Specific effects of caring for a spouse with dementia: differences in depressive symptoms between caregiver and non-caregiver spouses

被引:45
作者
Adams, Kathryn Betts [1 ,2 ]
机构
[1] Case Western Reserve Univ, Mandel Sch Appl Social Sci, Cleveland, OH 44106 USA
[2] Case Western Reserve Univ, Univ Memory & Aging Ctr, Cleveland, OH 44106 USA
关键词
dementia caregiving; depression; CES-D; positive affect; two-group MANCOVA;
D O I
10.1017/S1041610207006278
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Caring for spouses with dementia is a risk factor for increased levels of depression. Less is known about specific symptom differences between groups of caregivers and non-caregivers. This study characterizes differences on the CES-D depression screening scale between caregiving and non-caregiving spouses. Methods: Data were obtained from 391 spouse caregivers of persons with dementia and 226 control subjects. Significant between-group differences on demographic variables determined covariates used in two multivariate ANCOVA analyses, on the set of four CES-D subscales and on the set of the 20 CES-D individual items. Significant multivariate analyses were followed by univariate tests between the two groups. Results: Dementia caregiving spouses had significantly more depressive symptoms than non-caregiving married adults, after controlling for group differences. Proportion of variance in the set of CES-D subscales explained by caregiver group status was 13.4%. The greatest between-groups difference in univariate analysis was found in the Positive Affect subscale, and significant differences were found in 11 of the 20 CES-D items. Caregiver spouses experienced less hope for the future and less happiness and enjoyment in life than the non-caregiving spouses. They also reported greater degrees of sadness, being bothered, and loneliness than the non-caregivers. Conclusions: The differences, particularly caregivers' lack of positive affect, suggest the need for appropriate intervention approaches to assist spouse caregivers.
引用
收藏
页码:508 / 520
页数:13
相关论文
共 35 条
[1]  
Adams K.B., 2004, DEMENTIA-LONDON, V3, P195, DOI DOI 10.1177/1471301204042337
[2]   The Transition to Caregiving: The Experience of Family Members Embarking on the Dementia Caregiving Career [J].
Adams, Kathryn Betts .
JOURNAL OF GERONTOLOGICAL SOCIAL WORK, 2006, 47 (3-4) :3-29
[3]   Psychosocial resources as moderators of the impact of spousal dementia caregiving on depression [J].
Adams, KB ;
Smyth, KA ;
McClendon, MJ .
JOURNAL OF APPLIED GERONTOLOGY, 2005, 24 (05) :475-489
[4]  
[Anonymous], 2005, DEMENTIA CAREGIVERS
[5]   The utility of the Center for Epidemiological Studies Depression Scale in older primary care patients [J].
Arean, PA ;
Miranda, J .
AGING & MENTAL HEALTH, 1997, 1 (01) :47-56
[6]   What symptoms of depression predict mortality in community-dwelling elders? [J].
Blazer, DG ;
Hybels, CF .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (12) :2052-2056
[7]  
Blazer DG, 2003, J GERONTOL A-BIOL, V58, P249
[8]  
Carter Patricia A, 2002, Oncol Nurs Forum, V29, P1277, DOI 10.1188/02.ONF.1277-1283
[9]  
Cohen J., 1988, POWERSTATISTICALSCIE, DOI 10.4324/9780203771587
[10]   Patient and caregiver characteristics associated with depression in caregivers of patients with dementia [J].
Covinsky, KE ;
Newcomer, R ;
Fox, P ;
Wood, J ;
Sands, L ;
Dane, K ;
Yaffe, K .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2003, 18 (12) :1006-1014