Changes in health, depression, and coping two years after baseline assessment: Spouse caregivers of Alzheimer's disease (AD) afflicted persons compared to non caregiver spouses

2.50
Hdl Handle:
http://hdl.handle.net/10755/155962
Type:
Presentation
Title:
Changes in health, depression, and coping two years after baseline assessment: Spouse caregivers of Alzheimer's disease (AD) afflicted persons compared to non caregiver spouses
Abstract:
Changes in health, depression, and coping two years after baseline assessment: Spouse caregivers of Alzheimer's disease (AD) afflicted persons compared to non caregiver spouses
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Wright, Lore, PhD
P.I. Institution Name:Medical College of Georgia
To date, we have little knowledge about the long-term health impact

of caregiving and the coping capacities of spouse caregivers. In

this study, changes in physical health, depression, and coping were

evaluated at baseline and 2 year follow-up for caregiver spouses

and contrasted with non caregiving spouses of similar

sociodemographic background.



Semi-structured interview and follow-up survey data were collected

from 30 community residing caregivers, each with an earlier stage

AD afflicted spouse and 34 relatively healthy spouses of similar

sociodemographic background. Measures included physical health

(MAI), depression (Short Zung), and coping (Jalowiec Coping). ANOVA

with repeated measures was used to evaluate change over time and

differences between groups according to time 2 outcomes: 43 percent

caregivers continued to provide in-home care, 27 percent had placed

the spouse into a nursing home, and 30 percent were widowed; among

comparison group spouses, 94 percent continued to live together.



There were no gender differences for caregiver and comparison

spouses for health, depression, and coping at time 1 and time 2.

Analyses according to outcomes (in-home care, nursing home,

deceased, comparison) revealed that the widowed group reported

significantly lower health and higher depressive moods at time 1

and time 2 (p <.01) compared to other caregivers and comparison

group spouses. Confrontive coping decreased for all groups except

the widowed spouses whose confrontive coping increased

significantly between time 1 and time 2 (p <.05). Palliative

coping was used significantly more often by caregivers who

continued in-home care and those who had placed the spouse into a

nursing home, but there was no change over time. Emotive coping

had declined significantly by time 2 for the widowed group (p<.01)

but had remained stable for the other groups. Findings suggest

that the widowed group may represent a subgroup of caregivers with

poor health in the early phase of their caregiver role.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleChanges in health, depression, and coping two years after baseline assessment: Spouse caregivers of Alzheimer's disease (AD) afflicted persons compared to non caregiver spousesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155962-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Changes in health, depression, and coping two years after baseline assessment: Spouse caregivers of Alzheimer's disease (AD) afflicted persons compared to non caregiver spouses</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wright, Lore, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Medical College of Georgia</td></tr><tr><td colspan="2" class="item-abstract">To date, we have little knowledge about the long-term health impact<br/><br/>of caregiving and the coping capacities of spouse caregivers. In<br/><br/>this study, changes in physical health, depression, and coping were<br/><br/>evaluated at baseline and 2 year follow-up for caregiver spouses<br/><br/>and contrasted with non caregiving spouses of similar<br/><br/>sociodemographic background.<br/><br/><br/><br/>Semi-structured interview and follow-up survey data were collected<br/><br/>from 30 community residing caregivers, each with an earlier stage<br/><br/>AD afflicted spouse and 34 relatively healthy spouses of similar<br/><br/>sociodemographic background. Measures included physical health<br/><br/>(MAI), depression (Short Zung), and coping (Jalowiec Coping). ANOVA<br/><br/>with repeated measures was used to evaluate change over time and<br/><br/>differences between groups according to time 2 outcomes: 43 percent<br/><br/>caregivers continued to provide in-home care, 27 percent had placed<br/><br/>the spouse into a nursing home, and 30 percent were widowed; among<br/><br/>comparison group spouses, 94 percent continued to live together.<br/><br/><br/><br/>There were no gender differences for caregiver and comparison<br/><br/>spouses for health, depression, and coping at time 1 and time 2.<br/><br/>Analyses according to outcomes (in-home care, nursing home,<br/><br/>deceased, comparison) revealed that the widowed group reported<br/><br/>significantly lower health and higher depressive moods at time 1<br/><br/>and time 2 (p &lt;.01) compared to other caregivers and comparison<br/><br/>group spouses. Confrontive coping decreased for all groups except<br/><br/>the widowed spouses whose confrontive coping increased<br/><br/>significantly between time 1 and time 2 (p &lt;.05). Palliative<br/><br/>coping was used significantly more often by caregivers who<br/><br/>continued in-home care and those who had placed the spouse into a<br/><br/>nursing home, but there was no change over time. Emotive coping<br/><br/>had declined significantly by time 2 for the widowed group (p&lt;.01)<br/><br/>but had remained stable for the other groups. Findings suggest<br/><br/>that the widowed group may represent a subgroup of caregivers with<br/><br/>poor health in the early phase of their caregiver role.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T14:19:22Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T14:19:22Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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