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Alzheimer’s Association
- National Institute of Nursing Research (NR08272; NR0009573)
- National Institute of Mental Health (MH071944)
- National Heart, Lung, and Blood Institute (HL076852; HL076858)
- National Science Foundation (EEEC-0540865)
- National Institute on Aging (F32 AG031635-01A2)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- family caregiving, older adults, caregiver suffering, caregiver emotional experience, psychological distress, somatic symptoms, existential suffering, spiritual distress, cognitive empathy, mimicry, conditioned learning, gender differences, relationship closeness, emotion regulation, caregiver interventions
- MeSH terms
- Adult, Aged, Aging, Arousal, Conditioning, Psychological, Defense Mechanisms, Depression, Emotions, Empathy, Female, Humans, Imitative Behavior, Interpersonal Relations, Male, Middle Aged, Models, Psychological, Pain, Sex Factors, Sick Role, Caregivers, Cost of Illness, Family Conflict
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