Dergiler / Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi / 2026 / Cilt: 28 Sayı: 3

AKRABALIK BAĞLARININ YÜKÜ: İLERİ YAŞTA ARTRİTİN YORDAYICILARI OLARAK AİLE İKİRCİKLİLİĞİ VE SOSYODEMOGRAFİK KESİŞİMLER

THE WEIGHT OF KINSHIP: FAMILY AMBIVALENCE AND SOCIODEMOGRAPHIC INTERSECTIONS AS PREDICTORS OF ARTHRITIS IN LATER LIFE

Cansu Yılmaz(ANADOLU ÜNİVERSİTESİ)0000-0002-7445-1301
Sayfa
1281–1303
Yayın Tarihi
2026-09-15
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular, aile ikircikliliğinin, eş değişkenler kontrol edildikten sonra bile artritin anlamlı bir yordayıcısı olduğunu göstermiştir.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Bu çalışmanın temel amacı, orta ve ileri yaşlı yetişkinlerde aile bireylerine karşı ikirciklilik ile artrit varlığı arasındaki ilişkiyi araştırmak ve bu ilişkinin sosyodemografik dezavantaj (düşük sosyoekonomik statü (SES), kadın olmak veya Beyaz olmayan etnik kökene sahip olmak) tarafından düzenlenip düzenlenmediğini incelemektir.
📊
Temel Bulgular & Veri:Ulusal Sosyal Yaşam, Sağlık ve Yaşlanma Projesi’nin (NSHAP) 3.
💡
Sonuç & Katkı:Bulgular, aile ikircikliliğinin, eş değişkenler kontrol edildikten sonra bile artritin anlamlı bir yordayıcısı olduğunu göstermiştir.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015–2016 Verileri
⚙️Değişkenler:Aile İlişkileri · İkirciklilik · Artrit

Özet

Bu çalışmanın temel amacı, orta ve ileri yaşlı yetişkinlerde aile bireylerine karşı ikirciklilik ile artrit varlığı arasındaki ilişkiyi araştırmak ve bu ilişkinin sosyodemografik dezavantaj (düşük sosyoekonomik statü (SES), kadın olmak veya Beyaz olmayan etnik kökene sahip olmak) tarafından düzenlenip düzenlenmediğini incelemektir. Ulusal Sosyal Yaşam, Sağlık ve Yaşlanma Projesi’nin (NSHAP) 3. Aşama (2015–2016) verilerine dayanarak yapılan lojistik regresyon analizleri şu hipotezleri test etmiştir: (1) Daha yüksek düzeyde aile ikircikliliği, demografik ve sağlıkla ilgili faktörler kontrol edildikten sonra artrit bildirme olasılığını artıracaktır; (2) Bu ilişki, sosyodemografik dezavantajı daha yüksek olan bireylerde daha güçlü olacaktır. Bulgular, aile ikircikliliğinin, eş değişkenler kontrol edildikten sonra bile artritin anlamlı bir yordayıcısı olduğunu göstermiştir. Düzenleyici (moderasyon) analizler, aile ikircikliliği ile artrit arasındaki ilişkinin Beyaz bireyler için anlamlı, ancak Hispanik bireyler için anlamlı olmadığını ortaya koymuştur. Ayrıca, SES bu ilişkiyi düzenlemiştir: Aile ikircikliliği, düşük ve orta düzeyde SES’e sahip bireylerde artrit ile anlamlı şekilde ilişkiliyken, yüksek SES düzeylerinde anlamlı değildir. Cinsiyet veya Siyah etnik köken için anlamlı etkileşimler bulunmamıştır. Bu bulgular, aile ikircikliliğinin, özellikle sosyoekonomik açıdan dezavantajlı ve Beyaz orta-ileri yaşlı yetişkinlerde, artrit için psikososyal bir risk faktörü olabileceğini ve sosyal ilişkiler ile sağlık arasındaki karmaşık bağa dikkat çektiğini göstermektedir.

