Family Overload Research Articles

The impact of parenthood on well-being: a qualitative study of mothers’ and fathers’ perceptions across European countries

Abstract Background Parenthood significantly impacts the well-being of mothers and fathers. Yet, their experiences may differ according to societal roles and expectations. Parenthood can bring joy and fulfillment, but also emotional strain, particularly for mothers. Fathers’ involvement in caregiving has been recognized as crucial for family well-being, but studies on its health impact remain scarce. This study analyzed mothers’ and fathers’ perceptions of how parenthood affected their personal and professional well-being. Methods We conducted 30 semi-structured interviews with Portuguese mothers and fathers living in Portugal, Sweden, Norway, Germany, the Netherlands, the UK, Spain, and Italy. Thematic content analysis was performed to analyze the interviews. Results After becoming parents, male interviewees reported career benefits such as higher pay and career growth due to increased workload, while female interviewees reported greater family overload that spilled over into their professional lives. In Portugal, women faced work-life conflict as they felt more competent than their male partners in providing care and maintained their full-time paid work. In countries like Germany and Spain, women assumed the role of main caregivers but reduced their work commitments, either by working fewer hours or leaving the workforce. Self-reported health declined for both after parenthood, but differently. Some fathers engaged in less healthy behaviors, resulting in weight gain. In contrast, mothers, particularly in Portugal, were more prone to express emotions such as guilt, pressure, and anxiety due to role conflicts as workers, mothers, and wives. Conclusions Traditional gender norms still shape parental roles in work and family life, differently affecting women’s and men’s well-being. To address gender inequalities in parenthood, equal access to supportive measures such as shared parental leave is needed, as well as flexible working arrangements and childcare services.

Unpacking daily changes in role overload and work–family balance satisfaction: A latent growth modeling approach

AbstractThis study probes the temporal nature of work–family balance satisfaction (WFBS). Drawing on distributed connectionist models and conservation of resources (COR) theory, we hypothesize that changes in work and family overload are positively associated with changes in WFBS, and these relationships are mediated by changes in work and family fatigue, respectively. Additionally, we propose that work and family crafting behaviors (decreasing hindering work and family demands) are helpful in building resources that mitigate the relationships above. We tested these hypotheses by sampling 71 full‐time employees over a work week. The results identified positive relationships between changes in role overload and changes in WFBS. In addition, we found full support for the moderating role of crafting behaviors in the work domain and partial support for the family domain. Further analyses suggested that employees' work and family crafting behaviors (i.e., decreasing hindering demands) buffered the negative effects of changes in work and family overload on changes in work and family fatigue, respectively. Also, decreasing hindering work demands moderated the indirect effect of changes in work overload on changes in WFBS. We discuss theoretical and practical implications as well as future research directions.

The Mediating Role of Chinese Values in the Satisfaction of Work-Life Balance among Chinese Bank Employees: A Case Study

The topic of Work-Life Balance has become a widely discussed issue in Western contexts due to the rising stress levels in both work and personal life. Only recently has the topic become popular in Asian countries, including Malaysia. While studies have explored the Work-Life Balance in the banking sector, there remains a scarcity of research examining the cultural aspect of the Work-Life Balance of Chinese ethnicity outside Mainland China. This study aims to fill this gap by exploring the mediating role of Chinese Values on the relationship between antecedents of Work-Life Balance (including work involvement, work overload, work support, family involvement, family overload, and family support) and Work-Life Balance satisfaction among Chinese bank employees in Sarawak, Malaysia. A quantitative method was employed to gather data from 52 Chinese bank employees, which was then analysed using IBM SPSS version 25.0, Pearson Correlation Analysis, and the PROCESS for mediation. The results of this study demonstrate that Chinese Values play a significant mediating role in the relationship between some of the antecedents of Work-Life Balance (work involvement, work overload, work support and family support) and satisfaction with Work-Life Balance. Based on these findings, it is recommended that some cultural aspects of Chinese values, which are usually accepted by other ethnicities, be considered when developing and implementing Work-Life Balance programs in the banking sector. The study highlights the importance of considering cultural differences in the design of workplace programs to improve Work-Life Balance satisfaction among employees.

Interruptions in Remote Work: a Resource-based Model of Work and Family Stress.

