Summary
In recent years Rutter's Malaise Inventory has been used increasingly to measure levels of stress among those who care for people with dependency needs. Although though there has been an element of dispute in the literature about the unidimensional nature of the scale, later work (Bebbington and Quine 1987) tends to suggest that Malaise Inventory scores can be used as a single internally consistent measure of stress. In this study consideration is given to the results of a national sample survey of 527 members of the Association of Carers (now Carers: National Association) which suggests the existence of two valid dimensions to the Malaise Inventory across a wider range of carer groups. Implications for future development and administration of the scale as a measure of stress are discussed.
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References
Anderson EM, Clarke L (1982) Disability in adolescence. Methuen, London
Bebbington A, Quine L (1987) A comment on Hirst's ‘evaluating the Malaise Inventory’. soc Psychiatry 22:5–7.
Boss P (1988) Family stress management. Sage, London
Bradshaw J, Lawton D (1978) Tracing the causes of stress in families with handicapped children. Br J Soc Work 8: 181–192
Burden RL (1980) Measuring the effects of stress on mothers of handicapped infants: must depression always follow? Child Care Health Dev 6: 111–125
Clarke M (1984a) Stress and coping-constructs for nursing. J Adv Nurs 9: 3–13
Clarke M (1984b) The constructs of stress and coping as a rationale for nursing activities. J Adv Nurs 9: 267–275
Cooke K (1982) 1970 Cohort: 10-year follow-up study. Interim report. Social Policy Research Unit, University of York
Crnic KA, Friedrich WM, Greeberg MT (1983) Adaptation of families with mentally retarded children: a model of stress, coping and family ecology. Am J Ment Defic 88: 125–138
Dorner S (1975) The relationship of physical handicap to stress in families with an adolescent with spina bifida. Dev Med Child Nenrol 17: 765–776
Dunst CJ, Trivette CM, Cross AH (1986) Mediating influences of social support: personal, family and child outcomes. Am J Ment Defic 90: 403–417
Eagles JM, Craig A, Rawlinson F, Restall DB, Beattie JAG, Besson JAO (1987) The psychological well-being of supporters of the demented elderly. Br J Psychiatry 150: 293–298
Gath A (1977) The impact of an abnormal child upon the parents. Br J Psychiatry 130: 405–410
George LK, Gwyther LP (1986) Caregiver well being—a multi-dimensional examination of family caregivers of demented adults. Gerontologist 26: 253–259
Glymour C, Scheines R, Spirtes P, Kelly K (1987) Discovering causal structure: artificial intelligence, philosophy of science and statistical modelling. Academic Press, Orlando
Grant G (in press) Letting go: decision-making among family carers of people with a mental handicap. Aust NZ J Dev Disabilities
Green H (1988) Informal Carers. General Household Survey 1985. Series GHS No. 15, Supplement 16,. Social Survey Division, OPCS, HMSO, London
Hirst M (1983) Evaluating the Malaise Inventory: an item analysis. Soc Psychiatry 18: 181–184
Holroyd J (1974) The questionnaire on resources and stress: an instrument on family responses to a handicapped family member. J Commun Psychol 2: 92–94
Holroyd J, Guthrie D (1986). Family stress with chronic childhood illness: cystic fybrosis, neuromuscular disease and renal disease. J Clin Psychol 42: 552–561
Jacobson SF (1983) An overview of coping. In: Jacobson SF, McGrath MM (eds) Nurses under stress. Wiley, New York
Joreskog KG, Sorbom D (1984) Lisrel VI user's guide. Department of Statistics, Uppsala
Joreskog KG, Sorbom D (1985) LISREL VI: analysis of linear structural relationships by maximum likelihood, instrumental variables and least squares method. University of Uppsaia, Sweden
Nolan M, Grant G (1989) Addressing the needs of informal carers: a neglected area of nursing practice J Adv Nurs 14: 950–961
Nolan M, Grant G, Ellis NC (in press) Stress is in the eye of the beholder: reconceptualising the measurement of carer burden. J Adv Nurs
Pahl J, Quine L (1985) Examining the causes of stress in families with severely handicapped children. Br J Soc Work 15: 501–517
Philp M (1978) Physically handicapped children and their families. Department of Applied Social Studies, University of Bradford
Quine L, Charnley H (1987) The malaise inventory as a measure of stress in carers. In: Twigg J (ed) Evaluating support to informal carers. Papers presented at a conference held in York
Quine L, Pahl J (1986) Parents with severely mentally handicapped children: marriage and the stress of caring. In: Chester R, Divall P (eds) Mental health, illness and handicap in marriage. Rugby, National Marriage Guidance Council, Research Report No. 5
Richardson A (1987) If you love him, let him go. LSE Q September 327–343
Rolland JS (1988) A conceptual model of chronic and life threatening illness and its impact on families. In: Chilman CS, Nunnally EW, Cox FM (eds) Chronic illness and disability-families in trouble series, vol 2, Sage, Beverly Hills
Rutter M, Graham P, Yule W (1970a) A neuropsychiatric study in childhood. London, Heinemann
Rutter M, Tizard J, Whitmore K (1970b) Education, health and behaviour. Longmans, London
Saris WE, Stronkhorst HL (1984) Causal modelling in nonex-perimental research. Sociometric Research Foundation, Amsterdam
Spaniol L, Jung M (1987) Effective coping— a conceptual model. In: Hatfield AB, Lefley HP (eds) Families of the mentally ill-coping and adaptation. Cassell Educational, London
Stoneman Z, Crapps JM (1988) Correlates of stress, perceived competence and depression among family care providers. Am J Ment Retard 93: 166–173
Tew B, Lawrence KM (1975) Some sources of stress in mothers of spina bifida children. Br J Preventive Soc Med 29: 27–30
Thurstone L (1935) The vectors of mind. Chicago, University of Chicago Press
Wright FD (1986) Left to care alone. Aldershot, Gower.
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Grant, G., Nolan, M. & Ellis, N. A reappraisal of the Malaise Inventory. Soc Psychiatry Psychiatr Epidemiol 25, 170–178 (1990). https://doi.org/10.1007/BF00782957
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DOI: https://doi.org/10.1007/BF00782957