This narrative and quantitative review synthesizes findings from 55 (N = 54,550) studies on the association between providing support to elderly parents and well-being of adult children as well as well-being of parents, in an endeavor to determine the prevailing direction of effects, magnitude of effects, and possible factors that may moderate these effects. The relation between caring for an elderly parent and well-being and/or caregiver burden in adult children was found to be insubstantial. Likewise, being cared for by adult children was found to be weakly related to well-being in elderly parents. More complex models including psychological aspects of caring; aspects of the intergenerational relationship, such as quality; and the inclusion of both the adult child’s and the parent’s perspectives on providing and receiving support appear more promising for understanding caregiving and well-being in intergenerational relationships beyond childhood.
References marked with an asterisk indicate studies included in the meta-analyses .
2.
Ainsworth, M.D.S. ( 1973). The development of infant-mother attachment. In B. Caldwell & H. Ricciuti (Eds.), Review of child development research (3rd ed., pp. 1-94). Chicago: University of Chicago Press.
3.
*Amirkhanyan, A.A., & Wolf, D.A. ( 2003). Caregiver stress and noncaregiver stress: Exploring the pathways of psychiatric morbidity. The Gerontologist, 43, 817-827.
4.
*Amirkhanyan, A.A., & Wolf, D.A. ( 2006). Parent care and the stress process: Findings from panel data. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 61, S248-S255.
5.
*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, 243-263.
6.
*Barber, C.E. ( 1988). Correlates of subjective burden among adult sons and daughters caring for aged parents. Journal of Aging Studies , 2, 133-144.
7.
Berger, F., & Fend, H. ( 2005). Kontinuität und Wandel in der affektiven Beziehung zwischen Eltern und Kindern vom Jugend-bis ins Erwachsenenalter [Continuity and change in affective parent-child relationship from adolescence to adulthood] . Zeitschrift für Soziologie der Erziehung und Sozialisation , 25, 8-31.
8.
Borenstein, M., Rothstein, D., & Cohen, J. ( 2000). Comprehensive meta-analysis: A computer program for research synthesis. Englewood, NJ: Biostat .
9.
Bowlby, J. ( 1984). Attachment and loss: Vol. 1. Attachment (2nd ed.). London: Penguin.
10.
Bradley, J.M., & Cafferty, T.P. (2001). Attachment among older adults: Current issues and directions for future research. Attachment & Human Development, 3, 200-221.
11.
Brody, E.M. ( 1985). Parent care as a normative family stress. The Gerontologist, 25, 19-29.
12.
*Carpenter, B.D. ( 2001). Attachment bonds between adult daughters and their older mothers: Associations with contemporary caregiving. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 56, 257-266.
13.
*Chen, X., & Silverstein, M. (2000). Intergenerational social support and the psychological well-being of older parents in China. Research on Aging, 22, 43-65.
14.
*Cheng, S.-T., & Chan, A.C.M. ( 2006). Filial piety and psychological well-being in well older Chinese. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 61, P262-P269.
15.
*Choi, H., & Marks, N.F. ( 2006). Transition to caregiving, marital disagreement, and psychological well-being. Journal of Family Issues, 27, 1701-1722.
16.
*Cicirelli, V.G. ( 1993). Attachment and obligation as daughters’ motives for caregiving behavior and subsequent effect on subjective burden. Psychology and Aging, 8, 144-155.
17.
Cohen, J. ( 1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
18.
Coleman, M., Ganong, L.H., & Rothrauff, T.C. (2006). Racial and ethnic similarities and differences in beliefs about intergenerational assistance to older adults after divorce and remarriage. Family Relations, 55, 576-587.
19.
*Davey, A., & Eggebeen, D.J. (1998). Patterns of intergenerational exchange and mental health. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 53, P86-P95.
20.
Diener, E. ( 1984). Subjective well-being. Psychological Bulletin, 95, 542-575.
21.
*Dunham, C.C. ( 1995). A link between generations. Intergenerational relations and depression in aging parents. Journal of Family Issues , 16, 450-465.
22.
*Dwyer, J.W., Lee, G.R., & Jankowski, T.B. (1994). Reciprocity, elder satisfaction, and caregiver stress and burden: The exchange of aid in the family caregiving relationship. Journal of Marriage and the Family, 56, 35-43.
23.
Fuligni, A.J., & Pedersen, S. ( 2002). Family obligation and the transition to young adulthood . Developmental Psychology, 38, 856-868.
