Abstract
OBJECTIVES: This study describes the mental health status, disability, physical health, and mental health service utilization of informal care-givers under the age of 65 in the province of Ontario. METHODS: The study analyzed data collected in the 1991 province-wide, population-based mental health supplement to the Ontario Health Survey. Diagnoses from the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, revised, were generated on the basis of a structured diagnostic interview. Caregivers and noncaregivers are compared here on past-year prevalence of psychiatric disorder, physical illness, disability, and utilization of mental health services. The possible confounding effects of age, sex, employment status, and economic disadvantage are explored. RESULTS: Informal caregivers (n = 1219) constituted 15.0% of the sample. Caregivers had higher rates of affective (6.3% vs 4.2%) and anxiety (17.5% vs 10.9%) disorders than noncaregivers and used health services for mental health problems at nearly twice the rate. CONCLUSIONS: Documentation of the prevalence of caregiving and the increased prevalence of psychiatric disorders, disability, and service utilization among caregivers is of critical importance as governments continue to move toward community-based care. To accomplish this goal, the needs of caregivers must be acknowledged and met by the establishment of appropriate and readily accessible support services.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baillie V., Norbeck J. S., Barnes L. E. Stress, social support, and psychological distress of family caregivers of the elderly. Nurs Res. 1988 Jul-Aug;37(4):217–222. [PubMed] [Google Scholar]
- Bardach J. L. Group sessions with wives of aphasic patients. Int J Group Psychother. 1969 Jul;19(3):361–365. doi: 10.1080/00207284.1969.11507803. [DOI] [PubMed] [Google Scholar]
- Drinka T. J., Smith J. C., Drinka P. J. Correlates of depression and burden for informal caregivers of patients in a geriatrics referral clinic. J Am Geriatr Soc. 1987 Jun;35(6):522–525. doi: 10.1111/j.1532-5415.1987.tb01398.x. [DOI] [PubMed] [Google Scholar]
- Farkas S. W. Impact of chronic illness on the patient's spouse. Health Soc Work. 1980 Nov;5(4):39–46. doi: 10.1093/hsw/5.4.39. [DOI] [PubMed] [Google Scholar]
- George L. K., Gwyther L. P. Caregiver well-being: a multidimensional examination of family caregivers of demented adults. Gerontologist. 1986 Jun;26(3):253–259. doi: 10.1093/geront/26.3.253. [DOI] [PubMed] [Google Scholar]
- Haley W. E., Levine E. G., Brown S. L., Berry J. W., Hughes G. H. Psychological, social, and health consequences of caring for a relative with senile dementia. J Am Geriatr Soc. 1987 May;35(5):405–411. doi: 10.1111/j.1532-5415.1987.tb04661.x. [DOI] [PubMed] [Google Scholar]
- Haley W. E., Pardo K. M. Relationship of severity of dementia to caregiving stressors. Psychol Aging. 1989 Dec;4(4):389–392. doi: 10.1037//0882-7974.4.4.389. [DOI] [PubMed] [Google Scholar]
- Hecht H., Wittchen H. U. The frequency of social dysfunction in a general population sample and in patients with mental disorders. A comparison using the Social Interview Schedule (SIS). Soc Psychiatry Psychiatr Epidemiol. 1988 Jan;23(1):17–29. doi: 10.1007/BF01788438. [DOI] [PubMed] [Google Scholar]
- Jed J. Social support for caretakers and psychiatric rehospitalization. Hosp Community Psychiatry. 1989 Dec;40(12):1297–1299. doi: 10.1176/ps.40.12.1297. [DOI] [PubMed] [Google Scholar]
- Kessler R. C., McGonagle K. A., Zhao S., Nelson C. B., Hughes M., Eshleman S., Wittchen H. U., Kendler K. S. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994 Jan;51(1):8–19. doi: 10.1001/archpsyc.1994.03950010008002. [DOI] [PubMed] [Google Scholar]
- Kouzis A. C., Eaton W. W. Emotional disability days: prevalence and predictors. Am J Public Health. 1994 Aug;84(8):1304–1307. doi: 10.2105/ajph.84.8.1304. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lawton M. P., Moss M., Kleban M. H., Glicksman A., Rovine M. A two-factor model of caregiving appraisal and psychological well-being. J Gerontol. 1991 Jul;46(4):P181–P189. doi: 10.1093/geronj/46.4.p181. [DOI] [PubMed] [Google Scholar]
- Lefley H. P. Aging parents as caregivers of mentally ill adult children: an emerging social problem. Hosp Community Psychiatry. 1987 Oct;38(10):1063–1070. doi: 10.1176/ps.38.10.1063. [DOI] [PubMed] [Google Scholar]
- Lin E., Goering P., Offord D. R., Campbell D., Boyle M. H. The use of mental health services in Ontario: epidemiologic findings. Can J Psychiatry. 1996 Nov;41(9):572–577. doi: 10.1177/070674379604100905. [DOI] [PubMed] [Google Scholar]
- Maldonado G., Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol. 1993 Dec 1;138(11):923–936. doi: 10.1093/oxfordjournals.aje.a116813. [DOI] [PubMed] [Google Scholar]
- Maurin J. T., Boyd C. B. Burden of mental illness on the family: a critical review. Arch Psychiatr Nurs. 1990 Apr;4(2):99–107. doi: 10.1016/0883-9417(90)90016-e. [DOI] [PubMed] [Google Scholar]
- Miller B., McFall S., Montgomery A. The impact of elder health, caregiver involvement, and global stress on two dimensions of caregiver burden. J Gerontol. 1991 Jan;46(1):S9–19. doi: 10.1093/geronj/46.1.s9. [DOI] [PubMed] [Google Scholar]
- Noh S., Turner R. J. Living with psychiatric patients: implications for the mental health of family members. Soc Sci Med. 1987;25(3):263–272. doi: 10.1016/0277-9536(87)90229-2. [DOI] [PubMed] [Google Scholar]
- Pruchno R. A., Potashnik S. L. Caregiving spouses. Physical and mental health in perspective. J Am Geriatr Soc. 1989 Aug;37(8):697–705. doi: 10.1111/j.1532-5415.1989.tb02230.x. [DOI] [PubMed] [Google Scholar]
- Schulz R., Visintainer P., Williamson G. M. Psychiatric and physical morbidity effects of caregiving. J Gerontol. 1990 Sep;45(5):P181–P191. doi: 10.1093/geronj/45.5.p181. [DOI] [PubMed] [Google Scholar]
- Schulz R., Williamson G. M. A 2-year longitudinal study of depression among Alzheimer's caregivers. Psychol Aging. 1991 Dec;6(4):569–578. doi: 10.1037//0882-7974.6.4.569. [DOI] [PubMed] [Google Scholar]
- Stone R., Cafferata G. L., Sangl J. Caregivers of the frail elderly: a national profile. Gerontologist. 1987 Oct;27(5):616–626. doi: 10.1093/geront/27.5.616. [DOI] [PubMed] [Google Scholar]
- Wittchen H. U. Reliability and validity studies of the WHO--Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res. 1994 Jan-Feb;28(1):57–84. doi: 10.1016/0022-3956(94)90036-1. [DOI] [PubMed] [Google Scholar]