Abstract

The primary aim of this study is to investigate how family ambivalence relates to the presence of arthritis among middle-aged and older adults, while examining whether this relationship is moderated by sociodemographic disadvantage (i.e., lower socioeconomic status (SES), being female, or being non-White). Based on data from the National Social Life, Health, and Aging Project (NSHAP) Round 3 (2015–2016), logistic regression analyses tested whether: (1) greater family ambivalence would be linked to an increased likelihood of reporting arthritis, after accounting for demographics and factors related to health; and (2) this association would be stronger among individuals experiencing greater sociodemographic disadvantage. Family ambivalence was a significant predictor of arthritis, even after adjusting for covariates. Moderation analyses showed that the relationship between family ambivalence and arthritis was significant for Whites but not for Hispanics. Additionally, SES moderated this relationship: family ambivalence was significantly associated with arthritis at low and mean levels of SES, but not at high SES. No significant interactions emerged for gender or Black ethnicity. These findings indicate that family ambivalence may serve as a psychosocial risk factor for arthritis, particularly among socioeconomically disadvantaged and White older adults, highlighting the complex link between social relationships and health.

🔖

Bu Makaleye Atıf Yap

Yılmaz, C. (2026). AKRABALIK BAĞLARININ YÜKÜ: İLERİ YAŞTA ARTRİTİN YORDAYICILARI OLARAK AİLE İKİRCİKLİLİĞİ VE SOSYODEMOGRAFİK KESİŞİMLER. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, Cilt: 28 Sayı: 3, 1281–1303. https://doi.org/10.16953/deusosbil.1779741

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (67)

