Depression and Associated Factors among Family Caregivers of Children with Disabilities: Analysis of Intergenerational Differences

Abstract

Family caregivers of children with disabilities might face high risks of depression, whereas the existing literature focused more on parents neglecting grandparents. This study investigated 380 parents and 108 grandparents of children with disabilities to identify depression and associated factors. Descriptive statistics, Chi-square test, Mann–Whitney U test, and multivariable logistic regression were performed to describe the participants’ characteristics and risks of depression and identify significant factors. Results showed that parents (35.5%) had higher risks of depression than grandparents (32.4%), but statistical differences were not found. Children’s sleep problems (AOR = 1.751, 95%CI = 1.019, 3.008), harmonious family relationships (AOR = 0.694, 95%CI = 0.569, 0.846), and better barrier-free construction (AOR = 0.742, 95%CI = 0.568, 0.970) were significantly associated with depression among parents. As for grandparents, higher education (AOR = 4.108, 95%CI = 1.526, 11.057) and caring for children who experience frequent mood swings (AOR = 2.242, 95%CI = 1.161, 4.329) were associated with higher risks of depression. Further, house ownership (AOR = 0.167, 95%CI = 0.031, 0.887), higher family cohesion (AOR = 0.545, 95%CI = 0.297, 1.000), and better barrier-free construction (AOR = 0.401, 95%CI = 0.185, 0.869) were associated with lower odds of depression. Therefore, both parents and grandparents of children with disabilities had high risks of depression and thus required urgent attention. Healthcare providers and policymakers should develop and implement interventions considering intergenerational differences to reach optimal efficiency.

Death Anxiety in Caregivers of Chronic Patients

“…It is important to remember that, even though this work focuses on chronic patients, it is essential to also consider caregivers of patients with other disabilities or in special circumstances. For example, children with disabilities [73] or patients in institutional settings [31], where thoughts of suicide may even arise [74], or where individuals may already have specific needs, regardless of their physical health [75]. Notably, all professionals dealing with them could be at risk of psychological issues, not only those formally recognized as caregivers, and they also require attention and support [76].…”

Telehealth Utilization and Good Care among Informal Caregivers: Health Information National Trends Survey, 2022

“…Telehealth allows patients and caregivers to access medical care, consult with healthcare professionals, and receive timely guidance while minimizing the risk of infection and eliminating transportation and childcare challenges [2]. Informal caregivers play an important role in ensuring the well-being of those they care for, usually family members and friends [3,4]. The use of telehealth by caregivers has been connected to a higher frequency of communication between caregivers and clinicians, as well as improved patient outcomes [5,6].…”