The Mental Health of Children Providing Care to their Elderly Parent

Heger, Dörte

doi:10.1002/hec.3457

Cited by 62 publications

(62 citation statements)

References 30 publications

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“…Considering that the difference between a person with no symptoms of depression and a person that is likely to be clinically identified as depressed is only 4 points (Prince et al, 1999) on this scale, providing care to the partner may have a substantial contribution. Our estimate is larger than the estimates reported by Brenna and Di Novi (2016) and Coe and Van Houtven (2009) who find increases in their depression measures of 24% (in southern Europe only) and 15%, respectively, but smaller than the 38% increase reported by Heger (2016). Furthermore, caregiving is also found to lead to worse self-reported health.…”

Section: Short-term Effects On Health and Health Care Usecontrasting

confidence: 89%

“…Furthermore, caregiving is also found to lead to worse self‐reported health. For males, the effects are smaller but significant, and Heger () does not find any impact of caregiving on depressive symptoms for men. In addition to negative health effects, we find that caregiving leads to a higher probability of using prescription drugs (6.2 percentage points increase) and 1.4 more doctor visits per 12 months for female caregivers (about a 26% increase from the mean of 5.3), and Do et al () do not find effects on use of these types of health care.…”

Section: Resultsmentioning

confidence: 96%

“…Three recent studies have addressed the endogeneity caused by selection bias using an instrumental variable approach to estimate a causal effect between caregiving and caregiver's health (Coe & Van Houtven, 2009;Do, Norton, Stearns, & Van Houtven, 2015;Heger, 2016). 5 Using data from the US Health and Retirement Survey on the characteristics of siblings and the death of the mother as instrumental variables, Coe and Van Houtven (2009) find significant negative effects on mental health and self-reported health (married respondents) and heart conditions (single men), both immediately and a few years later (depressive symptoms in married women only).…”

Section: Previous Findingsmentioning

confidence: 99%

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Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

2017

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Informal care may substitute for formal long‐term care that is often publicly funded or subsidized. The costs of informal caregiving are borne by the caregiver and may consist of worse health outcomes and, if the caregiver has not retired, worse labor market outcomes. We estimate the impact of providing informal care to one's partner on the caregiver's health using data from the Survey of Health, Ageing, and Retirement in Europe. We use statistical matching to deal with selection bias and endogeneity. We find that in the short run caregiving has a substantial effect on the health of caregivers and, for female caregivers, on their health care use. These effects should be taken into account when comparing the costs and benefits of formal and informal care provision. The health effects may, however, be short‐lived, as we do not find any evidence that they persist after 4 or 7 years.

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Section: Short-term Effects On Health and Health Care Usecontrasting

confidence: 89%

Section: Resultsmentioning

confidence: 96%

Section: Previous Findingsmentioning

confidence: 99%

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Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

2017

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“…Asimismo, una vez que se ha controlado este sesgo de selección, se confirma que proveer cuidado a una persona mayor dependiente tiene un efecto negativo sobre la salud de los cuidadores informales, lo que es consistente con otros estudios realizados en Europa y Estados Unidos de Norteamérica (EE.UU.) 15,16,26,27 . En el caso de Latinoamérica, hay que señalar que la mayoría de los estudios se han centrado, principalmente, en medir la asociación entre cuidado y salud del que cuida, siendo más bien escasos los estudios que evalúan el efecto causal entre ambos, con lo cual este artículo es un aporte a dicho vacío.…”

Section: Discussionunclassified

El efecto del cuidado informal en la salud de los cuidadores familiares de personas mayores dependientes en Chile

Fernández

Herrera

2020

Rev. méd. Chile

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Health effects of dependent older people caregiving by family members Background: Care required by dependent older people is mostly provided by close family members. Caregiving is a demanding task, negatively affecting the physical and mental health of the caregiver. Aim: To describe the sociodemographic characteristics of informal caregivers of dependent elderly people in Chile and to evaluate the effect of providing care on the health of caregivers. Material and Methods: Data from the Economic Characterization Survey (CASEN) done in 2015 was used. Using as index cases older people who were receiving care from a family member, 4,313 informal caregivers were identified, whose characteristics were analyzed. Descriptive statistics and matching through propensity score were estimated, based on a logistic model, which included covariates such as sex, age, marital status, education, occupation, and income. Finally, the effect of being an informal caregiver versus not being a caregiver on the perception of health was calculated. Results. Forty four percent of the caregivers were offspring and 33.6% couples. Sixty seven percent were women, with a mean age of 56.5 years. Half of them had a partner, 43% had basic education or less, and 61% were inactive. Being a caregiver had a significant effect of health perception. Conclusions: People belonging to certain more vulnerable groups are more likely to assume caregiving. Providing care to a dependent older person has a negative effect on health perception.

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“…Caring for a family member might bring about positive experiences and have favourable effects on the health and well‐being of family members . However, those family members that provide intensive care are especially at risk for caregiver burden with negative consequences for their health and work participation as well as for the quality of the care they provide . Support from professional caregivers seems to be important for preventing or decreasing family caregiver burden .…”

Section: Introductionmentioning

confidence: 99%

Nurses’ application of the components of family nursing conversations in home health care: a qualitative content analysis

Broekema

Paans

Roodbol

et al. 2019

Scandinavian Caring Sciences

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Scand J Caring Sci; 2020; 34: 322-331 Nurses' application of the components of family nursing conversations in home health care: a qualitative content analysis.Aim: The purpose of this study was to describe how nurses apply the components of family nursing conversations in their home healthcare practice. Method: A qualitative content analysis with a deductive approach was conducted. Home healthcare nurses conducted family nursing conversations with families from their practice. Families were selected based on three nursing diagnoses: risk of caregiver role strain, caregiver role strain or interrupted family processes. Nurses audiorecorded each conversation and completed a written reflection form afterwards. Transcripts of the audiorecorded conversations were analysed in Atlas.ti 8.0 to come to descriptions of how nurses applied each component. Nurses' reflections on their application were integrated in the descriptions. Results: A total of 17 conversations were audio-recorded. The application of each component was described as well as nurses' reflections on their application. Nurses altered or omitted components due to their clinical judgment of families' needs in specific situations, due to needs for adjustment of components in the transfer from theory to practice or due to limited skill or self-confidence. Conclusion: All of the components were applied in a cohesive manner. Nurses' application of the components demonstrates that clinical judgment is important in applying them. Further training or experience may be required to optimise nurses' skill and self-confidence in applying the components. This study demonstrates the applicability of the family nursing conversations components in home health care, allowing exploration of the working mechanisms and benefits of family nursing conversations for families involved in long-term caregiving in future studies.

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The Mental Health of Children Providing Care to their Elderly Parent

Cited by 62 publications

References 30 publications

Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

El efecto del cuidado informal en la salud de los cuidadores familiares de personas mayores dependientes en Chile

Nurses’ application of the components of family nursing conversations in home health care: a qualitative content analysis

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