  1. Arshad, H., & Kazmi, U. E. R. (2013). Social support and coping strategies among rheumatoid arthritis patients. Pakistan Journal of Social and Clinical Psychology, 11(2), 7-13.
  2. Bedford, V. H. (1989). Ambivalence in adult sibling relationships. Journal of Family Issues, 10(2), 211-224. https://doi.org/10.1177/019251389010002004
  3. Birmingham, W., Uchino, B. N., Smith, T. W., Light, K. C., & Sanbonmatsu, D. M. (2009). Social ties and cardiovascular function: An examination of relationship positivity and negativity during stress. International Journal of Psychophysiology, 74(2), 114-119. https://doi.org/10.1016/j.ijpsycho.2009.08.002
  4. Bolen, J., Schieb, L., Hootman, J. M., Helmick, C. G., Theis, K., Murphy, L. B., & Langmaid, G. (2010). Differences in the prevalence and impact of arthritis among racial/ethnic groups in the United States, National Health Interview Survey, 2002, 2003, and 2006. Preventing Chronic Disease, 7(3), A64.
  5. Brennan, S. L., & Turrell, G. (2012). Neighborhood disadvantage, individual‐level socioeconomic position, and self‐reported chronic arthritis: A cross‐sectional multilevel study. Arthritis Care & Research, 64(5), 721-728. https://doi.org/10.1002/acr.21590
  6. Bruce, B., Fries, J. F., & Murtagh, K. N. (2007). Health status disparities in ethnic minority patients with rheumatoid arthritis: a cross-sectional study. The Journal of Rheumatology, 34(7), 1475-1479.
  7. Campos, B., Ullman, J. B., Aguilera, A., & Dunkel Schetter, C. (2014). Familism and psychological health: the intervening role of closeness and social support. Cultural Diversity & Ethnic Minority Psychology, 20(2), 191-201. https://doi.org/doi:10.1037/a0034094.
  8. Cohler, B. J. (2003). The experience of ambivalence within the family: Young adults “coming out” gay or lesbian and their parents. In K. A. Pillemer & K. K. Luscher (Eds.), Intergenerational ambivalences: New perspectives on parent-child relations in later life (Vol. 4), (pp. 255-284). Emerald Group Publishing Limited.
  9. Connidis, I. A. (2010). Family ties & aging (2nd ed.). Pine Forge.
  10. Connidis, I. A. (2015). Exploring ambivalence in family ties: Progress and prospects. Journal of Marriage and Family, 77(1), 77-95. https://doi.org/10.1111/jomf.12150
  11. Connidis, I. A., & McMullin, J. A. (2002). Sociological ambivalence and family ties: A critical perspective. Journal of Marriage and Family, 64, 558-567. https://doi.org/10.1111/j.1741-3737.2002.00558.x
  12. Coty, M. B., & Wallston, K. A. (2010). Problematic social support, family functioning, and subjective well-being in women with rheumatoid arthritis. Women & Health, 50(1), 53-70. https://doi.org/10.1080/03630241003601079
  13. Coyle, N., Kuit, S., & Dunne, S. (2025). Investigating the association between social support and quality of life in people with rheumatoid arthritis: A systematic review of the literature. International Journal of Rheumatic Diseases, 28(5), e70234. https://doi.org/10.1111/1756-185X.70234
  14. Dunlop, D. D., Manheim, L. M., Song, J., & Chang, R. W. (2001). Arthritis prevalence and activity limitations in older adults. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 44(1), 212-221. https://doi.org/10.1002/1529-0131(200101)44:1 3.0.CO;2-Q
  15. Espino, D. V., Burge, S. K., & Moreno, C. A. (1991). The prevalence of selected chronic diseases among the Mexican-American elderly: data from the 1982–1984 Hispanic Health and Nutrition Examination Survey. The Journal of the American Board of Family Practice, 4(4), 217-222. https://doi.org/10.3122/jabfm.4.4.217
  16. Ferring, D., Michels, T., Boll, T., & Filipp, S.-H. (2009). Emotional relationship quality of adult children with ageing parents: On solidarity, conflict and ambivalence. European Journal on Ageing, 6, 253-265. https://doi.org/10.1007/s10433-009-0133-9
  17. Fingerman, K. L. (2004). The role of offspring and in-laws in grandparents’ ties to their grandchildren. Journal of Family Issues, 25(8), 1026-1049. https://doi.org/10.1177/0192513X04265941
