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Variables modulating depression in dementia caregivers: a longitudinal study

Published online by Cambridge University Press:  16 December 2011

R. Romero-Moreno ,
M. Márquez-González ,
B. T. Mausbach  and
A. Losada
R. Romero-Moreno*
Affiliation:
Psychology Department, Universidad Rey Juan Carlos de Madrid, Alcorcón, Madrid, Spain
M. Márquez-González
Affiliation:
Biological and Health Psychology Department, Universidad Autónoma de Madrid, Madrid, Spain
B. T. Mausbach
Affiliation:
Psychiatry Department, University of California, San Diego, La Jolla, California, USA
A. Losada
Affiliation:
Psychology Department, Universidad Rey Juan Carlos de Madrid, Alcorcón, Madrid, Spain
*
Correspondence should be addressed to: Rosa Romero-Moreno, Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos de Madrid, Edificio Departamental II, Avda. de Atenas, s/n. 28922 Alcorcón, Madrid, Spain. Phone: +34 914 888610. Email: [email protected].
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Abstract

Background: Dementia caregiving has been linked to negative consequences for mental health in caregivers. Although depression seems to be an enduring psychological consequence associated with caregiving, little is known about the longitudinal effects that modulating variables related to coping strategies have on caregiver's changes in depression over time. This study is aimed at investigating whether, in a one-year longitudinal study with 130 dementia caregivers, caregivers’ depression scores co-vary with modulating variables such as self-efficacy for controlling upsetting thoughts, frequency of leisure activities, and cognitive reappraisal, after controlling for gender and caregivers’ stressors (frequency of disruptive behaviors).

Methods: Linear mixed models analysis was used to analyze the associations between time-varying values for caregivers’ stressors and modulating variables in predicting caregivers’ depression.

Results: It was found that increases in caregivers’ self-efficacy, frequency of leisure activities, and cognitive reappraisal significantly predicted decreases in caregivers’ depression over time, even after controlling for gender and frequency of disruptive behaviors. In addition, increases in stressors were significantly related to increases in depression over time.

Conclusions: The inclusion of modulating variables significantly contributed to the explanation of the variance in caregivers’ depression, adding explanatory power to the variables usually included in the stress and coping model (gender and stressors).

