Early Intervention Screening for Family Caregivers of Older Relatives in Primary Care Practices

Kaye, Lenard W.; Turner, Winston M.; Butler, Sandra S.; Downey, Roberta; Cotton, Amy

doi:10.1097/00003727-200310000-00008

Cited by 14 publications

(4 citation statements)

References 4 publications

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“…More work is needed to determine the need for and feasibility of screening for depressive symptoms in caregivers. Screening for caregiving and depressive symptoms has been undertaken in a rural primary care setting, 28 and the American Medical Association has developed a caregiver screening tool. 29 It was found that two simple questions were consistently correlated with membership in the highest depressive symptoms trajectory (lower life satisfaction and desire for more help from family and friends).…”

Section: Discussionmentioning

confidence: 99%

Identifying Trajectories of Depressive Symptoms for Women Caring for Their Husbands with Dementia

Taylor

Ezell

Kuchibhatla

et al. 2008

J American Geriatrics Society

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OBJECTIVES-To use an innovative statistical method, Latent Class Trajectory Analysis (LCTA), to identify and describe subgroups (called trajectories) of caregiver depressive symptoms in a national sample of wives providing informal care for their husbands with dementia. DESIGN-Longitudinal. SETTING-Community.PARTICIPANTS-Respondents to the National Longitudinal Caregiver Survey were wife caregivers of veterans with dementia who were identified through Veterans Affairs hospitals nationally. MEASUREMENTS-Mean number of depressive symptoms as measured using the Center for Epidemiologic Studies Depression scale (CES-D, 20-item scale).RESULTS-Overall mean depressive symptoms of wife caregivers were 6.2 of 20, below the cutpoint (8 or 9/20) associated with clinical depression. Four distinct trajectories of caregiver depressive symptoms were identified. The trajectory with the highest number of symptoms (11.9 of 20), contained one-third of the sample. Another third had mean depressive symptoms virtually identical to the overall sample mean. The final third were divided between two trajectories, low © 2007, Copyright the Authors Address correspondence to: Donald H. Taylor, Jr, 112 Rubenstein Hall, Box 90253, Duke University, Durham, NC 27708. dtaylor@duke.edu. Author Contributions: All authors made substantial contributions to the conception and design, or analysis and interpretation of the data; the drafting of the manuscript; and have approved of this version of the manuscript. Conflict of Interest:This work was supported by Grant 1RO1 NR008763-01A1 from the National Institute of Nursing Research, National Institutes of Health. The editor in chief has reviewed the authors' personal and financial conflict of interest checklist and has determined that none have any conflicts related to this article. Applying LCTA to analyze depressive symptoms of spousal caregivers is of interest for several reasons. First, although caregiving and its effect on caregiver depressive symptoms has been studied previously, 10,11 little is known about the nature of depressive symptom trajectories (empirically distinct patterns of change over time). LCTA is designed to identify the number and nature of trajectories that exist in a sample. 12 Second, most caregiver depression research has relied on statistical methods that identify variability around a common mean, presuming this measure of central tendency to be the key descriptor of the overall population, but unique distributions of trajectories across distinct subgroups could produce similar population averages. 12 LCTA is designed specifically to identify any such variability that is meaningful from a statistical standpoint, and there is reason to believe that groups of individuals respond differently to caregiving. Furthermore, the presence of distinct trajectories could have strong clinical and policy implications, making the use of this method potentially useful for identifying and responding to at-risk caregivers. NIH Public AccessThe purpose of this article is to use an innov...

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Section: Discussionmentioning

confidence: 99%

Identifying Trajectories of Depressive Symptoms for Women Caring for Their Husbands with Dementia

Taylor

Ezell

Kuchibhatla

et al. 2008

J American Geriatrics Society

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“…Since the caregiver role is often associated with physical and psychiatric diseases [ 10 , 56 ], it serves as a powerful predictor of greater risk for psychological distress, anxiety, depression and cardiovascular reactivity [ 12 , 56 , 57 ]. However, while the caregiving role can have a negative impact on caregivers, research has shown that the effects can be mitigated by assessing [ 58 ] and addressing caregiver needs [ 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

The impacts of caregiving intensity on informal caregivers in Malaysia: findings from a national survey

Jawahir

Tan

et al. 2021

BMC Health Serv Res

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Background Provision of informal care may adversely affect health, daily and social activities of the informal caregivers, but few studies have examined these effects in relation to caregiving intensity. This study examined the predictive factors associated with the effects of caregiving roles on health, daily and social activities of informal caregivers, accounting for caregiving intensity. Methods Data of adults aged 18 years and over from the National Health and Morbidity Survey 2019 were used. Respondent’s demographic, socioeconomic, health, and caregiving-related characteristics were described using complex samples analysis. Logistic regression analysis was performed to examine the factors affecting health, daily and social activities of caregivers, accounting for caregiving intensity. Results Five point one percent of adults in Malaysia provided informal care. High intensity caregivers were more likely to be actively employed and provided longer duration of care compared with low intensity caregivers. For low intensity caregiving, females, those aged 35–59 years, and those with long-term condition were more likely to have negative effects on health. Daily activities of non-Malays were more likely to be affected, while no factor was found significantly associated with effect on social activities. For high intensity caregiving, caregivers aged 60 and over, those received training and those without assistance were more likely to have negative effects on health. Daily activities of those without assistance were more likely to be affected. Social activities of non-Malays, those received training and those providing care for 2 years or more were more likely to be affected. Conclusions Our study indicates that both low- and high-intensity caregivers have common features, with the exception of employment status and care duration. Caregiving, regardless of intensity, has a significant impact on caregivers. In order to reduce the negative consequences of caregiving responsibilities, all caregivers need assistance from the community and government, that is customised to their needs. By addressing the factors contributing to the negative effects of caregiving, a continuation of informal caregiving can be sustained through policies supporting the growing demand for informal care necessitated by an ageing population and higher life expectancy in Malaysia.

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“…Outros autores identificaram diversos fatores de risco associados ao aumento do stresse físico e emocional do cuidador (Kaye, Turner, Butler, Downey, & Cotton, 2003):…”

Section: O Cuidador Informalunclassified

O Sistema De Medicação: Fatores De Risco E Medidas Para Prevenção De Erros Em Um Hospital Público

Daltro¹,

Mello²,

Mendes³

et al. 2021

Ciências Da Saúde: Conceitos E Tendências

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Early Intervention Screening for Family Caregivers of Older Relatives in Primary Care Practices

Cited by 14 publications

References 4 publications

Identifying Trajectories of Depressive Symptoms for Women Caring for Their Husbands with Dementia

Identifying Trajectories of Depressive Symptoms for Women Caring for Their Husbands with Dementia

The impacts of caregiving intensity on informal caregivers in Malaysia: findings from a national survey

O Sistema De Medicação: Fatores De Risco E Medidas Para Prevenção De Erros Em Um Hospital Público

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