  18. Fingerman, K. L., Hay, E., and Birditt, K. S. (2004). The best of ties, the worst of ties: Close, problematic, and ambivalent social relationships. Journal of Marriage and the Family, 66(3), 792-808. https://doi.org/10.1111/j.0022-2445.2004.00053.x
  19. Freeberg, A. L., & Stein, C. H. (1996). Felt obligation towards parents in Mexican-American and Anglo-American young adults. Journal of Social and Personal Relationships, 13(3), 457-471. https://doi.org/10.1177/0265407596133009
  20. Gallo, L. C., Bogart, L. M., Vranceanu, A. M., & Matthews, K. A. (2005). Socioeconomic status, resources, psychological experiences, and emotional responses: a test of the reserve capacity model. Journal of Personality and Social Psychology, 88(2), 386. https://doi.org/10.1037/0022-3514.88.2.386
  21. Gardiner, B. M. (1980). Psychological aspects of rheumatoid arthritis. Psychological Medicine, 10(1), 59-163. https://doi.org/10.1017/S0033291700039702
  22. Girardin, M., Widmer, E. D., Connidis, I. A., Castrén, A. M., Gouveia, R., & Masotti, B. (2018). Ambivalence in later‐life family networks: Beyond intergenerational dyads. Journal of Marriage and Family, 80(3), 768-784. https://doi.org/10.1111/jomf.12469
  23. Goodenow, C., Reisine, S. T., & Grady, K. E. (1990). Quality of social support and associated social and psychological functioning in women with rheumatoid arthritis. Health Psychology, 9(3), 266-284. https://doi.org/10.1037/0278-6133.9.3.266
  24. Greenberg, J. D., Spruill, T. M., Shan, Y., Reed, G., Kremer, J. M., Potter, J.,. & Harrold, L. R. (2013). Racial and ethnic disparities in disease activity in patients with rheumatoid arthritis. The American Journal of Medicine, 126(12), 1089-1098. https://doi.org/10.1016/j.amjmed.2013.09.002
  25. Grzywacz, J. G., Arcury, T. A., Marín, A., Carrillo, L., Burke, B., Coates, M. L., & Quandt, S. A. (2007). Work-family conflict: Experiences and health implications among immigrant Latinos. Journal of Applied Psychology, 92(4), 1119-1130. https://doi.org/10.1037/0021-9010.92.4.1119
  26. Helgeson, V. S., Janicki, D., Lerner, J., & Barbarin, O. (2003). Brief report: Adjustment to juvenile rheumatoid arthritis: A family systems perspective. Journal of Pediatric Psychology, 28(5), 347-353. https://doi.org/10.1093/jpepsy/jsg024
  27. Halliday, J. L. (1942). Psychological aspects of rheumatoid arthritis. Proceedings of the Royal Society of Medicine, 35, 455-457. https://doi.org/10.1177/003591574203500701
  28. Hayes, A. F. (2013). Mediation, Moderation, and Conditional Process Analysis. Guilford Publications.
  29. Holt-Lunstad, J., & Uchino, B. N. (2019). Social ambivalence and disease (SAD): A theoretical model aimed at understanding the health implications of ambivalent relationships. Perspectives on Psychological Science, 14(6), 941-966. https://doi.org/10.1177/1745691619861392
  30. Holt-Lunstad, J., Uchino, B. N., Smith, T. W., & Hicks, A. (2007). On the importance of relationship quality: The impact of ambivalence in friendships on cardiovascular functioning. Annals of Behavioral Medicine, 33(3), 278-290. https://doi.org/10.1007/BF02879910
  31. Holtzman S., Newth S., & Delongis A. (2004). The role of social support in coping with daily pain among patients with rheumatoid arthritis. Journal of Health Psychology, 9(5), 677-695. https://doi.org/10.1177/1359105304045381
  32. Keefe, F. J., Abernethy, A. P., & Campbell, L. C. (2005). Psychological approaches to understanding and treating disease-related pain. Annual Review of Psychology, 56(1), 601-630. https://doi.org/10.1146/annurev.psych.56.091103.070302
  33. Keefe, F. J., & Somers, T. J. (2010). Psychological approaches to understanding and treating arthritis pain. Nature Reviews Rheumatology, 6(4), 210-216. https://doi.org/10.1038/nrrheum.2010.22
  34. Keys, A., Fidanza, F., Karvonen, M. J., Kimura, N., & Taylor, H. L. (2014). Indices of relative weight and obesity. International Journal of Epidemiology, 43(3), 655-665. https://doi.org/10.1093/ije/dyu058
  35. Krol, B., Sanderman, R., & Suurmeijer, T. P. (1993). Social support, rheumatoid arthritis and quality of life: concepts, measurement and research. Patient Education and Counseling, 20(2-3), 101-120. https://doi.org/10.1016/0738-3991(93)90125-G