Keywords

family caregiversdistresspleasant activitiesself-efficacycognitive reappraisalcaregiving stresscoping and leisure
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Special Issue 8: Focus on late life depression , August 2012 , pp. 1316 - 1324
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Agüera-Ortiz, L., Frank-García, A., Gil, P. and Moreno, A. (2010). Clinical progression of moderate to severe Alzheimer's disease and caregiver burden: a 12-month multicenter prospective observational study. International Psychogeriatrics, 22, 1265–1279, doi: 10.1017/S104161021000150X.CrossRefGoogle ScholarPubMed
Alzheimer's Association (2011). Alzheimer's disease facts and figures. Alzheimer's and Dementia, 7, 208–244.CrossRefGoogle Scholar
Arai, Y., Sugiura, M., Washio, M., Miura, H. and Kudo, K. (2001). Caregiver depression predicts early discontinuation of care for disabled elderly at home. Psychiatry and Clinical Neurosciences, 55, 379–382, doi: 10.1046/j.1440-1819.2001.00878.x.CrossRefGoogle ScholarPubMed
Berger, G., Bernhardt, T., Weimer, E., Peters, J., Kratzsch, T. and Frolich, L. (2005). Longitudinal study on the relationship between symptomatology of dementia and levels of subjective burden and depression among family caregivers in memory clinic patients. Journal of Geriatric Psychiatry and Neurology, 18, 119–128, doi: 10.1177/0891988704273375.CrossRefGoogle ScholarPubMed
Black, W. and Almeida, O. P. (2004). A systematic review of the association between the behavioral and psychological symptoms of dementia and burden of care. International Psychogeriatrics, 16, 295–315, doi: 10.1017/S1041610204000468.CrossRefGoogle ScholarPubMed
Clay, O. J., Roth, D. L., Wadley, V. G. and Haley, W. E. (2008). Changes in social support and their impact on psychosocial outcome over a 5-year period for African American and White dementia caregivers. International Journal of Geriatric Psychiatry, 23, 857–862, doi: 10.1002/gps.1996.CrossRefGoogle Scholar
Cooper, C., Katona, C., Orrell, M. and Livingston, G. (2008). Coping strategies, anxiety and depression in caregivers of people with Alzheimer's disease. International Journal of Geriatric Psychiatry, 23, 929–936, doi:10.1002/gps.2007.CrossRefGoogle ScholarPubMed
Cooper, C., Blanchard, M., Selwood, A., Walker, Z. and Livingston, G. (2010). Family carers’ distress and abusive behaviour: longitudinal study. British Journal of Psychiatry, 196, 480–485, doi: 10.1192/bjp.bp.109.071811.CrossRefGoogle ScholarPubMed
Gaugler, J. E. (2010). The longitudinal ramifications of stroke caregiving: a systematic review. Rehabilitation Psychology, 55, 108–125, doi:10.1037/a00119023.CrossRefGoogle ScholarPubMed
Haley, W. E., Levine, E. G., Brown, L. and Bartolucci, A. A. (1987). Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. Psychology and Aging, 2, 323–330, doi:10.1037/0882-7974.2.4.323.CrossRefGoogle ScholarPubMed
Jefferson, A. L. et al. (2006). Cognitive predictors of functional decline in vascular dementia. International Journal of Geriatric Psychiatry, 21, 752–754, doi:10.1002/gps.1556.CrossRefGoogle ScholarPubMed
Joling, K. J. et al. (2010). Incidence of depression and anxiety in the spouses of patients with dementia: a naturalistic cohort study of recorded morbidity with a 6-year follow-up. American Journal of Geriatric Psychiatry, 18, 146–153, doi: 10.1097/JGP.0b013e3181bf9f0f.CrossRefGoogle Scholar
Knussen, C., Tolson, D., Brogan, C. A., Swan, I. R. C., Stott, D. J. and Sullivan, F. (2008). Family caregivers of older relatives: ways of coping and change in distress. Psychology, Health and Medicine, 13, 274–290, doi:10.1080/1354850070140548.CrossRefGoogle ScholarPubMed
Li, L. W., Seltzer, M. M. and Greenberg, J. S. (1999). Change in depressive symptoms among daughter caregivers: an 18-month longitudinal study. Psychology and Aging, 14, 206–219, doi:10.1037/0882-7974.14.2.206.CrossRefGoogle ScholarPubMed
Losada, A. et al. (2010). Leisure and distress in caregivers for elderly patients. Archives of Gerontology and Geriatrics, 50, 347–350, doi:10.1016/j.archger.2009.06.001.CrossRefGoogle ScholarPubMed
Losada, A., Márquez-González, M. and Romero-Moreno, R. (2011). Mechanisms of action of a psychological intervention for dementia caregivers: effects of behavioral activation and modification of dysfunctional thoughts. International Journal of Geriatric Psychiatry, 26, 1119–1127, doi:10.1002/gps.2648.CrossRefGoogle ScholarPubMed
