Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 2 , Pages 177-183 , February 2006

Stroke Survivors’ Behavioral and Psychologic Symptoms Are Associated With Informal Caregivers’ Experiences of Depression

  • Jill I. Cameron, PhD

      Affiliations

    • Toronto Rehabilitation Institute, University of Toronto, Toronto, ON
  • ,
  • Angela M. Cheung, MD, PhD (FRCPC)

      Affiliations

    • University Health Network and Departments of Medicine, Health Policy Management and Evaluation, and Public Health Sciences, University of Toronto, Toronto, ON
    • Corresponding Author InformationReprint requests to Angela M. Cheung, MD, PhD, FRCPC, University Health Network, 200 Elizabeth St, 7 Eaton North-221, Toronto, ON M5G 2C4, Canada
  • ,
  • David L. Streiner, PhD

      Affiliations

    • Baycrest Centre for Geriatric Care and Department of Psychiatry, University of Toronto, Toronto, ON
  • ,
  • Peter C. Coyte, PhD

      Affiliations

    • Department of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON
  • ,
  • Donna E. Stewart, MD (FRCPC)

      Affiliations

    • University Health Network, Women’s Health Program, University of Toronto, Toronto, ON Canada

References 

  1. Pinquart M , Sorensen S . Differences between caregivers and noncaregivers in psychological health and physical health (a meta-analysis) . Psychol Aging . 2003;18:250–267
  2. Schulz R , O’Brien AT , Bookwala J , Fleissner K . Psychiatric and physical morbidity effects of dementia caregiving (prevalence, correlates, and causes) . Gerontologist . 1995;35:771–791
  3. Han B , Haley WE . Family caregiving for patients with stroke. Review and analysis . Stroke . 1999;30:1478–1485
  4. Evans RL , Bishop DS , Haselkorn JK . Factors predicting satisfactory home care after stroke . Arch Phys Med Rehabil . 1991;72:144–147
  5. Arai Y , Sugiura M , Washio M , Miura H , Kudo K . Caregiver depression predicts early discontinuation of care for disabled elderly at home . Psychiatry Clin Neurosci . 2001;55:379–382
  6. Heart and Stroke Foundation of Ontario. Best practice guidelines for stroke care . Toronto: Heart and Stroke Foundation of Ontario Professional Education; 2005;
  7. Gresham GE , Alexander D , Bishop DS , et al.   American Heart Association Prevention Conference. IV. Prevention and Rehabilitation of Stroke. Rehabilitation . Stroke . 1997;28:1522–1526
  8. Pohjasvaara T , Erkinjuntti T , Ylikoski R , Hietanen M , Vataja R , Kaste M . Clinical determinants of poststroke dementia . Stroke . 1998;29:75–81
  9. Wentzel C , Rockwood K , MacKnight C , et al.   Progression of impairment in patients with vascular cognitive impairment without dementia . Neurology . 2001;57:714–716
  10. Gaugler JE , Davey A , Pearlin LI , Zarit SH . Modeling caregiver adaptation over time (the longitudinal impact of behavior problems) . Psychol Aging . 2000;15:437–450
  11. Kreutzer JS , Gervasio AH , Camplair PS . Patient correlates of caregivers’ distress and family functioning after traumatic brain injury . Brain Inj . 1994;8:211–230
  12. Anderson MI , Parmenter TR , Mok M . The relationship between neurobehavioural problems of severe traumatic brain injury (TBI), family functioning and the psychological well-being of the spouse/caregiver (path model analysis) . Brain Inj . 2002;16:743–757
  13. Anderson CS , Linto J , Stewart-Wynne EG . A population-based assessment of the impact and burden of caregiving for long-term stroke survivors . Stroke . 1995;26:843–849
  14. Draper BM , Poulos CJ , Cole AM , Poulos RG , Ehrlich F . A comparison of caregivers for elderly stroke and dementia victims . J Am Geriatr Soc . 1992;40:896–901
  15. Kinney JM . Stresses and satisfactions of family caregivers to older stroke patients . J Appl Gerontol . 1995;14:3–21