  36. Lang, F.R. (2003). The filial task midlife: Ambivalence and the quality of adult children’s relationships with their older parents. In Pillemer, K. & Luscher, K. (Eds.), Intergenerational ambivalences: New perspectives on parent-child relations in later life (Contemporary perspectives in family research, vol. 4), (pp. 183-206). Emerald Group Publishing Limited.
  37. Lin, X., Dow, B., Boldero, J., & Bryant, C. (2020). Parent–child relationships among older immigrants from mainland China: A descriptive study using the solidarity, conflict, and ambivalence perspectives. Journal of Family Studies, 26(4), 564-579. https://doi.org/10.1080/13229400.2018.1441057
  38. Luong, M. L. N., Cleveland, R. J., Nyrop, K. A., & Callahan, L. F. (2012). Social determinants and osteoarthritis outcomes. Aging Health, 8(4), 413-437. https://doi.org/10.2217/ahe.12.43
  39. Lüscher, K., & Pillemer, K. (1998). Intergenerational ambivalence: A new approach to the study of parent-child relations in later life. Journal of Marriage and the Family, 60(2), 413-425. https://doi.org/10.2307/353858
  40. Malhi, P., & Singh, S. (2002). Effects of parental distress and family support on the psychological adaptation of children with juvenile rheumatoid arthritis. Studia Psychologica, 44(3), 253-259.
  41. Pearlin, L. I., Schieman, S., Fazio, E. M., & Meersman, S. C. (2005). Stress, health, and the life course: Some conceptual perspectives. Journal of Health and Social Behavior, 46(2), 205-219. https://doi.org/10.1177/002214650504600206
  42. Pei, Y., & Cong, Z. (2016). Intergenerational ambivalence among Mexican American families. Journal of Family Studies, 25(3), 305-318. https://doi.org/10.1080/13229400.2016.1249389
  43. Penninx, B. W., Van Tilburg, T., Deeg, D. J., Kriegsman, D. M., Boeke, A. J. P., & Van Eijk, J. T. (1997). Direct and buffer effects of social support and personal coping resources in individuals with arthritis. Social Science & Medicine, 44(3), 393-402. https://doi.org/10.1016/S0277-9536(96)00156-6
  44. Porter, L. S., Keefe, F. J., Wellington, C., & de Williams, A. (2008). Pain communication in the context of osteoarthritis: patient and partner self-efficacy for pain communication and holding back from discussion of pain and arthritis-related concerns. The Clinical Journal of Pain, 24(8), 662-668. https://doi.org/10.1097/AJP.0b013e31816ed964
  45. Reczek, C. (2016). Ambivalence in gay and lesbian family relationships. Journal of Marriage and Family, 78(3), 644-659. https://doi.org/10.1111/jomf.12308
  46. Robinson, C. E. G. (1957). Emotional factors and rheumatoid arthritis. Canadian Medical Association Journal, 77(4), 344-5.
  47. Sabogal, F., Marín, G., Otero-Sabogal, R., Marín, B. V., & Perez-Stable, E. J. (1987). Hispanic familism and acculturation: What changes and what doesn't?. Hispanic Journal of Behavioral Sciences, 9(4), 397-412. https://doi.org/10.1177/07399863870094003
  48. Sarkisian, N. (2006). " Doing family ambivalence": nuclear and extended families in single mothers' lives. Journal of Marriage and Family, 68(4), 804-811. https://www.jstor.org/stable/4122875
  49. Schwetlik, S. N., Baldock, K. L., Hill, C. L., & Ferrar, K. (2022). Chronic stress and arthritis: a scoping review. Arthritis Care & Research, 74(6), 982-996. https://doi.org/10.1002/acr.24528
  50. Stephan, Y., Sutin, A. R., Canada, B., & Terracciano, A. (2024). Personality and risk of arthritis in six longitudinal samples. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 79(6), gbae051. https://doi.org/10.1093/geronb/gbae051
  51. Thompson, M. M., Zanna, M. P., Griffin, D. W. (1995). Let's not be indifferent about (attitudinal) ambivalence. In R. E. Petty & J. A. Krosnick (Eds.), Attitude strength: Antecedents and consequences (pp. 361-385). Erlbaum.
  52. Uchino, B. N., Bosch, J. A., Smith, T. W., Carlisle, M., Birmingham, W., Bowen, K. S., Light, K. C., Heaney, J., & O'Hartaigh, B. (2013). Relationships and cardiovascular risk: Perceived spousal ambivalence in specific relationship contexts and its links to inflammation. Health Psychology, 32(10), 1067-1075. https://doi.org/10.1037/a0033515
