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Childcare, eldercare, and household demands can pile-up and create unique challenges for PSP families. There is evidence that many families can adapt and manage these demands successfully, but the nonstandard schedules and risks associated with PSP work can add significant stress to day-to-day life. Role overload is experienced when work and family demands are not in harmony and cumulative demands describes the co-occurrence of pressures and responsibilities that build up over time and can be difficult to navigate. For example, a combination of overtime hours, canceled leave, and an illness in the family can contribute to family conflict and problems. Families or individuals may struggle to manage a pile-up of responsibilities and obligations, and the associated stress can have a negative effect on their health and wellbeing.

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