Mental health and morbidity of caregivers and co-residents of individuals with dementia: a quasi-experimental design

Maguire, Aideen; Rosato, Michael; O’Reilly, Dermot

doi:10.1002/gps.4573

Cited by 8 publications

(9 citation statements)

References 36 publications

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“…Studies examining caregiver stress in association with differential mortality outcomes offer mixed results, with some suggesting that it is the effects of stress broadly as opposed to caregiving specifically that impacts mortality (Fredman et al, 2010; Pinquart & Sörensen, 2007; Schulz & Beach, 1999). Yet, an increasing number of studies are finding lower mortality risk among caregivers in spite of increased stress and depression (Brown et al, 2009; Caputo et al, 2016; Fredman et al, 2015; Maguire et al, 2017; O’Reilly et al, 2008; O’Reilly et al, 2015; Ramsay et al, 2013; Roth, Brown, Rhodes, & Haley, 2018; Roth et al, 2015). Studies have assessed the intensity of the caregiving situation as associated with mortality, with even the most intensive care situations (50+ hours) showing reduced mortality (Brown et al, 2009; Maguire et al, 2017; O’Reilly et al, 2015).…”

Section: Caregiving and Mortalitymentioning

confidence: 99%

“…Studies have assessed the intensity of the caregiving situation as associated with mortality, with even the most intensive care situations (50+ hours) showing reduced mortality (Brown et al, 2009; Maguire et al, 2017; O’Reilly et al, 2015). This benefit has been found over short- and long-term follow-ups and relative to multiple comparison groups—even relative to those residing with a PLWD just not providing care (Maguire et al, 2017). A benefit may be due to a healthy survivor effect, whereby less healthy older adults are lost to follow-up.…”

Section: Caregiving and Mortalitymentioning

confidence: 99%

“…Schulz and Beach’s (1999) seminal study reported that caregivers experiencing strain had a 63% higher mortality risk than same-aged peers who were not caregivers. Since this foundational work, however, a number of studies have found that caregiving is associated with lower mortality risk (Brown et al, 2009; Caputo, Pavalko, & Hardy, 2016; Fredman, Lyons, Cauley, Hochberg, & Applebaum, 2015; Maguire, Rosato, & O’Reilly, 2017; O’Reilly, Connolly, Rosato, & Patterson, 2008; O’Reilly, Rosato, Maguire, & Wright, 2015; Ramsay, Grundy, & Reilly, 2013; Roth, Fredman, & Haley, 2015). Given the expected future increase in the number of PLWD, it will be increasingly important to expand our understanding of the risks and potential benefits to individuals and society of caring for PLWD.…”

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confidence: 99%

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Till Death Do Us Part: Intersecting Health and Spousal Dementia Caregiving on Caregiver Mortality

2019

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Objective: We consider whether it is the healthiest dementia caregivers who experience a mortality benefit and whether a protective association is consistent for leading causes of mortality. Method: Using the Health and Retirement study (2000-2012), Cox survival models predict time to death for dementia caregivers, including an interaction between dementia caregiver status and self-rated health. The nationally representative sample consisted of 10,650 married adults aged 51 or older (917 dementia caregivers). Results: A significant interaction between dementia caregiver status and self-rated health suggested that relative to noncaregivers, dementia caregivers had reduced mortality, with this effect particularly strong at lower levels of self-rated health. The protective effect of dementia caregiver status was consistent across death by heart disease, cancer, and cerebrovascular disease. Discussion: These findings add to a growing body of literature suggesting that caregiving may provide a mortality benefit and a reason to maintain health.

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Section: Caregiving and Mortalitymentioning

confidence: 99%

Section: Caregiving and Mortalitymentioning

confidence: 99%

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confidence: 99%

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Till Death Do Us Part: Intersecting Health and Spousal Dementia Caregiving on Caregiver Mortality

2019

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“…Previous studies by the research team indicate that this measure reflects the wellrecognised socio-demographic distribution of poor mental health across the population, corresponds with the use of psychotropic medication, and predicts short-term risk of suicide . [20][21][22] Linkage procedure Validated breast screening records were linked to the NILS database via encrypted Health and Care numbers (see Figure 1). The linkage procedure was undertaken by the data custodians at the Northern Ireland Statistics and Research Agency (NISRA) and the resultant de-identified research dataset was made available only to named researchers within the NISRA secure environment.…”

Section: Data Sources and Measuresmentioning

confidence: 99%

Does poor mental health explain socio-demographic gradients in breast cancer screening uptake? A population-based study

Ross¹,

Maguire²,

Donnelly³

et al. 2019

European Journal of Public Health

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Background Research from the USA indicates disparities in breast cancer screening uptake for women with poor mental health. However, no attempt has been made to examine the contribution of poor mental health to socio-demographic variations in breast screening uptake. The current study aims to examine the impact of self-reported chronic poor mental health on attendance at breast screening in the UK, and to what extent this explains socio-demographic inequalities in screening uptake. Methods Breast screening records were linked to 2011 Census records within the Northern Ireland Longitudinal Study. This identified a cohort of 57 328 women who were followed through one 3-year screening cycle of the National Health Service Breast Screening Programme. Information on mental health status, in addition to other individual and household-level attributes, was derived from the 2011 Census. Logistic regression was employed to calculate odds ratios (ORs) and 95% confidence intervals (CIs) of attendance at screening. Results 10.7% of women in the cohort reported poor mental health, and in fully adjusted analyses, these individuals were 23% less likely to attend breast screening (OR 0.77; 95% CI 0.73–0.82). Although poor mental health was a strong predictor of screening uptake, it did not explain the observed inequalities in uptake by socio-economic status, marital status, or area of residence. Conclusions This study provides novel evidence of inequalities in breast screening uptake for women with chronic poor mental health in the UK. Targeted interventions are necessary to ensure equitable screening access and to enhance overall mortality benefit.

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“…8 Moreover, recent studies have reported that caring for a person with dementia is associated with decreased mental health and subjective well-being. [9][10][11][12] Well-being comprises diverse dimensions such as philosophical and psychiatric ideals. Ryff and Singer 13 reported that psychological well-being had the following six core dimensions: selfacceptance, purpose in life, environmental mastery, personal growth, positive relationships with others, and autonomy.…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Sleep Quality on Well-Being Among Japanese Working Family Caregivers

Honda

Iwasaki

Honda

2017

Home Health Care Management & Practice

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The purpose of this study was to investigate whether the well-being of caregivers is mediated by the association between behavioral and psychological symptoms in elderly relatives and the quality of sleep experienced by caregivers using a mediational model.The participants were 105 working family caregivers in Japan. We assessed well-being based on the Kessler Scale-10, self-rated health, and satisfaction in daily life. Our results showed that the well-being in working family caregivers was impacted by the severity of behavioral and psychological symptoms in elderly relatives. Well-being in working family caregivers was also affected by quality of sleep. Maintaining good quality of sleep in working family caregivers is important for reducing caregiver burden and psychological distress, and for improving the balance between work and family life.

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Mental health and morbidity of caregivers and co-residents of individuals with dementia: a quasi-experimental design

Cited by 8 publications

References 36 publications

Till Death Do Us Part: Intersecting Health and Spousal Dementia Caregiving on Caregiver Mortality

Till Death Do Us Part: Intersecting Health and Spousal Dementia Caregiving on Caregiver Mortality

Does poor mental health explain socio-demographic gradients in breast cancer screening uptake? A population-based study

The Mediating Role of Sleep Quality on Well-Being Among Japanese Working Family Caregivers

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