Abstract
We review findings from our programmatic research on adult daughters who are simultaneously involved in the roles of employee and care provider to an impaired parent. Two opposing theoretical perspectives on the health effects of occupying these two roles are described, and empirical findings that bear on each perspective are presented. Our review reveals that, consistent with the competing demands perspective, parent care and employment often conflict with one another. Consistent with the energy expansion perspective, however, there is evidence that holding these two roles can be beneficial for the health of adult daughters.
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Aneshensel, C. S., Frerichs, R. R., & Clark, V. A. (1981). Family roles and sex differences in depression. Journal of Health and Social Behavior, 22, 379–393.
Aneshensel, C. S., Pearlin, L. I., Mullan, J. T., Zarit, S. H., & Whitlatch, C. J. (1995). Profiles in caregiving: The unexpected career. San Diego, CA: Academic Press.
Atienza, A. A., & Stephens, M. A. P. (2000). Social interactions at work and the well-being of daughters involved in parent care. Journal of Applied Gerontology, 19(3), 243–263.
Barling, J., MacEwen, K. E., Kelloway, E. K., & Higginbottom, S. F. (1994). Predictors and outcomes of elder-care-based interrole conflict. Psychology and Aging, 9, 391–397.
Barnett, R. C., & Marshall, N. L. (1992). Worker and mother roles, spillover effects and psychological distress. Women and Health, 18, 9–40.
Biernat, M., & Wortman, C. B. (1991). Sharing of home responsibilities between professionally employed women and their husbands. Journal of Personality and Social Psychology, 60, 844–860.
Brody, E. M. (1981). Women in the middle and family help to older people. The Gerontologist, 21, 471–480.
Brody, E. M. (1990). Women in the middle: Their parent-care years. New York: Springer.
Brody, E. M., Kleban, M. H., Johnsen, P. T., Hoffman, C., & Schoonover, C. B. (1987). Work status and parent care: A comparison of four groups of women. The Gerontologist, 27, 201–208.
Bromberger, J. T., & Matthews, K. A. (1994). Employment status and depressive symptoms in middle-aged women: A longitudinal investigation. American Journal of Public Health, 84(2), 202–206.
Burton, L. C., Newsom, J. T., Schulz, R., Hirsch, C. H., & German, P. S. (1997). Preventive health behaviors among spousal caregivers. Preventive Medicine, 26, 162–169.
Dautzenberg, M. G. H., Diederiks, J. P. M., Philipsen, H., Stevens, F. C. J., Tan, F. E. S., & Vernooij-Dassen, M. J. F. J. (2000). The competing demands of paid work and parent care: Middle-aged daughters providing assistance to elderly parents. Research on Aging, 22, 165–187.
Enright, R. B., & Friss, L. (1987). Employed caregivers of brain-impaired adults. San Francisco: Family Survival Project.
Franks, M. M., & Stephens, M. A. P. (1992). Multiple roles of middle-generation caregivers: Contextual effects and psychological mechanisms. Journals of Gerontology: Social Sciences, 47, S123-S129.
Franks, M. M., & Stephens, M. A. P. (1996). Social support in the context of caregiving: Husbands' provision of support to wives involved in parent care. Journal of Gerontology: Psychological Sciences, 51B, P43-P52.
Giele, J. Z., Mutschler, P. H., & Orodenker, S. Z. (1987). Stress and burdens of caregiving for the frail elderly (Working Paper No. 36). Waltham, MA: Brandeis University.
Gignac, M. A. M., Kelloway, E. K., & Gottlieb, B. H. (1996). The impact of caregiving on employment: A mediational model of work-family conflict. Canadian Journal on Aging, 15, 525–542.
Goode, W. J. (1960). A theory of role strain. American Sociological Review, 25, 483–496.
Gore, S., & Mangione, T. W. (1983). Social roles, sex roles and psychological distress: Additive and interactive models of sex differences. Journal of Health and Social Behavior, 24, 300–312.
Gottlieb, B. H., Kelloway, E. K., & Fraboni, M. (1994). Aspects of eldercare that place employees at risk. The Gerontologist, 34, 815–821.
Herold, J., & Waldron, I. (1985). Part-time employment and women's health. Journal of Occupational Medicine, 27, 405–412.
Joseph, A. E., & Hallman, B. C. (1998). Over the hill and far away: Distance as a barrier to the provision of assistance to elderly relatives. Social Science and Medicine, 46, 631–639.
Kahn, R. L., Wolfe, D. M., Quinn, R. P., Snoek, J. D., & Rosenthal, R. A. (1964). Organizational stress: Studies in role conflict and ambiguity. New York: Wiley.
Kiecolt-Glaser, J. K., Glaser, R., Shuttleworth, E. C., Dyer, C. S., Ogrocki, P., & Speicher, C. (1987). Chronic stress and immunity in family caregivers of Alzheimer's disease patients. Psychosomatic Medicine, 49, 523–535.
King, A. C., Oka, R. K., & Young, D. R. (1994). Ambulatory blood pressure and heart rate responses to stress of work and caregiving in older women. Journal of Gerontology, 49(6), M239-M245.
Kopelman, R. E., Greenhaus, J. D., & Connolly, T. F. (1983). A model of work, family and interrole conflict: A construct validation study. Organizational Behavior and Human Performance, 32, 198–215.