We use the conservation of resources (COR) theory to propose a work-family model of stress in remote work. We propose that interruptions from family are a unique hindrance stressor, detrimental for the employee’s challenge and hindrance stress responses in remote work, which, in turn, have distinct effects on resource-oriented attitudes and states of both the employee and spouse. Namely, we expect that both partners’ satisfaction with the work arrangement, employee engagement, and spouse family overload will be associated with the way the employee experiences stress in remote work (stress response). We also integrate the effort-recovery model to examine whether two types of breaks taken by employees while working remotely replenish resources lost through interruptions. Using a sample of 391 couples, we find support for all hypotheses that pertain to the employee. Findings involving the spouse support the primacy of the resource loss tenet in COR theory, in that these detrimental effects are significant in crossing over to the spouse via hindrance but are not significant via challenge stress. We discuss the implications of these findings, emphasizing that interruptions are harmful for both types of stress experienced by remote employees (i.e., lower “good” and higher “bad” stress responses), and interruptions appear to have far-reaching effects on both partners. However, choosing to use breaks for both nonwork goals and self-care can buffer these otherwise detrimental effects.

Testing a resource-based spillover-crossover-spillover model: Transmission of social support in dual-earner couples.

We propose and test a Resource-Based Spillover-Crossover-Spillover Model (RB-SCSM) of how an employer's provision of family support resources to an employee ultimately relates to his or her partner's improved experiences at his or her work as part of a mesosystem-to-mesosystem resource transmission process. Based on a dyadic examination of 262 full-time dual-earner couples, consistent with prior research, we found that when employees perceive their organization is family supportive, they experience less work-to-family conflict, and in turn, less burnout. Building on these individual-level effects in novel ways, we demonstrate that when an employee reports less burnout, their partner perceives the employee as less burned out. Moreover, when partners perceive less employee burnout, they perceive the employee provides more emotional support for the partner's work, directly and indirectly through the family overload that the partner experiences. Finally, when the partner receives more family support for his or her work, this spills over to and is related to the partner's greater investment in his or her relationships at work. Thus, our findings empirically demonstrate a resource-based transmission from one organization to another through dynamics occurring in the family. Suggestions for practical implementation are provided, as are suggestions for future theoretically grounded research. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Influences of Work and Family Spillover on Filial and Sandwiched Caregivers' Psychological Well-Being.

There has been a documented increase in the numbers of filial and sandwiched caregivers in the United States. However, past studies have overlooked the impact of work and family overload on caregiver well-being. This study investigates the moderating influences of the quality and directionality of work and family spillover on the well-being (e.g., positive affect and negative affect, psychological well-being, and global well-being) of 180 filial and sandwiched caregivers from the second wave of the Midlife in the United States Survey. Regression and moderation analyses revealed that sandwiched caregivers with high levels of negative work-to-family spillover exhibited higher negative affect than the comparison groups. Sandwiched caregivers with high levels of negative family-to-work spillover exhibited higher level of negative affect and lower level of self-acceptance than other caregivers. These findings can help create work programs that address spillover between work and home in the effort to promote caregiver well-being.

Valoración del paciente geriátrico en el servicio de medicina interna

Introducción: El aumento de la población de personas mayores, añadido al aumento de pluripatología y polifarmacia, hace cada vez más frecuente su ingreso en los hospitales. Objetivos: Establecer el perfil del paciente geriátrico mayor de 75 años, con pluripatología y atendido en la Unidad de Medicina Interna del Hospital Virgen de la Concha. Analizar los resultados de la valoración funcional a través de la escala Barthel. Identificar la situación social a través de la escala Gijón. Métodos: Estudio observacional retrospectivo en la unidad de hospitalización de medicina interna a lo largo de un año. Análisis descriptivo de variables: demográficas (edad, sexo); capacidad funcional y la valoración social. Los datos obtenidos del aplicativo informático Gacela Care. Resultados: Se realizaron 1285 ingresos, con una media de edad de 78 años. Se obtuvo una muestra de 915 pacientes ≥75años, con una media de edad de 85,9±5,4años (75-101), moda 89 y mediana 86 años. El 43,5% son ≥85años. 53,11% mujeres y 46,88% hombres. Estancia media de hospitalización 7,4±5,2días (0-66). Valoración de dependencia: 38,57% con dependencia total (62,32% mujeres);9,61% dependencia grave (54,54% mujeres); 15,19% dependencia moderada (54,67% mujeres); 26,22% dependencia leve (47,08% mujeres); 10,38% independientes (30,56% mujeres). Situación social: 28,80%sin riesgo (64,63%mujeres); 60,30%situación social buena (47,37%mujeres); 6,2% situación social media (56,60%mujeres); y el 4,68% deterioro social severo (52,5% mujeres) Conclusiones: El perfil de los pacientes estudiados se aproxima al de “paciente geriátrico”. El mayor porcentaje presenta un nivel de dependencia total, provocando mayor demanda de cuidados y de recursos. Existen pocos pacientes con deterioro social severo. Hay un mayor número de pacientes dependientes totales sin institucionalizar. Por lo que la carga de cuidados de estos pacientes la realizan familiares desde el domicilio, justificando la importancia de la valoración de los cuidadores y evaluación de los recursos referidos a la sobrecarga de familias y cuidador principal.