24.
Gabriel, B., & Bodenmann, G. ( 2006). Well being, marital and parenting satisfaction in parents in association with child behavior. Psychologie in Erziehung und Unterricht, 53, 213-225.
25.
*Gupta, R. ( 2000). A path model of elder caregiver burden in Indian/Pakistani families in the United States. International Journal of Aging and Human Development, 51, 295-313.
26.
Hedges, L.V., & Vevea, J.L. ( 1998). Fixed- and random-effects models in meta-analysis. Psychological Methods, 3, 486-504.
27.
Ingersoll-Dayton, B., Starrels, M.E., & Dowler, D. ( 1996). Caregiving for parents and parents-in-law: Is gender important? The Gerontologist, 36, 483-491.
28.
Jasinskaja-Lahti, I., Liebkind, K., Jaakkola, M., & Reuter, A. ( 2006). Perceived discrimination, social support networks, and psychological well-being. Journal of Cross-Cultural Psychology , 37, 293-312.
29.
*Kim, I.K., & Kim, C.-S. (2003). Patterns of family support and the quality of life of the elderly. Social Indicators Research, 62/63, 437-454.
30.
Kwak, K. ( 2003). Adolescents and their parents: A review of intergenerational family relations for immigrant and non-immigrant families. Human Development, 46, 115-136.
31.
*Lang, F.R., & Schütze, Y. (2002). Adult children’s supportive behaviors and older parents’ subjective well-being: A developmental perspective on intergenerational relationships. Journal of Social Issues, 58, 661-680.
32.
*Lee, M.-D. ( 2007). Correlates of consequences of intergenerational caregiving in Taiwan. Journal of Advanced Nursing, 59, 47-56.
33.
*Lee, G.R., & Ellithorpe, E. (1982). Intergenerational exchange and subjective well-being among the elderly. Journal of Marriage and the Family, 44, 217-224.
34.
*Lee, G.R., Netzer, J.K., & Coward, R.T. ( 1995). Depression among older parents: The role of intergenerational exchange. Journal of Marriage and the Family, 57, 823-833.
35.
Levitt, M.J., Guacci, N., & Weber, R.A. ( 1992). Intergenerational support, relationship quality, and well-being: A bicultural analysis. Journal of Family Issues , 13, 465-481.
36.
*Li, L., Liang, J., Toler, A., & Gu, S. ( 2005). Widowhood and depressive symptoms among older Chinese: Do gender and source of support make a difference? Social Science & Medicine, 60, 637-647.
37.
*Li, L.W., & Seltzer, M.M. ( 2003). Parent care, intergenerational relationship quality, and mental health of adult daughters. Research on Aging, 25, 484-504.
38.
*Li, L.W., Seltzer, M.M., & Greenberg, J.S. (1999). Change in depressive symptoms among daughter caregivers: An 18-month longitudinal study. Psychology and Aging, 14, 206-219.
*Llacer, A., Zunzunegui, M.V., Gutierrez-Cuadra, P., Béland, F., & Zarit, S.H. ( 2002). Correlates of well-being of spousal and children carers of disabled people over 65 in Spain. European Journal of Public Health, 12, 3-9.
41.
Logan, J.R., & Spitze, G.D. ( 1996). Family ties: Enduring relations between parents and their grown children. Philadelphia: Temple University Press.
42.
*Loomis, L.S., & Booth, A. ( 1995). Multigenerational caregiving and well-being: The myth of the beleaguered sandwich generation. Journal of Family Issues, 16, 131-148.
43.
*Lowenstein, A., & Katz, R. ( 2005). Living arrangements, family solidarity and life satisfaction of two generations of immigrants in Israel. Ageing & Society , 25, 749-767.
44.
*Lowenstein, A., Katz, R., & Gur-Yaish, N. ( 2007). Reciprocity in parent-child exchange and life satisfaction among the elderly: A cross-national perspective. Journal of Social Issues, 63, 865-883.
45.
Magai, C. ( 2001). Emotions over the life span. In J. E. Birren & K. W. Schaie (Eds.), Handbook of the psychology of aging (5th ed., pp. 399-426). San Diego, CA: Academic Press.
46.
Marcoen, A., Verschueren, K., & Geerts, G. ( 1997). Gehechtheid van volwassen kinderen aan hun ouders als determinanten van ouderzorg [Attachment of adult children to their parents as determinants of parent care]. In J. P. Baeyens (Ed.), Gerontologie & geriatrie 1996. Proceedings 19th winter meeting Oostende (pp. 332-338). Leuven, Belgium: Garant.