Márquez-González, M., Losada, A., López, J. and Peñacoba, C. (2009). Reliability and validity of the Spanish version of the revised scale for caregiving self-efficacy. Clinical Gerontologist, 32, 1–11, doi:10.1080/07317110903110419.CrossRefGoogle Scholar
Mausbach, B. et al. (2004). Ethnicity and time to institutionalization of dementia patients: a comparison of Latino and Caucasian female family caregivers. Journal of the American Geriatrics Society, 52, 1077–1084, doi:10.1111/j.1532-5415.2004.52306.x.CrossRefGoogle ScholarPubMed
Mausbach, B., Patterson, T., Rabinowitz, Y., Grant, I. and Schulz, R. (2007a). Depression and distress predict time to cardiovascular disease in dementia caregivers. Health Psychology, 26, 539–544, doi:10.1037/0278-6133.26.5.539.CrossRefGoogle ScholarPubMed
Mausbach, B. et al. (2007b). The attenuating effect of personal mastery on the relations between stress and Alzheimer caregiver health: a five-year longitudinal analysis. Aging and Mental Health, 11, 637–644, doi:10.1080/13607860701787043.CrossRefGoogle Scholar
Mausbach, B. T., Roepke, S. K., Depp, C. D., Patterson, T. L. and Grant, I. (2009). Specificity of cognitive and behavioral variables to positive and negative affect. Behavior Research and Therapy, 47, 608–615, doi:10.1016/j.brat.2009.04.006.CrossRefGoogle ScholarPubMed
Mohamed, S., Rosenheck, R., Lyketsos, C. G., and Schneider, L. S. (2010). Caregiver burden in Alzheimer disease: cross-sectional and longitudinal patient correlates. American Journal of Geriatric Psychiatry, 18, 917–927, doi:10.1097/JGP.0b013e3181d5745d.CrossRefGoogle ScholarPubMed
Moore, R. C., Harmell, A. L., Chattillion, E., Ancoli-Israel, S., Grant, I. and Mausbach, B. T. (2011). PEAR model and sleep outcomes in dementia caregivers: influence of activity restriction and pleasant events on sleep disturbances. International Psychogeriatrics, 23, 1462–1469, doi:10.1017/S1041610211000512.CrossRefGoogle ScholarPubMed
O'Rourke, N. and Tuokko, H. A. (2004). Caregiver burden and depressive symptomatology: the association between constructs over time. Clinical Gerontologist, 27, 41–52.CrossRefGoogle Scholar
Parveen, S., Morrison, V. and Robinson, C. A. (2011). Ethnic variations in the caregiver role: a qualitative study. Journal of Health Psychology, 16, 862–872, doi:10.1177/1359105310392416.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
Romero-Moreno, R., Márquez-González, M., Losada, A. and López, J. (2011a). Motives for caring: relationship to stress and coping dimensions. International Psychogeriatrics, 23, 573–582, doi:10.1017/S1041610210001821.CrossRefGoogle ScholarPubMed
Romero-Moreno, R., Mausbach, B. T., Losada, A., Márquez-González, M., Patterson, T. L. and López, J. (2011b). Analysis of the moderating effect of self-efficacy domains in different points of the dementia caregiving process. Aging and Mental Health. 15, 221–231, doi:10.1080/13607863.2010.505231.CrossRefGoogle ScholarPubMed
Roth, D. L., Haley, W. E., Owen, J. E., Clay, O. J. and Goode, K. T. (2001). Latent growth models of the longitudinal effects of dementia caregiving: a comparison of African American and White family caregivers. Psychology and Aging, 16, 427–436, doi: 10.1037/0882-7974.16.3.427.CrossRefGoogle ScholarPubMed
Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C. and Palfai, T. P. (1995). Emotional attention, clarity, and repair: exploring emotional intelligence using the trait meta-mood scale. In Pennebaker, J. W. (ed.), Emotion, Disclosure, and Health (pp. 125–154). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Schulz, R. and Williamson, G. M. (1991). A 2-year longitudinal study of depression among Alzheimer's caregivers. Psychology and Aging, 6, 569–578, doi:10.1037/0882-7974.6.4.569.CrossRefGoogle ScholarPubMed
Schulz, R. et al. (2008). Dementia patient suffering and caregiver depression. Alzheimer Disease and Associated Disorders, 2, 170–176, doi: 10.1097/WAD.0b013e31816653cc.CrossRefGoogle Scholar
Steffen, A. M., McKibbin, C., Zeiss, A. M., Gallagher-Thompson, D. and Bandura, A. (2002). The revised scale for caregiving self-efficacy: reliability and validity studies. Journal of Gerontology: Psychological Sciences, 57, 74–86, doi: 10.1093/geronb/57.1.P74.CrossRefGoogle ScholarPubMed
Stevens, A. B. et al. (2004). Measurement of leisure time satisfaction in family caregivers. Aging and Mental Health, 8, 450–459, doi:10.1080/13607860410001709737.CrossRefGoogle ScholarPubMed
Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S. and Vitaliano, P. P. (1992). Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist. Psychology and Aging, 7, 622–631, doi:10.1037/0882-7974.7.4.622.CrossRefGoogle ScholarPubMed