Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

被引:11
作者
Austrom, Mary Guerriero [1 ,2 ]
Lu, Yvonne Yueh-Feng [1 ,3 ]
Perkins, Anthony J. [4 ]
Boustani, Malaz [5 ,6 ]
Callahan, Christopher M. [5 ,6 ]
Hendrie, Hugh C. [1 ,6 ]
机构
[1] Indiana Univ Sch Med, Dept Psychiat, Indianapolis, IN 46202 USA
[2] Indiana Alzheimer Dis Ctr, Indianapolis, IN USA
[3] Indiana Univ, Sch Nursing, Dept Sci Nursing Care, Bloomington, IN 47405 USA
[4] Precis Stat Consulting LLC, Brownsburg, IN USA
[5] Indiana Univ Sch Med, Dept Med, Indianapolis, IN 46202 USA
[6] IU Ctr Aging Res, Regenstrief Inst, Indianapolis, IN USA
来源
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2014年 / 29卷 / 05期
关键词
caregivers; dementia; noncaregiving-related stressors; depression; ALZHEIMER-DISEASE; OLDER-ADULTS; DEPRESSIVE SYMPTOMS; FAMILY CAREGIVERS; DEMENTIA; CARE; INTERVENTION; BURDEN; HEALTH;
D O I
10.1177/1533317513518652
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Caregivers of persons with dementia are stressed. Stressors not related to care recipients' needs impact caregiver outcomes, yet are seldom reported. The purpose of this study was to report the most stressful events experienced by spouse caregivers of older adults with Alzheimer s disease during a 6-month period. Methods: 31 caregivers completed the Most Stressful Event form, Patient Health Questionnaire (PHQ-9) and the Revised Memory Behavioral Problem Checklist (R-MBPC). Fisher's exact test and two-sample t-test were used to compare Most Stressful Events between caregivers. ANOVA model tested whether the PHQ-9 and R-MBPC subscales differed by stressor. Results: Caregivers reported no stressors 21.5% of the time, 1-2 stressors 25% of the time, and 3 stressors 53% of the time with 318 stressors reported in total. Care recipient needs (30.2%), caregiver needs (26.7%), and decision-making (16.7%) were the most frequently reported stressors. Using a mixed effects model, there were associations between the Most Stressful Events and depression (p = 0.016), mobility (p = 0.024) and caregiver issues (p = 0.009) subscales of R-MBPC. Conclusion: Results can be used to develop targeted intervention and support strategies for spouse caregivers experiencing non-caregiving related stressors as well as the traditional challenges with caregiving related issues.
引用
收藏
页码:426 / 432
页数:7
相关论文
共 31 条
[1]  
Alzheimer Association, 2012, ALZH DIS FACTS FIG 2, P1
[2]   Development and implementation of nonpharmacologic protocols for the management of patients with Alzheimer's disease and their families in a multiracial primary care setting [J].
Austrom, MG ;
Damush, TM ;
Hartwell, CW ;
Perkins, T ;
Unverzagt, F ;
Boustani, M ;
Hendrie, HC ;
Callahan, CM .
GERONTOLOGIST, 2004, 44 (04) :548-553
[3]   Negative Caregiving Effects Among Caregivers of Veterans With Dementia [J].
Bass, David M. ;
Judge, Katherine S. ;
Snow, A. Lynn ;
Wilson, Nancy L. ;
Looman, Wendy J. ;
McCarthy, Catherine ;
Morgan, Robert ;
Ablorh-Odjidja, Clair ;
Kunik, Mark E. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2012, 20 (03) :239-247
[4]   Effectiveness of collaborative care for older adults with Alzheimer disease in primary care - A randomized controlled trial [J].
Callahan, CM ;
Boustani, MA ;
Unverzagt, FW ;
Austrom, MG ;
Damush, TM ;
Perkins, AJ ;
Fultz, BA ;
Hui, SL ;
Counsell, SR ;
Hendrie, HC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (18) :2148-2157
[5]   Behavioral Symptoms of Dementia A Dyadic Effect of Caregivers' Stress Process? [J].
Campbell, Judy L. M. ;
Rowe, Meredeth A. ;
Marsiske, Michael .
RESEARCH IN GERONTOLOGICAL NURSING, 2011, 4 (03) :168-184
[6]  
DeFries EL, 2009, PREV CHRONIC DIS, V6
[7]   Caregiver burden among dementia patient caregivers: A review of the literature [J].
Etters, Lynn ;
Goodall, Debbie ;
Harrison, Barbara E. .
JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, 2008, 20 (08) :423-428
[8]   A lifestyle physical activity intervention for caregivers of persons with Alzheimer's disease [J].
Farran, Carol J. ;
Staffileno, Beth A. ;
Gilley, Daxd W. ;
McCann, Judith J. ;
Li, Yan ;
Castro, Cynthia M. ;
King, Abby C. .
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS, 2008, 23 (02) :132-142
[9]   Efficacy of behavioral interventions for dementia caregivers [J].
Farran, Carol J. ;
Gilley, David W. ;
McCann, Judith J. ;
Bienias, Julia L. ;
Lindeman, David A. ;
Evans, Denis A. .
WESTERN JOURNAL OF NURSING RESEARCH, 2007, 29 (08) :944-960
[10]  
Farran Carol J, 2004, J Gerontol Nurs, V30, P38