47.
*Markides, K.S., Costley, D.S., & Rodriguez, L. ( 1981). Perceptions of intergenerational relations and psychological well-being among elderly Mexican Americans: A causal model. International Journal of Aging and Human Development, 13, 43-52.
48.
*Markides, K.S., & Krause, N. ( 1985). Intergenerational solidarity and psychological well-being among older Mexican Americans: A three generations study. Journal of Gerontology, 40, 390-392.
49.
*Marks, N.F. ( 1998). Does it hurt to care? Caregiving, work-family conflict, and midlife well-being. Journal of Marriage and the Family , 60, 951-966.
50.
*Marks, N.F., Lambert, J.D., & Choi, H. ( 2002). Transitions to caregiving, gender, and psychological well-being: A prospective U.S. national study. Journal of Marriage and Family, 64, 657-667.
51.
*McCulloch, B.J. ( 1990). The relationship of intergenerational reciprocity of aid to the morale of older parents: Equity and exchange theory comparisons . Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 45, S150-S155.
52.
Merz, E.-M., Consedine, N.S., Schulze, H.-J., & Schuengel, C. ( 2009). Well-being of adult children and ageing parents is associated with intergenerational support and relationship quality. Ageing & Society, 29, 783-802.
53.
Merz, E.-M., Schuengel, C., & Schulze, H.-J. (2007). Intergenerational solidarity: An attachment perspective. Journal of Aging Studies, 21, 175-186.
54.
*Mui, A.C. ( 1995). Caring for frail elderly parents: A comparison of adult sons and daughters. The Gerontologist, 35, 86-93.
55.
Mullen, B. ( 1989). Advanced basic meta-analysis. Hillsdale, NJ: Erlbaum.
56.
*Murphy, B., Schofield, H., Nankervis, J., Bloch, S., Herrman, H., & Singh, B. ( 1997). Women with multiple roles: The emotional impact of caring for ageing parents, Ageing & Society, 17, 277-291.
57.
*Mutran, E., & Reitzes, D.C. ( 1984). Intergenerational support activities and well-being among the elderly: A convergence of exchange and symbolic-interaction perspectives . American Sociological Review, 49, 117-130.
58.
*Peters-Davis, N.D., Moss, M.S., & Pruchno, R.A. ( 1999). Children-in-law in caregiving families. The Gerontologist, 39, 66-75.
59.
Pinquart, M., & Sörensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis . Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 58, P112-P128.
60.
Pinquart, M., & Sörensen, S. (2004). Associations of caregiver stressors and uplifts with subjective well-being and depressive mood: A meta-analytic comparison. Aging & Mental Health, 8, 438-449.
61.
Pinquart M., & Sörensen, S. (2005). Ethnic differences in stressors, resources, and psychological outcomes of family caregiving for older adults: A meta-analysis. The Gerontologist, 45, 90-106.
62.
Pinquart, M., & Sörensen, S. (2006). Gender differences in caregiver stressors, social resources, and health: An updated meta-analysis . Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 61, P33-P45.
63.
*Pruchno, R., & Kleban, M.H. ( 1993). Caring for an institutionalized parent: The role of coping strategies. Psychology and Aging, 8, 18-25.
64.
Pype, S., Marcoen, A., & Van Ranst, N. ( 1996). Filiale maturiteit, zorg voor bejaarde ouders en welbevinden in de late volwassenheid [Filial maturity, care for elderly parents and well-being in late adulthood]. In J. P. Baeyens (Ed.), Gerontologie & geriatrie 1996. Proceedings 19th winter meeting Oostende (pp. 339-344). Leuven, Belgium: Garant.
65.
Radloff, L.S. ( 1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement , 1, 385-401.
66.
Rosenthal, R. ( 1991). Meta-analytic procedures for social research. Beverly Hills, CA: Sage.
67.
*Schwarz, B., Trommsdorff, G., Albert, I., & Mayer, B. ( 2005). Adult parent-child relationships: Relationship quality, support, and reciprocity. Psychologie Appliquee-Revue Internationale , 54, 396-417.
68.
*Silverstein, M., & Bengtson, V.L. (1994). Does intergenerational social support influence the psychological well-being of older parents? The contingencies of declining health and widowhood. Social Science & Medicine, 38, 943-957.
