Does Becoming an ADL Spousal Caregiver Increase the Caregiver's Depressive Symptoms?

被引:37
作者
Dunkle, Ruth E. [1 ]
Feld, Sheila [1 ]
Lehning, Amanda J.
Kim, Hyunjee [2 ]
Shen, Huei-Wern [3 ]
Kim, Min Hee [1 ]
机构
[1] Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA
[2] Oregon Hlth & Sci Univ, Ctr Hlth Syst Effectiveness, Dept Emergency Med, Portland, OR 97201 USA
[3] Univ Missouri, Sch Social Work, St Louis, MO 63121 USA
关键词
caregiving; couples; Pearlin's stress process model; GENDER-DIFFERENCES; PHYSICAL HEALTH; STRESS PROCESS; FAMILY CAREGIVERS; MENTAL-HEALTH; TRANSITIONS; DEMENTIA; RISK; BEREAVEMENT; IMPAIRMENT;
D O I
10.1177/0164027513516152
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
This study investigated whether transitioning into the role of activities of daily living (ADL) spousal caregiver is associated with increased depressive symptoms for older husbands and wives among a sample of coresiding community-dwelling older couples. Using data from the Health and Retirement Study, we estimated a two-level linear model to examine the association between change in caregiver status and respondents' depressive symptoms at follow-up, controlling for other factors identified in Pearlin's stress process model (PSPM). Results indicate that both husbands and wives who become ADL caregivers have more follow-up depressive symptoms than noncaregivers. Furthermore, wives continuing as caregivers have more follow-up depressive symptoms than wives who do not provide care. Finally, the physical health of the spousal caregiver is related to depressive symptoms at follow-up. We conclude with policy and practice implications of these three main findings.
引用
收藏
页码:655 / 682
页数:28
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