title: The negative impact of global perceptions of and daily care-related family conflict on Hispanic caregivers: familism as a potential moderator.
abstract: OBJECTIVE
  Using selected concepts from Pearlin's care giving stress model and incorporating a daily stress-reactivity perspective, the current study surveyed Hispanic family caregivers (HCGs) to: (a) document the occurrence of family disagreements regarding care; (b) examine the impact of family disagreements regarding care on HCGs' emotional/physical well being; and (c) determine the moderating role of familism - whether strong familism beliefs buffer or exacerbate the negative impact of family disagreements on HCGs.
  
  
  METHODS
  Participants (n = 67) reported their daily experiences of family disagreements regarding care, depressive symptoms, feelings of burden, and physical health symptoms on eight consecutive survey days; and, in a separate survey, reported their global perceptions of family disagreements regarding care and their familism beliefs.
  
  
  RESULTS
  Multilevel-modeling indicated (a) a significant link between global perceptions of family disagreement regarding care and greater depressive symptoms, feelings of burden, and physical health symptoms and (b) significant moderating (i.e., exacerbating) effects of familism at the daily level suggesting that HCGs with stronger familism beliefs are more reactive to daily care-related family disagreement occurrences.
  
  
  CONCLUSIONS
  The findings from the current study suggest that family disagreement regarding care is a salient aspect of the context of care giving for HCGs, and is linked to depressive symptoms, feelings of burden, and physical health symptoms. Familism may play an exacerbating role in this link. Interpretations of the results and implications for research and intervention are offered.
authors.affiliation: Division of Family Studies and Human Development, University of Arizona, Tucson, USA. koerner@email.arizona.edu
authors.forename: Susan S
authors.initials: SS
authors.lastname: Koerner
authors.forename: Yumi
authors.initials: Y
authors.lastname: Shirai
mesh_terms: D000328:Adult; D000368:Aged; D001130:Arizona; D017028:Caregivers / Q000523:psychology*; D003220:Conflict, Psychological; D017281:Cost of Illness; D003863:Depression / Q000523:psychology; D005195:Family Relations; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008960:Models, Psychological