  16. Schulz R , Tompkins CA , Rau MT . A longitudinal study of the psychosocial impact of stroke on primary support persons . Psychol Aging . 1988;3:131–141
  17. Cameron JI . The impact of stroke survivors’ behavioural and psychological symptoms on informal caregivers’ mental health . Toronto: Univ Toronto; 2004; PhD dissertation
  18. Yee JL , Schulz R . Gender differences in psychiatric morbidity among family caregivers (a review and analysis) . Gerontologist . 2000;40:147–164
  19. Young RF , Kahana E . Specifying caregiver outcomes (gender and relationship aspects of caregiving strain) . Gerontologist . 1989;29:660–666
  20. Yates ME , Tennstedt S , Chang BH . Contributors to and mediators of psychological well-being for informal caregivers . J Gerontol B Psychol Sci Soc Sci . 1999;54:12–22
  21. Nijboer C , Triemstra M , Tempelaar R , Sanderman R , van den Bos GA . Measuring both negative and positive reactions to giving care to cancer patients (psychometric qualities of the Caregiver Reaction Assessment (CRA)) . Soc Sci Med . 1999;48:1259–1269
  22. Cameron JI , Franche RL , Cheung AM , Stewart DE . Lifestyle interference and emotional distress in family caregivers of advanced cancer patients . Cancer . 2002;94:521–527
  23. Bloom JR , Stewart SL , Johnston M , Banks P . Intrusiveness of illness and quality of life in young women with breast cancer . Psycho-oncology . 1998;7:89–100
  24. Devins GM . Illness intrusiveness and the psychosocial impact of lifestyle disruptions in chronic life-threatening disease . Adv Ren Replace Ther . 1994;1:251–263
  25. Devins GM , Binik YM , Hutchinson TA , Hollomby DJ , Barre PE , Guttmann RD . The emotional impact of end-stage renal disease (importance of patients’ perception of intrusiveness and control) . Int J Psychiatry Med . 1983;13:327–343
  26. Nieboer AP , Schulz R , Matthews KA , Scheier MF , Ormel J , Lindenberg SM . Spousal caregivers’ activity restriction and depression (a model for changes over time) . Soc Sci Med . 1998;47:1361–1371
  27. Pearlin LI , Mullan JT , Semple SJ , Skaff MM . Caregiving and the stress process (an overview of concepts and their measures) . Gerontologist . 1990;30:583–594
  28. Williamson GM , Shaffer DR , Schulz R . Activity restriction and prior relationship history as contributors to mental health outcomes among middle-aged and older spousal caregivers . Health Psychol . 1998;17:152–162
  29. Flanagan JC . A research approach to improving our quality of life . Am Psychol . 1978;33:138–147
  30. Periard ME , Ames BD . Lifestyle changes and coping patterns among caregivers of stroke survivors . Public Health Nurs . 1993;10:252–256
  31. Li LW , Seltzer MM , Greenberg JS . Change in depressive symptoms among daughter caregivers (an 18-month longitudinal study) . Psychol Aging . 1999;14:206–219
  32. Williams A . What bothers caregivers of stroke victims? . J Neurosci Nurs . 1994;26:155–161
  33. Goode KT , Haley WE , Roth DL , Ford GR . Predicting longitudinal changes in caregiver physical and mental health (a stress process model) . Health Psychol . 1998;17:190–198
  34. Lawton MP , Moss M , Kleban MH , Glicksman A , Rovine M . A two-factor model of caregiving appraisal and psychological well-being . J Gerontol B Psychol Sci Soc Sci . 1991;46:P181–P189
  35. Oberst MT , Thomas SE , Gass KA , Ward SE . Caregiving demands and appraisal of stress among family caregivers . Cancer Nurs . 1989;12:209–215
  36. Radloff LS . The CES-D Scale (a self-report depression scale for research in the general population) . Appl Psychol Meas . 1977;1:385–401