Marks, S. R. (1977). Multiple roles and role strain: Some notes on human energy, time and commitment. American Sociological Review, 42, 921–936.
Martire, L. M., Stephens, M. A. P., & Atienza, A. A. (1997). Theinterplay of work and caregiving: Relationships between role satisfaction, role involvement, and caregivers' well-being. Journal of Gerontology: Social Sciences, 52B(5), S279-S289.
Meshefedjian, G., McCusker, J., Bellavance, F., & Baumgarten, M. (1998). Factors associated with symptoms of depression among informal caregivers of demented elders in the community. The Gerontologist, 38, 247–253.
Miller, B. (1989). Adult children's perception of caregiver stress and satisfaction. Journal of Applied Gerontology, 8, 275–293.
Moen, P., Robison, J., & Fields, V. (1994). Women's work and caregiving roles: A life course approach. Journal of Gerontology: Social Sciences, 49(4), S176-S186.
National Alliance for Caregiving and the American Associationof Retired Persons. (1997). Family caregiving in the U.S.:Findings from a national survey (Final Report). Washington, DC: Author.
Neal, M. B., Chapman, N. J., Ingersoll-Dayton, B., & Emlen, A. C. (1993). Balancing work and caregiving for children, adults, and elders. Newbery Park, CA: Sage.
Neal, M. B., Ingersoll-Dayton, B., & Starrels, M. E. (1997). Gender and relationship differences in caregiving patterns and consequences among employed caregivers. The Gerontologist, 37, 804–816.
Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 39, 583–591.
Penrod, J. D., Kane, R. A., Kane, R. L., & Finch, M. D. (1995). Who cares? The size, scope, and composition of the caregiver support system. The Gerontologist, 35, 489–497.
Repetti, R. L., Matthews, K. A., & Waldron, I. (1989). Employment and women's health: Effects of paid employment on women's mental and physical health. American Psychologist, 44, 1394–1401.
Ross, C. E., & Mirowsky, M. (1995). Does employment affect health? Journal of Health and Social Behavior, 36, 230–243.
Scharlach, A. E. (1994). Caregiving and employment: Competing or complementary roles? The Gerontologist, 34, 378–385.
Schulz, R., & Beach, S. R. (1999). Caregiving as a risk factor for mortality: The Caregiver Health Effects Study. Journal of the American Medical Association, 282, 2215–2219.
Schulz, R., O'Brien, A. T., Bookwala, J., & Fleissner, K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates, and causes. The Gerontologist, 35, 771–791.
Schulz, R., Visintainer, P., & Williamson, G. M. (1990). Psychiatric and physical morbidity effects of caregiving. Journal of Gerontology: Psychological Sciences, 45, P181-P191.
Skaff, M. M., & Pearlin, L. I. (1992). Caregiving: Role engulfment and the loss of self. The Gerontologist, 32, 656–664.
Spitze, G., & Logan, J. (1990). More evidence on women (and men) in the middle. Research on Aging, 12, 182–198.
Stephens, M. A. P., Franks, M. M., & Atienza, A. A. (1997). Where two roles intersect: Spillover between parent care and employment. Psychology and Aging, 12, 30–37.
Stephens, M. A. P., & Townsend, A. L. (1997). Stress of parent care: Positive and negative effects of women's other roles. Psychology and Aging, 12(2), 376–386.
Stephens, M. A. P., Townsend, A. L., Martire, L. M., & Druley, J. A. (2001). Balancing parent care with other roles: Interrole conflict of adult daughter caregivers. Journal of Gerontology:Psychological Sciences, 56B, P24-P34.
Stoller, E. P., & Pugliesi, K. L. (1989). Other roles of caregivers: Competing responsibilities or supportive resources. Journal of Gerontology: Social Sciences, 44, S231-S238.
Stone, R., Cafferata, G. L., & Sangl, J. (1987). Caregivers of the frail elderly: A national profile. The Gerontologist, 27, 616–626.
Stone, R. I., & Kemper, P. (1989). Spouses and children of disabled elders: How large a constituency of long-term care reform? The Milbank Quarterly, 67, 485–506.
U.S. Bureau of Labor Statistics. (1998). USDL 98–217. Retrieved November, 1998, from http://stats.bls.gov/newsrels.htm
Vecchio, R. P. (1984). Demographic and attitudinal differences between part-time and full-time employees. Journal of Occupational Behavior, 5, 213–218.
Verbrugge, L. M. (1983). Multiple roles and physical health of women and men. Journal of Health and Social Behavior, 24, 16–30.
Waldron, I., & Jacobs, J. A. (1989). Effects of multiple roles on women's health: Evidence from a national longitudinal study. Women and Health, 15, 3–19.
Wethington, E., & Kessler, R. C. (1989). Employment, parental responsibility, and psychological distress: A longitudinal study of married women. Journal of Family Issues, 10, 527–546.
White, T. M., Townsend, A. L., & Stephens, M. A. P. (2000). Comparisons of African-American and White women in the parent care role. The Gerontologist, 40, 718–728.
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Martire, L.M., Stephens, M.A.P. Juggling Parent Care and Employment Responsibilities: The Dilemmas of Adult Daughter Caregivers in the Workforce. Sex Roles 48, 167–173 (2003). https://doi.org/10.1023/A:1022407523039
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DOI: https://doi.org/10.1023/A:1022407523039