“…However, for most participants, the perceived association between their mental and physical symptoms is a unique finding that has not been previously reported in the existing grandparent-caregiving research in Uganda. Nonetheless, it has been extensively studied in Western caregiving (Minkler, Roe, & Price, 1992;Musil et al, 2009;Whitley & Fuller-Thomson, 2018) and other chronic stress-related literature (Glaser, Sheridan, Malarkey, MacCallum, & Kiecolt-Glaser, 2000;Weiss, Haber, Horowitz, Stuart, & Wolfe, 2009). As a case in point, researchers, such as McEwen and Stellar (1993), have indeed attributed physical illness such as arthritis, cardiovascular disease, diabetes, and other biologic and behavioral responses to psychological distress through a process of "allostatic load" (McEwen, 2003;McEwen & Stellar, 1993).…”