  37. Weissman MM , Sholomskas D , Pottenger M , Prusoff BA , Locke BZ . Assessing depressive symptoms in five psychiatric populations (a validation study) . Am J Epidemiol . 1977;106:203–214
  38. Pearlin LI , Schooler C . The structure of coping . J Health Soc Behav . 1978;19:2–21
  39. Bibou-Nakou I , Dikaiou M , Bairactaris C . Psychosocial dimensions of family burden among two groups of carers looking after psychiatric patients . Soc Psychiatry Psychiatr Epidemiol . 1997;32:104–108
  40. Stevens J . Applied multivariate statistics for the social sciences . 3rd ed.. Mahwah: Lawrence Erlbaum Associates; 1996;
  41. Fairclough DL . Design and analysis of quality of life studies in clinical trials . New York: Chapman & Hall; 2002;
  42. Tabachnick BG , Fidell LS . Using multivariate statistics . 3rd ed.. New York: HarperCollins College; 2001;
  43. Bromberger JT , Harlow S , Avis N , Kravitz HM , Cordal A . Racial/ethnic differences in the prevalence of depressive symptoms among middle-aged women (the Study of Women’s Health Across the Nation (SWAN)) . Am J Public Health . 2004;94:1378–1385
  44. Cameron JI , Herridge MS , Tansey CM , McAndrews MP , Cheung AM . Well-being in informal caregivers of survivors of the acute respiratory distress syndrome . Crit Care Med . 2006;34:81–86
  45. Schulz R , Belle SH , Czaja SJ , McGinnis KA , Stevens A , Zhang S . Long-term care placement of dementia patients and caregiver health and well-being . JAMA . 2004;292:961–967
  46. Williamson GM , Martin-Cook K , Weiner MF , et al.   Caregiver resentment (explaining why care recipients exhibit problem behavior) . Rehabil Psychol . 2005;50:215–223
  47. Folkman S . Positive psychological states and coping with severe stress . Soc Sci Med . 1997;45:1207–1221
  48. Yamamoto-Mitani N , Sugishita C , Ishigaki K , et al.   Development of instruments to measure appraisal of care among Japanese family caregivers of the elderly . Sch Inq Nurs Pract . 2001;15:113–135 discussion 137-41
  49. Martire LM , Stephens MA , Townsend AL . Centrality of women’s multiple roles (beneficial and detrimental consequences for psychological well-being) . Psychol Aging . 2000;15:148–156
  50. Ostwald SK , Hepburn KW , Caron W , Burns T , Mantell R . Reducing caregiver burden (a randomized psychoeducational intervention for caregivers of persons with dementia) . Gerontologist . 1999;39:299–309
  51. Garand L , Buckwalter KC , Lubaroff D , Tripp-Reimer T , Frantz RA , Ansley TN . A pilot study of immune and mood outcomes of a community-based intervention for dementia caregivers (the PLST intervention) . Arch Psychiatr Nurs . 2002;16:156–167
  52. Gerdner LA , Buckwalter KC , Reed D . Impact of a psychoeducational intervention on caregiver response to behavioral problems . Nurs Res . 2002;51:363–374
  53. Mittelman MS , Ferris SH , Shulman E , Steinberg G , Levin B . A family intervention to delay nursing home placement of patients with Alzheimer disease (A randomized controlled trial) . JAMA . 1996;276:1725–1731

 Supported by the Canadian Stroke Network (doctoral fellowship); the Canadian Institute of Health Research’s Institute of Aging, Institute of Gender and Health, Institute of Health Services and Policy Research and Strategic Training Initiative in Health Care, Technology, and Place (postdoctoral fellowship); the Canadian Institutes of Health Research (mid-career award); the Canadian Health Services Research Foundation/Canadian Institutes of Health Research (chair award); the Canadian Stroke Network; and the Social Sciences and Humanities Research Council (grant no. 839-2000-1060).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01328-6

doi: 10.1016/j.apmr.2005.10.012

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 2 , Pages 177-183 , February 2006