Determinantes sociales de salud, sobrecarga familiar y calidad de vida de cuidadores familiares de pacientes oncológicos en cuidados paliativos

To determine which structural, intermediary, and family overload factors explain the quality of life of family caregivers of cancer patients receiving palliative care based on the Determinants of Health proposed by the World Health Organization (WHO). Analytical, cross-sectional study with a non-probabilistic sample of 212 family caregivers of cancer patients. The variable 'quality of life' was measured using the 36-Item Short-Form Health Survey (SF-36 v.2). For the descriptive analysis, relative frequencies, means and standard deviations were used. To analyze the effect of structural and intermediary determinants and overload on quality of life, different linear regression models were estimated. These models were calculated with robust standard errors to deal with possible problems based on the assumption of heterocedasticity. The best levels of health were associated with physical function, with a mean score of 86.9 points, while social function reported an average of 51.4. The structural and intermediary variables, in the case of physical and mental health, had a statistically significant relationship with sex and caregiver overload. Being a widower decreased the mental health scale by 13.4 points in relation to married people; having a history of morbidity reduced the mental health scale by 9.4 points. The female sex and overload affect the quality of life and health of caregivers. Further studies should focus on the person with cancer, sex and caregiver overload.

O DIÁLOGO ENTRE O ACESSO À JUSTIÇA E O CAPS III

Este estudo apresenta a inserção de um Defensor Público Federal junto a equipe multiprofissional em um grupo composto por familiares e usuários do dispositivo de um CAPS III, tendo em vista o aumento crescente do número de usuários que tiveram os pedidos de benefícios indeferidos pela previdência social neste dispositivo. Ocasionando crescimento do número de recursos com sobrecarga aos familiares no cuidado o usuário. O objetivo deste trabalho é discutir o impacto desta situação na perspectiva de sobrecarga de cuidados. Esta pesquisa teve o caráter qualitativo, feita por meio de observação participante em reuniões com os grupos de família durante dois anos, com suporte jurídico uma vez a cada mês. Participaram da pesquisa 15 familiares do grupo de família do CAPS III, que tiveram o benefício de prestação continuada (BPC) cancelados e/ou aqueles realizaram a solicitação do benefício e esta solicitação fora por algum motivo indeferido. Dos 15 familiares que a DPU entrou com ação judicial, 10 deles conseguiram a revisão dos benefícios, 3 deles tiveram o benefício negado e apenas 2 famílias tiveram o processo arquivado pelo juizado local. Com a inclusão da orientação jurídica oferecida aos usuários e seus respectivos familiares, observamos novas possibilidades de intervenção transformando olhares e atitudes que a cidade desenvolve com os portadores de sofrimento psíquico, minimizando os impactos apresentados pela sobrecarga de cuidados do familiar.

Evaluation Of The Overload Of Care In Families Of Psychiatric Patients In Psychosocial Care Center

Introduction: The burden of care in family refers to the weight caused by the primary caregiver role to psychiatric patients and the difficulties encountered in performing this function in daily life.
 Objectives: Assessing the objective and subjective overload of family members who live with the reality of psychiatric disorder in a child day-care psychosocial care center. Methods: Cross-sectional study, descriptive-exploratory, of quantitative approach, with non-probabilistic samples of accidental type with 80 families of psychiatric patients held in a Psychosocial Care Center. For overload evaluation, the subscales "B" and "D" of the Family Overload Rating Scale (FBIS-BR) were used.
 Results: The study was conducted with 80 families of psychiatric patients. The average age of female caregivers was 39,6 years old, and 40,7 years old for male caregivers, with female predominance (87,5%) compared to men (12,5%), with low education for both genres. Family caregivers presented high objective burden due to excessive demand attention (p<0,001), heteroaggressiveness (p<0,001) and perplexing behavior of psychiatric patients regarding the supervision of problematic behaviors (p<0,001). The items on the impact on the family's daily routine have not helped to generate objective overload for the family members. On subjective overload, it was clear to observe familiar members with high degree of disturbance in all the dimensions assessed (p < 0,001).
 Conclusion: The high degree of care overload observed in family members indicates the need to develop contacts with the family of the psychiatric patient to answer questions, offer support and assistance to the family caregiver.
 Keywords: Caregivers. Patients. Mental Health Services.

