Positive aspects of caregiving attenuate the relationship between behavioral bother and anxiety and depressive symptoms in dementia family caregivers.


Journal

Geriatrics & gerontology international
ISSN: 1447-0594
Titre abrégé: Geriatr Gerontol Int
Pays: Japan
ID NLM: 101135738

Informations de publication

Date de publication:
May 2023
Historique:
revised: 28 02 2023
received: 02 11 2022
accepted: 22 03 2023
medline: 4 5 2023
pubmed: 19 4 2023
entrez: 18 4 2023
Statut: ppublish

Résumé

To examine the protective role of positive aspects of caregiving (PAC) in terms of whether it dampens the relationship between behavioral bother and anxiety/depressive symptoms. The baseline data of the Resources for Enhancing Alzheimer's Caregiver Health I trial were used. US dementia family caregivers (N = 1222) responded to standard self-report measures of PAC, behavioral bother, depression, anxiety, challenging behaviors, and functional impairment. The buffering effect of PAC was tested using moderational regression. Controlling for caregivers' age, sex and behavioral bother, and care-recipients' challenging behaviors and functional impairment, PAC was mildly inversely related to depressive and anxiety symptoms. Moreover, a significant PAC × behavioral bother interaction effect was found such that the relationship between behavioral bother, on the one hand, and depression and anxiety, on the other, became weaker with higher PAC. In particular, when behavioral bother was low, depressive and anxiety symptoms were similar regardless of levels of PAC. But when behavioral bother was high, caregivers who reported higher levels of PAC were less depressed and anxious than those with lower levels, with their standardized mean differences being small to moderate. PAC was found to be associated with less mood symptoms partly directly and partly through modifying the effect of behavioral bother on depression and anxiety. Caregivers who were highly troubled by the relative's challenging behaviors, but who found higher levels of PAC at the same time, experienced better emotional well-being. Having PAC may make the burden of caregiving more tolerable, thereby alleviating caregiver distress down the road. Geriatr Gerontol Int 2023; 23: 366-370.

Identifiants

pubmed: 37070249
doi: 10.1111/ggi.14581
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

366-370

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

© 2023 Japan Geriatrics Society.

