Abstract
STUDY OBJECTIVE: To explain the variations in depressive symptomatology among primary caregivers of community dwelling activities of daily living disabled elderly and to evaluate the role of family and religiosity on the mental health consequences of caregiving in Spain. DESIGN: Cross sectional study. SETTING: City of Leganes in the metropolitan area of Madrid, Spain. PARTICIPANTS: All caregivers of a representative sample of community dwelling activities of daily living disabled persons, aged 65 and over were approached. The response rate was 85% (n = 194). Depression was assessed by the Center for Epidemiologic Studies Depression (CES-D) Scale. MAIN RESULTS: Controlling for caregivers' income, education, health status, and caregiving stress, religiosity was associated with more depressive symptoms among children caregivers while for spouses the association was negative. Emotional support was negatively associated with depression, but instrumental support was not significant. CONCLUSIONS: Depressive symptomatology is frequent among Spanish caregivers of disabled elderly. This study concludes that religiosity and family emotional support play an important part in the mental health of Spanish caregivers. The role of religiosity may be different according to kinship tie and needs further investigation.
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- 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]
- Baumgarten M., Battista R. N., Infante-Rivard C., Hanley J. A., Becker R., Gauthier S. The psychological and physical health of family members caring for an elderly person with dementia. J Clin Epidemiol. 1992 Jan;45(1):61–70. doi: 10.1016/0895-4356(92)90189-t. [DOI] [PubMed] [Google Scholar]
- Baumgarten M. The health of persons giving care to the demented elderly: a critical review of the literature. J Clin Epidemiol. 1989;42(12):1137–1148. doi: 10.1016/0895-4356(89)90111-x. [DOI] [PubMed] [Google Scholar]
- Cantor M. H. Strain among caregivers: a study of experience in the United States. Gerontologist. 1983 Dec;23(6):597–604. doi: 10.1093/geront/23.6.597. [DOI] [PubMed] [Google Scholar]
- Chenoweth B., Spencer B. Dementia: the experience of family caregivers. Gerontologist. 1986 Jun;26(3):267–272. doi: 10.1093/geront/26.3.267. [DOI] [PubMed] [Google Scholar]
- Ellison C. G. Religious involvement and subjective well-being. J Health Soc Behav. 1991 Mar;32(1):80–99. [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]
- Gilleard C. J., Belford H., Gilleard E., Whittick J. E., Gledhill K. Emotional distress amongst the supporters of the elderly mentally infirm. Br J Psychiatry. 1984 Aug;145:172–177. doi: 10.1192/bjp.145.2.172. [DOI] [PubMed] [Google Scholar]
- Livingston G., Manela M., Katona C. Depression and other psychiatric morbidity in carers of elderly people living at home. BMJ. 1996 Jan 20;312(7024):153–156. doi: 10.1136/bmj.312.7024.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Markides K. S., Levin J. S., Ray L. A. Religion, aging, and life satisfaction: an eight-year, three-wave longitudinal study. Gerontologist. 1987 Oct;27(5):660–665. doi: 10.1093/geront/27.5.660. [DOI] [PubMed] [Google Scholar]
- Miller B., Campbell R. T., Farran C. J., Kaufman J. E., Davis L. Race, control, mastery, and caregiver distress. J Gerontol B Psychol Sci Soc Sci. 1995 Nov;50(6):S374–S382. doi: 10.1093/geronb/50b.6.s374. [DOI] [PubMed] [Google Scholar]
- Moen P., Robison J., Dempster-McClain D. Caregiving and women's well-being: a life course approach. J Health Soc Behav. 1995 Sep;36(3):259–273. [PubMed] [Google Scholar]
- Moritz D. J., Kasl S. V., Berkman L. F. The health impact of living with a cognitively impaired elderly spouse: depressive symptoms and social functioning. J Gerontol. 1989 Jan;44(1):S17–S27. doi: 10.1093/geronj/44.1.s17. [DOI] [PubMed] [Google Scholar]
- Mościcki E. K., Locke B. Z., Rae D. S., Boyd J. H. Depressive symptoms among Mexican Americans: the Hispanic Health and Nutrition Examination Survey. Am J Epidemiol. 1989 Aug;130(2):348–360. doi: 10.1093/oxfordjournals.aje.a115341. [DOI] [PubMed] [Google Scholar]
- Nagi S. Z. An epidemiology of disability among adults in the United States. Milbank Mem Fund Q Health Soc. 1976 Fall;54(4):439–467. [PubMed] [Google Scholar]
- Pearlin L. I., Mullan J. T., Semple S. J., Skaff M. M. Caregiving and the stress process: an overview of concepts and their measures. Gerontologist. 1990 Oct;30(5):583–594. doi: 10.1093/geront/30.5.583. [DOI] [PubMed] [Google Scholar]
- Scott J. P., Roberto K. A., Hutton J. T. Families of Alzheimer's victims. Family support to the caregivers. J Am Geriatr Soc. 1986 May;34(5):348–354. doi: 10.1111/j.1532-5415.1986.tb04317.x. [DOI] [PubMed] [Google Scholar]