Impact of Mother-Daughter Relationship on Hypertension Self-management and Quality of Life

Abstract

The mothers' perceived relationship quality with daughters directly impacted their own self-management of HTN and HRQOL while also indirectly affecting their daughters' self-management. Similarly, the daughters' perceived strength of their relationship with their mothers directly influenced their self-management and HRQOL and indirectly affected their mothers' self-management and HRQOL.

Dyadic Interdependence in Non-spousal Caregiving Dyads’ Wellbeing: A Systematic Review

“…On a first level of evidence for interdependence, research on nonspousal caregiving dyads has shown that good psychological functioning of care recipients, and specific personality traits and intellectual abilities of both caregivers and care recipients (i.e., intrapersonal variables) might impact reciprocal emotional and relational wellbeing of dyad members (Hollis-Sawyer, 2001;Kim et al, 2008;Romano et al, 2020). Moreover, one element of dyadic interdependence strongly reported in a number of studies synthesized in this review was relationship processes (i.e., interpersonal variables) such as communication patterns and dyadic behavioral responses to care may be associated with different levels of dyad members' wellbeing (e.g., quality of life, caregiver burden, depressive symptoms, and relationship quality) (Martini et al, 2001;Heid et al, 2016;Shawler et al, 2018;Bouldin et al, 2019). In line with studies investigating relationship processes of spouses dealing with various illnesses (Laurenceau et al, 1998;Lepore, 2004;Manne and Badr, 2008;Hagedoorn et al, 2011b), our findings suggest that, for example, a shared perception of the quality of the caregiving relationship as well as collaboration, open communication, and positive dyadic responses to care might increase wellbeing outcomes for both members of non-spousal caregiving dyads (Heid et al, 2016;Shawler et al, 2018;Bouldin et al, 2019).…”

“…Similarly, daughters who understood their mothers' care needs and costs of being helped had more satisfied mothers (Martini et al, 2001). Perceived strength of the caregiving relationship in a longitudinal study, was found to be associated with dyad members' physical and mental wellbeing over time, with higher perceived strength of the relationship at baseline, in both caregivers (i.e., daughters) and care recipients (i.e., mothers with hypertension), associated with higher overall health related quality of life at 6 months (Shawler et al, 2018). Communication patterns were also found to be associated with different levels of care recipients' depressive symptoms reported by both caregivers (i.e., daughters, sons, siblings, or friends) and care recipients (Bouldin et al, 2019), with caregiving dyads defined as "collaborative" (i.e., frequent positive interactions between caregivers and care recipients) experiencing fewer depressive symptoms.…”

“…In two studies (one qualitative and one quantitative) adult-children were the care recipients (e.g., presenting stroke and mixed health conditions) receiving care from parents and healthy siblings (Jones and Morris, 2013;Gilligan et al, 2017). In the other studies, populations included older parents or grandparents receiving care from younger relatives or friends, with 42% of the studies (6/14) focusing on adult-daughter caregivers (Raveis et al, 2000;Hollis-Sawyer, 2001;Martini et al, 2001;Kim et al, 2008;Heid et al, 2016;Shawler et al, 2018).…”

“…Similarly, findings of a number of studies suggested interdependence in dyad members' wellbeing by means of associations with caregivers' and care recipients' interpersonal variables. All interpersonal variables examined relationship processes and highlighted reciprocity between caregivers and care recipients (e.g., understanding reciprocal needs, being connected with the other one, collaborative interactions, congruences in care goals) resulting in enhanced emotional and relational wellbeing (Martini et al, 2001;Heid et al, 2016;Shawler et al, 2018;Bouldin et al, 2019). For example, in a cross-sectional study, perspective-taking skills such as stronger interpersonal control (i.e., showing emotional control in reciprocal interactions and refraining from manipulative behaviors) and in-depth understanding of reciprocal thoughts and feelings (i.e., perceptual accuracy) were associated with greater satisfaction in the relationship for both the caregiver and the care recipient.…”

Children with Medical Complexity: Challenges and Opportunities for Human Factors/Ergonomics

“…Traditionally in literature focused on caregiving, caregivers are conceptualized as a dyad comprised of a patient and their spouse, or their parent and their adult child (Bidwell et al, 2015;Ferro & Boyle, 2015;Shawler, Edward, Ling, Crawford, & Rayens, 2018). From a systems perspective, however, individuals living with chronic conditions are imbedded within a broader social environment that extends beyond a single informal primary caregiver.…”