ECAMulticapa: Effectiveness of double-layered compression therapy for healing venous ulcers in primary care: a Study Protocol.

BackgroundChronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload.Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated.Method/designRandomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable.The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up.The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations.The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder.Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat.DiscussionThe study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions.Trial registrationThis study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015.

Gender, polychronicity, and the work–family interface: is a preference for multitasking beneficial?

ABSTRACTThis study examined how polychronicity, or the preference to do several things concurrently, was related to work and family overload, work–family conflict, and outcomes in the work, family, and life domains (i.e. turnover intent, family, and life satisfaction). Using conservation of resources theory as a framework, polychronicity was conceptualized as a resource that could be used to reduce work and family overload. The participants were 553 employed parents from Canada and the US. Results indicated that polychronicity was related to lower work overload. Lower work overload was related to lower work interference with family conflict, lower turnover intent, and higher family and life satisfaction. We also examined gender differences and found that, although women scored significantly higher than men on family overload and family satisfaction, and significantly lower than men on life satisfaction, there was no mean gender difference on polychronicity. In addition, the path coefficients in the model were not significantly different for men and women.

Predictors of Family Function in DMD and SMA Family

Introduction: The progressive disability creates a low quality of life for families of children with muscular dystrophy. The families experience family overload, resulting in the alienation of family members and the common occurrence of caregiver burden, and resulting economic burden. Purpose: The purposes of the study were to identify the differences in family characteristics, health needs, lifestyle, and overall family health status between cohorts of families with a child from either Duchenne muscular dystrophy (DMD) or spinal muscular dystrophy (SMA). And analyzed the predictive factors influence the major health-associated variables. Methods: Analyzes were conducted on data derived from 86 of families with DMD or SMA. Participants (113, mean age: 42.68 years) included the patient’s parents, siblings, and other caregivers of children with DMD and SMA. The data were obtained using selfreported questionnaires. Results: The results show that family support, family hardiness, the power to propose an idea/plan, and family incomes are predictors for family functioning. Gender, education, income, time spent watching TV, and the power to propose an idea or plan constituted important characteristics influencing this model of family health and family function. Conclusion: The results of this knowledge are important for development of professional strategies and treatment plans.

Balancing Work and Family Obligations in Pakistan and the Netherlands: A Comparative Study

A study of 486 banking employees in Pakistan and the Netherlands investigated the effect of work-family conflict on psychological contract breach of work-family balance obligations. The results showed that 127 Dutch respondents were more likely to experience work interference with family than employees in Pakistan, despite the fact that Pakistanis have longer working hours than their Dutch counterparts. The relationship between family overload and work interference with family, however, was stronger among the 359 Pakistani study participants. In addition, the positive association between work interference with family and employees’ psychological contract breach of work-family balance obligations was significant for the Pakistani respondents but not for the Dutch study participants. This analysis contributes to the work-family and psychological contract literature by observing cross-national differences in work-family overload and work-to-family conflict and their effects on psychological contract breach. It also suggests practices to address the challenge of managing the work-family interface in both developing and developed nations. ©2015 Wiley Periodicals, Inc.

Family-supportive organization perceptions: Validation of an abbreviated measure and theory extension.

Although the concept of family-supportive organization perceptions has been well received in the literature, the actual construct has been relatively understudied. In the present study, we accomplish two goals. First using confirmatory factor analysis, we report on the validation of an abbreviated six-item measure of family-supportive organization perceptions that demonstrates limited measurement error. Second, we link role theory, social support resource theory, and the direct effects model of social support, to suggest that the way in which family-supportive organization perceptions affect work-family conflict is via experiences of domain overload. Contrary to the direct effects model of social support, family-supportive organization perceptions do not differentially impact work and family overload. Consistent with social support resource theory though, the effects of family-supportive organization perceptions on work-to-family and family to-work conflict are fully mediated via work and family overload (respectively). Avenues for future research incorporating family-supportive organization perceptions are also considered.

