This study used a psychodynamic perspective on psychological functioning, object relations, for understanding coping and emotional distress in (N = 50) sons and daughters providing assistance to an elderly mother hospitalized for major depression. Hypotheses that better maternal object relations would be related to more adaptive coping and less emotional distress received partial support. The hypothesis that an elderly mother's history of depression when a son or daughter was a child would be associated with adult children's poorer object relations received support. Results indicate that object relations may be a useful framework for studying family issues in late life depression.
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References
1.
BiegelD. E.SalesE., & SchulzR. (1991). Family caregiving in chronic illness: Alzheimer's disease, cancer, heart, disease, mental illness, and stroke. Newbury Park, CA: Sage.
2.
BiglanA.HopsH.ShermanL.FriedmanL. S.ArthurJ., & OsteenV. (1985). Problem solving interactions of depressed women and their spouses. Behavior Therapy, 16, 431–451.
3.
BlattS. J.ChevronE. S.QuinlanD. M.SchafferC. E., & WeinS. (1988). The assessment of qualitative and structural dimensions of object representations (Rev. Ed.). New Haven: Yale University.
4.
CoyneJ. C. (1976). Depression and the response of others. Journal of Abnormal Psychology, 85, 186–193.
5.
CoyneJ. C.KahnJ., & GotlibI. H. (1987). Depression. In JacobT. (Ed.), Family interaction and psychopathology: Theories, methods, and findings. New York: Plenum.
6.
CytrynL.McKnewD. H.BartkoJ. J.LamowM., & HamovittJ. (1982). Offspring of patients with affective disorder: II. Journal of the American Academy of Child Psychiatry, 21, 389–391.
7.
DerogatisL. R. (1977). SCL-90: Administration, scoring, and procedural manual-I for the R (revised) version. Baltimore: Clinical Psychometric Research Unit, Johns Hopkins University School of Medicine.
8.
EndicottJ.CohenJ.NeeJ.FleissJ., & SarantakosS. (1981). Hamilton Depression Rating Scale: Extracted from regular and change versions of the Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry, 38, 98–103.
9.
GaylinW. (1976). Caring. New York: Alfred A. Knopf.
10.
HernandezN. A. (1993). The relationship of caregiver maternal object representation to perceived burden and coping styles in adult children caring for clinically depressed mothers (Doctoral dissertation, Columbia University, 1993). Dissertation Abstracts International, 53-08B, 4391. University Microfilms No. 93-33787.
11.
HinrichsenG. A. (1991). Adjustment of caregivers to depressed older adults. Psychology and Aging, 6, 631–639.
12.
HinrichsenG. A.HernandezN. A., & PollackS. (1992). Difficulties and rewards in family care of the depressed older adult. The Gerontologist, 32, 486–492.
13.
HinrichsenG. A., & HernandezN. A. (1993). Factors associated with recovery from and relapse into major depressive disorder in the elderly. American Journal of Psychiatry, 150, 1820–1825.
14.
KlermanG. L., & WeissmanM. M. (1986). The interpersonal approach to understanding depression. In MillonT. and KlermanG. L. (Eds.), Towards DSM-IV (pp. 429–456). New York: Guilford Press.
15.
LapidusL. B. (1969). Cognitive control and reactions to stress: Conditions for mastery in the anticipatory phase. Proceedings of the 77th Annual Convention of the American Psychological Association, 4, 569–570.
16.
MoosR. H.CronkiteR. C.BillingsA. G., & FinneyJ. W. (1984). Health and daily living form manual. Palo Alto, CA: Stanford University, Social Ecology Laboratory, Department of Psychiatry.
17.
RoseJ. M., & DelMaestroS. G. (1990). Separation-individuation conflict as a model for understanding distressed caregivers: Psychodynamic and cognitive case studies. The Gerontologist, 30, 693–697.
18.
SchulzR., & WilliamsonG. M. (1991). A 2-year longitudinal study of depression among Alzheimer's caregivers. Psychology and Aging, 6, 569–578.
19.
SpitzerR. L., & EndicottJ. (1979). Schedule for affective and disorders and schizophrenia. New York: Biometrics Research, New York State Psychiatric Institute.
20.
SpitzerR. L.EndicottJ., & RobinsE. (1978). Research diagnostic criteria: Rationale and reliability. Archives of General Psychiatry, 35, 773–782.
21.
UchinoB. N.Kiecolt-GlaserJ. K., & CacioppoJ. T. (1994). Construals of preillness relationship quality predict cardiovascular response in family caregivers of Alzheimer's disease victims. Psychology and Aging, 9, 113–120.
22.
VitalianoP. P.MaiuroR. D.RussoJ., & BeckerJ. (1987). Raw versus relative scores in the assessment of coping strategies. Journal of Behavioral Medicine, 10, 1–18.
23.
WeissmanM. M.PaykelE. S., & KlermanG. L. (1972). The depressed woman as mother. Social Psychiatry, 7, 98–108.
24.
WilliamsonG. M., & SchulzR. (1990). Relationship orientation, quality of prior relationship, and distress among caregivers of Alzheimer's patients. Psychology and Aging, 5, 502–509.
25.
WhitbeckL.HoytD. R., & HuckS. M. (1994). Early family relationships, intergenerational solidarity, and support provided to parents by their adult children. Journal of Gerontology: Social Sciences, 49, S85–S94.
26.
ZaritS. H., & ZaritJ. M. (1983). The memory and behavior problems checklist and the burden interview. Unpublished manuscript, University of Southern California, Department of Psychology, Los Angeles.