  53. Uchino, B. N., Cawthon, R. M., Smith, T. W., Light, K. C., McKenzie, J., Carlisle, M.,. & Bowen, K. (2012). Social relationships and health: Is feeling positive, negative, or both (ambivalent) about your social ties related to telomeres?. Health Psychology, 31(6), 789-796. https://doi.org/10.1037/a0026836
  54. Uchino, B. N., Kent de Grey, R. G., & Cronan, S. (2016). The quality of social networks predicts age-related changes in cardiovascular reactivity to stress. Psychology and Aging, 31(4), 321-326. https://doi.org/10.1037/pag0000092
  55. Uchino, B. N., Ruiz, J. M., Smith, T. W., Smyth, J. M., Taylor, D. J., Allison, M., & Ahn, C. (2015). The strength of family ties: Perceptions of network relationship quality and levels of C-reactive proteins in the North Texas Heart Study. Annals of Behavioral Medicine, 49(5), 776-781. https://doi.org/10.1007/s12160-015-9699-y
  56. van Gaalen, R. I., & Dykstra, P. A. (2006). Solidarity and conflict between adult children and parents: A latent class analysis. Journal of Marriage and Family, 68(4), 947-960. https://doi.org/10.1111/j.1741-3737.2006.00306.x
  57. Vennu, V., Abdulrahman, T. A., Alenazi, A. M., & Bindawas, S. M. (2020). Associations between social determinants and the presence of chronic diseases: data from the osteoarthritis Initiative. BMC Public Health, 20, 1-7. https://doi.org/10.1186/s12889-020-09451-5
  58. Verstappen, S. M. (2017). The impact of socio-economic status in rheumatoid arthritis. Rheumatology, 56(7), 1051-1052. https://doi.org/10.1093/rheumatology/kew428
  59. Von Korff, M., Alonso, J., Ormel, J., Angermeyer, M., Bruffaerts, R., Fleiz, C.,. & Uda, H. (2009). Childhood psychosocial stressors and adult onset arthritis: Broad-spectrum risk factors and allostatic load. Pain, 143(1), 76-83. https://doi.org/10.1016/j.pain.2009.01.034
  60. Waite, L. J., Cagney, K., Dale, W., Hawkley, L., Huang, E., Lauderdale, D., Laumann, E. O., McClintock, M., O’Muircheartaigh, C. A., & Schumm, L. P. (2017). National Social Life, Health and Aging Project (NSHAP): Wave 3. ICPSR36873-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor]. https://doi.org/10.3886/ICPSR36873.v1
  61. Waite, L. J., Duvoisin, R., & Kotwal, A. A. (2021). Social health in the national social life, health, and aging project. The Journals of Gerontology: Series B, 76(Supplement_3), S251-S265. https://doi.org/10.1093/geronb/gbab138
  62. Willson, A. E., Shuey, K. M., & Elder Jr, G. H. (2003). Ambivalence in the relationship of adult children to aging parents and in‐laws. Journal of Marriage and Family, 65(4), 1055-1072. https://doi.org/10.1111/j.1741-3737.2003.01055.x
  63. Yang, D. H., Huang, J. Y., Chiou, J. Y., & Wei, J. C. C. (2018). Analysis of socioeconomic status in the patients with rheumatoid arthritis. International Journal of Environmental Research and Public Health, 15(6), 1194. https://doi.org/10.3390/ijerph15061194
  64. Zyrianova, Y., Kelly, B. D., Gallagher, C., McCarthy, C., Molloy, M. G., Sheehan, J., & Dinan, T. G. (2006). Depression and anxiety in rheumatoid arthritis: the role of perceived social support. Irish Journal of Medical Science, 175, 32-36. https://doi.org/10.1007/BF03167946
  65. Greenberg, J. D., Spruill, T. M., Shan, Y., Reed, G., Kremer, J. M., Potter, J.,. & Harrold, L. R. (2013). Racial and ethnic disparities in disease activity in patients with rheumatoid arthritis. The American Journal of Medicine, 126(12), 1089-1098. https://doi.org/10.1016/j.amjmed.2013.09.002
  66. Uchino, B. N., Cawthon, R. M., Smith, T. W., Light, K. C., McKenzie, J., Carlisle, M.,. & Bowen, K. (2012). Social relationships and health: Is feeling positive, negative, or both (ambivalent) about your social ties related to telomeres?. Health Psychology, 31(6), 789-796. https://doi.org/10.1037/a0026836
  67. Von Korff, M., Alonso, J., Ormel, J., Angermeyer, M., Bruffaerts, R., Fleiz, C.,. & Uda, H. (2009). Childhood psychosocial stressors and adult onset arthritis: Broad-spectrum risk factors and allostatic load. Pain, 143(1), 76-83. https://doi.org/10.1016/j.pain.2009.01.034