P02-306 - Mental retardation and long- acting injectable risperidone: Clinic evidence during 7 years

Antipsychotics are frequently used in the Intellectual Disability when displayed conduct disorder or specific psychiatric disorders such as disruptive behavior disorder as disruptive disorders, neurodevelopmental disorders such as autism, various psychotic disorders, disorder Impulse Control Disorders, etc. The long-acting Injectable risperidone is a drug which by its nature from the beginning makes the maintenance treatment of these patients. In a study conducted by our team in 2007 was described the good therapeutic response to long-acting injectable risperidone (LAIR) in psychiatric disorders in this population.ObjectivesIn depth study of the use of long-acting injectable risperidone in this specific population on the basis of a previous study on a sample of 60 Pack. To describe the demographic characteristics of the new sample of 80 patients, type of Mental Retardation and the most common psychiatric diagnoses. To analyze the therapeutic response to treatment by comparing the clinical course before and after treatment with long-acting injectable risperidone (episodes of aggression, hospitalization, emergency room visits, mechanical restraint, disruptive behavior ...). The dose of long-acting injectable risperidone used, the presence of antipsychotic combination therapy, side effects, etc. are analized. We analyze the information on family overload in relation to treatment with Long- acting injectable Risperidone in a part of the sample.ResultsThe study of a sample of 80 patients of both sexes, with diagnosis of mental retardation treated with LAIR is in the process of statistical analysis. But it is possible to appreciate the good therapeutic response and high tolerability of patients to treatment.

Crossover of distress due to work and family demands in dual-earner couples: A dyadic analysis

Distress resulting from work and family overload is likely to be interdependent between partners, as both men and women increasingly participate in work and family tasks. We attempted to explain distress of both partners by looking at their work and family demands and the resulting time and energy deficits experienced by each partner. Furthermore, we investigated how time deficit, energy deficit and distress due to such demands crossover between partners. The study, which used a precise measurement of family demands, was based on a sample of both partners from 828 dual-earner couples in The Netherlands. The results showed that for both partners work and family demands increase time deficit and energy deficit. Energy deficit due to heavy demands resulted in more feelings of distress, whereas time deficit did not contribute significantly to distress. We found different patterns of crossover between male and female partners. Feelings of time deficit and energy deficit crossed over from the man to the woman, whereas feelings of distress crossed over from the woman to the man. These results indicate that the demands on each partner contribute to their own distress, as well as to their partner's distress, either through the crossover of energy deficit or through the crossover of distress

Stress, needs, and quality of life of family members caring for adults living with HIV/AIDS in Taiwan

The stress, needs and quality of life (QoL) of family members of people living with HIV/AIDS (PLWHA) are critical to explore in Taiwan where home care projects are not available to help the PLWHA families. We examined the extent of stress, needs, QoL and its correlates that family caregivers of PLWHA experienced with structural questionnaires survey. A total of 50 family caregivers of PLWHA visiting a medical center in Taiwan participated in the study from October 2005 to August 2006. Family caregivers felt most stressful on disclosure and stigma issues, and most worried about patients’ interpersonal relationships. The most important needs were care-related needs including knowledge of the disease progression, methods of examination and treatment, and the related side effects. The level of stress significantly positively correlated with needs, and negatively correlated with QoL. Availability of alternative manpower to care PLWHA and being PLWHA's parents were two significant factors affecting family caregivers’ QoL. In conclusion, family members of PLWHA experienced high level of stress, enormous caring needs, and poor QoL. A family-centered care for PLWHA and their families in the community is crucial to improve quality of care and to prevent family's overload, particularly for families with no alternative manpower and for those being PLWHA's parents.

Predictors of good general health, well-being, and musculoskeletal disorders in Swedish dental hygienists

The aim of the present study was to examine how different personal, physical, and psychosocial work-associated factors are related to good general health, well-being, and musculoskeletal disorders in dental hygienists. A questionnaire was mailed to 575 dental hygienists who were randomly sampled from the Swedish Dental Hygienists' Association (86% responded). Data were analyzed with multiple-logistic regression models. The results showed that high clinical-practice fraction, active leisure, and high management support increased the odds for good general health, while work and family overload decreased the odds. Management support and mastery of work increased the odds for well-being, while work and family overload and high work efficiency decreased them. Scaling work increased the odds for general and work-related musculoskeletal disorders in all parts of the upper body and arms but not in the lower back. In the upper body, active leisure decreased the odds for general musculoskeletal disorders, while the odds for work-related musculoskeletal disorders increased from work and family overload and decreased from many weekly working hours. Many years in the profession increased the odds for general finger disorders. In conclusion, the results suggest that active leisure and several psychosocial work factors strongly influence good general health and well-being. Physical tasks influence musculoskeletal disorders more than active leisure and psychosocial work factors.