69.
Silverstein, M., Burholt, V., Wenger, G.C., & Bengtson, V.L. (1998). Parent-child relations among very old parents in Wales and the United States: A test of modernization theory. Journal of Aging Studies, 12, 387-409.
70.
*Silverstein, M., Chen, X., & Heller, K. ( 1996). Too much of a good thing? Intergenerational social support and the psychological well-being of older parents. Journal of Marriage and the Family, 58, 970-982.
71.
*Silverstein, M., Cong, Z., & Li, S. ( 2006). Intergenerational transfers and living arrangements of older people in rural China: Consequences for psychological well-being. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences , 61, S256-S266.
72.
*Spitze, G., Logan, J.R., Joseph, G., & Lee, E. ( 1994). Middle generation roles and the well-being of men and women. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 49, S107-S116.
73.
*Starrels, M.E., Ingersoll-Dayton, B., Dowler, D.W., & Neal, M.B. ( 1997). The stress of caring for a parent: Effects of the elder’s impairment on an employed, adult child. Journal of Marriage and the Family, 59, 860-872.
74.
*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.
75.
*Stephens, M.A.P., Franks, M.M., & Townsend, A.L. (1994). Stress and rewards in women’s multiple roles: The case of women in the middle. Psychology and Aging, 9, 45-52.
76.
*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, 376-386.
77.
*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. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 56, P24-P34.
78.
*Strawbridge, W.J., & Wallhagen, M.I. (1991). Impact of family conflict on adult child caregivers. The Gerontologist, 31, 770-777.
79.
*Strawbridge, W.J., Wallhagen, M.I., Shema, S.J., & Kaplan, G.A. ( 1997). New burdens or more of the same? Comparing grandparent, spouse and adult-child caregivers. The Gerontologist, 37, 505-510.
80.
*Stull, D.E., Bowman, K., & Smerglia, V. ( 1994). Women in the middle: A myth in the making? Family Relations, 43, 319-324.
81.
Thompson, M.G., & Heller, K. ( 1990). Facets of support related to well-being: Quantitative social-isolation and perceived family support in a sample of elderly women . Psychology and Aging, 5, 535-544.
82.
Townsend, A.L., & Franks, M.M. ( 1995). Binding ties: Closeness and conflict in adult children’s caregiving relationships. Psychology and Aging, 10, 343-351.
83.
*Townsend, A., Noelker, L., Deimling, G., & Bass, D. ( 1989). Longitudinal impact of interhousehold caregiving on adult children’s mental health. Psychology and Aging, 4, 393-401.
84.
Uchino, B.N., Cacioppo, J.T., & Kiecolt-Glaser, J.K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin , 119, 488-531.
85.
*Umberson, D. ( 1992). Relationships between adult children and their parents: Psychological consequences for both generations. Journal of Marriage and the Family, 54, 664-674.
86.
*Weinstein, M., Glei, D.A., Yamazaki, A., & Ming-Cheng, C. (2004). The role of intergenerational relations in the association between life stressors and depressive symptoms . Research on Aging, 26, 511-530.
87.
*Whitbeck, L.B., Hoyt, D.R., & Tyler, K.A. ( 2001). Family relationship histories, intergenerational relationship quality, and depressive affect among rural elderly people. Journal of Applied Gerontology, 20, 214-229.
88.
Wortman, P.M. ( 1994). Judging research quality. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 97-109). New York: Russell Sage Foundation.
89.
Zarit, S.H., & Eggebeen D.J. ( 2002). Parent-child relationships in adulthood and later years . In M. Bornstein (Ed.), Handbook of parenting (pp. 135-161). Mahwah, NJ: Lawrence Erlbaum.
90.
*Zhan, H.J. ( 2002). Chinese caregiving burden and the future burden of elder care in life-course perspective. International Journal of Aging and Human Development, 54, 267-290.
91.
*Zhan, H.J. ( 2005). Social-economic context of parent care: Explaining Chinese caregivers’ psychological and emotional well-being. Journal of Gerontological Social Work, 45, 83-100.
92.
Zhan, H.J. ( 2006). Joy and sorrow: Explaining Chinese caregivers’ rewards and stress. Journal of Aging Studies, 20, 27-38.
93.
*Zunzunegui, M.V., Béland, F., & Otero, A. ( 2001). Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. International Journal of Epidemiology, 30, 1090-1099.