Références

Alzheimer's Disease International: World Alzheimer Report 2015. The Global Impact of Dementia: An Analysis of Prevalence, Incidence, Cost and Trends. London: Alzheimer's Disease International, 2015.
Cheng S-T. Dementia caregiver burden: a research update and critical analysis. Curr Psychiatry Rep 2017; 19: 64.
Cheng S-T, Mak EPM, Lau RWL, Ng NSS, Lam LCW. Voices of Alzheimer caregivers on positive aspects of caregiving. Gerontologist 2016; 56: 451-460.
Cheng S-T. Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer's disease in Hong Kong Chinese caregivers. Gerontologist 2003; 53: 71-80.
Quinn C, Toms G. Influence of positive aspects of dementia caregiving on caregivers' well-being: a systematic review. Gerontologist 2019; 59: e584-e596.
Fabà J, Villar F, Giuliani MF. Development of a measure to evaluate gains among Spanish dementia caregivers: the gains associated with caregiving (GAC) scale. Arch Gerontol Geriatr 2017; 68: 76-83.
Cheng S-T, Lam LCW, Kwok T, Ng NSS, Fung AWT. Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer's disease in Hong Kong Chinese caregivers. Gerontologist 2013; 53: 71-80.
Manne SL, Kashy DA, Virtue S et al. Acceptance, social support, benefit-finding, and depression in women with gynecological cancer. Qual Life Res 2018; 27: 2991-3002.
Pakenham KI, Cox S. Development of the benefit finding in multiple sclerosis (MS) caregiving scale: a longitudinal study of relations between benefit finding and adjustment. Br J Health Psychol 2008; 13: 583-602.
Cheng S-T, Chan WC, Lam LCW. Long-term outcomes of the benefit-finding group intervention for Alzheimer family caregivers: a cluster-randomized double-blind controlled trial. Am J Geriatr Psychiatry 2019; 27: 984-994.
Cheng S-T, Mak EPM, Kwok T, Fung H, Lam LCW. Benefit-finding intervention delivered individually to Alzheimer family caregivers: longer-term outcomes of a randomized double-blind controlled trial. J Gerontol B Psychol Sci Soc Sci 2020; 75: 1884-1893.
Yu DSF, Cheng S-T, Wang J. Unravelling positive aspects of caregiving in dementia: an integrative review of research literature. Int J Nurs Stud 2018; 79: 1-26.
Folkman S. The case for positive emotions in the stress process. Anxiety Stress Coping 2008; 21: 3-14.
Fredrickson BL. The role of positive emotions in positive psychology: the broaden-and-build theory of positive emotions. Am Psychol 2001; 56: 218-226.
Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York: Springer, 1984.
Schulz R, Burgio L, Burns R et al. Resources for enhancing Alzheimer's caregiver health (REACH): overview, site-specific outcomes, and future directions. Gerontologist 2003; 43: 514-520.
Schulz R. Resources for Enhancing Alzheimer's Caregiver Health, 1996-2001. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2006. https://doi.org/10.3886/ICPSR03253.v1.
Wisniewski SR, Belle SH, Coon DW et al. The resources for enhancing Alzheimer's caregiver health (REACH): project design and baseline characteristics. Psychol Aging 2003; 18: 375-384.
Tarlow BJ, Wisniewski SR, Belle SH, Rubert M, Ory MG, Gallagher-Thompson D. Positive aspects of caregiving: contributions of the REACH project to the development of new measures for Alzheimer's caregiving. Res Aging 2004; 26: 429-453.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Measur 1977; 1: 385-401.
Spielberger CD, Gorsuch RL, Lushene PR et al. State-Trait Anxiety Inventory for Adults (STAIS-AD) Manual. Palo Alto, CA: Consulting Psychologists Press, 1983.
Balsamo M, Cataldi F, Carlucci L, Fairfield B. Assessment of anxiety in older adults: a review of self-report measures. Clin Interv Aging 2018; 13: 573-593.
Teri L, Truax P, Logsdon R, Uomoto J, Zarit S, Vitaliano PP. Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist. Psychol Aging 1992; 7: 622-631.
Aiken LS, West SG. Multiple Regression: Testing and Interpreting Interactions. Sage: Newbury Park, CA, 1991.
Cheng S-T. The positive aspects of caregiving scale can be shortened to six items: applications of item response theory. Aging Ment Health 2023: 1-9. https://doi.org/10.1080/13607863.2023.2165622.
Schulz R, Savla J, Czaja SJ, Monin J. The role of compassion, suffering, and intrusive thoughts in dementia caregiver depression. Aging Ment Health 2017; 21: 997-1004.
Cheng S-T, Chan WC, Fung HH, Lam LCW. Self-efficacy in controlling upsetting thoughts, but not positive gains, mediates the effects of benefit-finding group intervention for Alzheimer family caregivers. Psychol Aging 2022; 37: 766-775.
Barrera-Caballero S, Romero-Moreno R, Del Sequeros P-CM et al. Stress, cognitive fusion and comorbid depressive and anxiety symptomatology in dementia caregivers. Psychol Aging 2021; 36: 667-676.
O'Rourke N, Cappeliez P, Neufeld E. Recurrent depressive symptomatology and physical health: a 10-year study of informal caregivers of persons with dementia. Can J Psychiatry 2007; 52: 434-441.
Cheng S-T, Chan WC, Lam LCW. Are care-recipient outcomes attributable to improved caregiver well-being? A cluster-randomized controlled trial of benefit-finding intervention. Am J Geriatr Psychiatry 2022; 30: 903-913.
Cheng S-T. Two sides of the same coin: revisiting the relationship between burden and positive aspects of caregiving in dementia. Int J Geriatr Psychiatry 2022; 37: 1-9. https://doi.org/10.1002/gps.5786.

Auteurs

Sheung-Tak Cheng (ST)

Department of Health and Physical Education, The Education University of Hong Kong, Tai Po, Hong Kong.

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