Sociocultural Influences on the Feeling of Loneliness of Family Caregivers of People with Dementia: The Role of Kinship

Huertas-Domingo, Cristina; Márquez‐González, María; Cabrera, Isabel; Barrera‐Caballero, Samara; Pedroso-Chaparro, María Del Sequeros; Romero‐Moreno, Rosa; Losada-Baltar, Andrés

doi:10.3390/ijerph18094700

Cited by 14 publications

(17 citation statements)

References 28 publications

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“…We further found that reduced frequency of leisure activities significantly mediated the direct effect of dysfunctional thoughts on IL-6 levels. These results support prior literature, according to which dysfunctional thoughts may act to directly reduce engagement in leisure activities (34,35). The results also support prior evidence that reduced engagement in leisure activities is associated with inflammatory processes in the dementia caregiver population (31).…”

Section: Discussionsupporting

confidence: 91%

Associations Between Dysfunctional Thoughts, Leisure Activities, and IL-6 in Caregivers of Family Members With Dementia

et al. 2022

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Objective: Dementia caregiving is associated with negative physical health consequences, including inflammation processes. The objective of this study was to analyze the associations between dysfunctional thoughts, frequency of leisure activities, and interleukin 6 (IL-6) in a sample of dementia family caregivers. Methods: One hundred forty dementia caregivers participated in this cross-sectional study. The relationships among caregivers' dysfunctional thoughts, leisure activities, and IL-6 were adjusted for demographic characteristics, stressors, and physical and mental health indicators in a linear regression analysis. Results: Higher levels of dysfunctional thoughts (t = −2.02, p = .045) were significantly associated with lower frequency of leisure activities. In turn, lower frequency of leisure activities was significantly associated with higher levels of IL-6 (t = −2.03, p = .045). Dysfunctional thoughts were no longer significantly associated with IL-6 levels when both dysfunctional thoughts and leisure activities were included in the same model (t = 1.78, p = .076). A significant indirect effect was found for the association between higher levels of dysfunctional thoughts and higher levels of IL-6 (standardized indirect effect = 0.036, bootstrap standard error = 0.026, 95% confidence interval = 0.0001-0.1000) through its association with fewer leisure activities. Conclusions: Our findings suggest that the direct effect of caregivers' dysfunctional thoughts on IL-6 may be mediated by the impact on caregivers' frequency of leisure activities. Results suggest that training caregivers in reducing dysfunctional thoughts to thereby increase leisure activities may be useful in reducing inflammation.

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Section: Discussionsupporting

confidence: 91%

Associations Between Dysfunctional Thoughts, Leisure Activities, and IL-6 in Caregivers of Family Members With Dementia

et al. 2022

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“…As suggested by Huertas‐Domingo et al. (2021), caregivers' sons usually care for a mother and do not have additional sources of aid for caregiving duties (e.g., a wife or a sister) 10 …”

Section: Discussionmentioning

confidence: 99%

“…As suggested by Huertas-Domingo et al (2021), caregivers' sons usually care for a mother and do not have additional sources of aid for caregiving duties (e.g., a wife or a sister). 10 Results are novel in indicating that depressive symptomatology in daughter caregivers may be related to concomitant medical conditions. They may be an especially vulnerable subgroup to receive medical and psychological care.…”

Section: Discussionmentioning

confidence: 99%

Medical conditions and depressive symptoms: A study of kinship profiles in dementia caregivers

Martín‐María

Vara‐García

Romero‐Moreno

et al. 2022

Int J Geriat Psychiatry

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Objective To analyze the association between diverse medical conditions and depressive symptoms in different profiles of dementia caregivers based on sex and kinship (wives, husbands, daughters, and sons). Methods Individual interviews were conducted with 338 dementia family caregivers. Depressive symptoms were measured with the Spanish version of the Center for Epidemiologic Studies‐Depression Scale. Medical conditions encompassed the following physical diseases: high cholesterol, osteoarthritis, hypertension, diabetes, cancer, and cardiovascular, brain, kidney, liver, and stomach diseases.Logistic regression analyses were carried out to identify determinants associated to thepresenceof depressive symptoms. Results High cholesterol was the most frequent disease among caregivers.Significant differences among groups were found in depressive symptoms: between wives (50.60%) and husbands (28.40%),(p = 0.033), and between daughters (57.00%) and husbands (p = 0.001). Half of the sonsreported thepresenceof depressive symptoms. In daughters, depressive symptomatology was significantly more likely whether they presented a worse reaction to disruptive behaviors, a poor assessment of global deterioration of care recipient, and less perceived health status. Furthermore, daughters were 1.94 times more likely to experience depressive symptoms if they presented medical conditions (p = 0.017). Conclusions Daughter caregivers that have depressive and physical diseases may be an especially vulnerable subgroup of caregivers that may not be the ideal population to provide care. Access to high‐quality, evidence‐based therapies focused on improving caregivers' physical health could have a positiveeffecton thepresenceof depressive symptoms, particularly in the case of daughter caregivers.

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“…While being a spouse carer of PwD is associated with a variety of health outcomes, caring also affects their well-being and psychosocial situation. For instance, spouse carers of PwD experience higher levels of loneliness and social isolation than both non-spouse carers of PwD and other informal carers [16][17][18] and may withdraw from social situations after experiencing shame due to their partner's dementia-related behaviours [19]. In addition, spouse carers of PwD can experience feelings that their future is uncertain, that their life lacks meaning, or be filled with grief due to the progressive loss of their partner to dementia [19,20].…”

Section: Factors Associated With Outcomes Of Carementioning

confidence: 99%

Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden

Johansson

McKee

Dahlberg

et al. 2022

IJERPH

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(1) Background: Spouse carers of persons with dementia (PwD) are particularly vulnerable to negative outcomes of care, yet research rarely focuses on their caregiving situation. This study explores factors associated with the positive value and negative impact of caregiving in spouse carers of PwD in Sweden. (2) Methods: The study was a cross-sectional questionnaire-based survey, with a convenience sample of spouse carers of PwD (n = 163). The questionnaire addressed: care situation, carer stress, health and social well-being, relationship quality and quality of support, and contained measures of positive value and negative impact of caregiving. (3) Results: Hierarchical regression models explained 63.4% variance in positive value and 63.2% variance in negative impact of caregiving. Three variables were significant in the model of positive value: mutuality, change in emotional closeness following dementia and quality of support. Six variables were significant in the model of negative impact: years in relationship, years as carer, behavioural stress, self-rated health, emotional loneliness and change in physical intimacy following dementia. (4) Conclusions: Support to spouse carers of PwD should address the carer–care-recipient relationship quality, although different aspects of the relationship should be addressed if both the positive value of caregiving is to be enhanced and the negative impact reduced.

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Sociocultural Influences on the Feeling of Loneliness of Family Caregivers of People with Dementia: The Role of Kinship

Cited by 14 publications

References 28 publications

Associations Between Dysfunctional Thoughts, Leisure Activities, and IL-6 in Caregivers of Family Members With Dementia

Associations Between Dysfunctional Thoughts, Leisure Activities, and IL-6 in Caregivers of Family Members With Dementia

Medical conditions and depressive symptoms: A study of kinship profiles in dementia caregivers

Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden

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