本研究嘗試以修正的老人照顧壓力模式探討成年子女在照顧時所可能產生的正、負面後果。傳統上建構照顧的壓力模式時，壓力源(stressor)、資源(resources)和壓力後果(stress outcome)是常使用的三個重要變項。不過，這種傳統的壓力模式把焦點轉向對個人特質的重視，但就家庭系統理論而言，家庭問題的處理，必須包括所有家庭成員，所以在建構照顧者壓力與影響模式時，應考慮照顧者和被照顧的關係。第二、壓力模式無法從文化與歷史觀點中去看照顧者與被照顧者的關係。這些關係特質常被歸為壓力源或資源。把壓力源除去、改變壓力源或以不同認知看壓力事件不一定可以增進適應。在家庭脈絡中，自我認同(self-identities)常根據與家庭其他成員的關係而來(Braithwaite, 1996)。本研究除了上述目的外，更想瞭解其影響後果是不是只有負面的經驗？或亦有正面的影響？成人子女如何因應照顧的負荷？照顧的影響是否受子女性別、子女與家庭的關係或家庭功能、因應模式或照顧工作的性質所影響？本研究以台北市為研究地域，共成功面訪353份問卷。主要在了解成年子、女照顧後果的差異。根據統計分析結果，歸納出以下結果。女兒比較會尋求情緒性與工具性的社會支持和宗教信仰的寄託；兒子則比較會使用積極面對的方式。女兒表達了較多負面的身體與心理的影響；兒子則比較會拒絕向親友表達其心中的感受。家庭角色清楚、協調解決問題的家庭，其照顧者比較不會有負面的身體心理影響。使用負面策略的照顧者，其負面的身體心理影響也會增加；而比較會使用正向的因應策略的照顧者，比較會覺得獲得學習的機會。 Studies of the impact of elder-caregiving consistently report negative outcomes. Attempts to understand these findings have frequently focused on the traditional stress models which include three key components. The first is the stressor. The second is resources. The third is the stress outcome. However, this kind of approach is criticized. Abel (1990), Braithwaite (1996) and Szmukler (1996) suggest that the family relationship (family functioning or family dynamics) be incorporated in the stress paradigm. The modified model will have the chance to understand how the culture and history of a family may influence the caregiving outcomes. In this study, caregiving tasks, caregiving resources (including coping strategies) as well as dimensions of family relationship will be examined to see how these concepts influence caregiving outcomes. Questions that will be answered are as follows: 1. What are the positive and negative outcomes of adult children caring for a frail older parent? 2. What are the differences of coping strategies used by sons and daughters? 3. What are the differences of resources used by sons and daughters? 4. How does the family relationship affect the caregiving outcomes? 5. How does the social resources affect the caregiving outcomes? 6. How does the stressor (caregiving tasks) affect the caregiving outcomes? 7. Are caregiving impacts mainly accounted for by stressor, resources or family relationship? Survey research with face to face interview was employed. Feelings and experiences of 353 adult- children using structured questionnaires were collected. The findings indicated that some personal resources in terms of sociodemographic characteristics and coping strategies, social resources, stressors (caregiving tasks and hassels), and family relationships do have influences on caregiving impacts. Finally practice implication is discussed.