Adult day service use and reductions in caregiving hours: effects on stress and psychological well‐being for dementia caregivers
Abstract
Background: The objective of this study was to determine whether adult day service use interacts with decreases in primary caregiving hours (i.e. the time caregivers spent on activities of daily living/instrumental activities of daily living, memory problems, and behavior problems for patients) to alleviate caregiver stress and negative mental health over time. Methods: Three‐month longitudinal data from the Adult Day Care Collaborative Study (n=400) were used. Results: Decreases in memory problem hours among adult day service users were associated with reduced feelings of role overload; decreases in ADL hours among non‐users were associated with decreases in worry and strain over a three‐month period. Conclusion: The findings suggest that adult day services are potentially effective in restructuring caregiving time and providing respite to family members. Copyright © 2002 John Wiley & Sons, Ltd.
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Coope et al. and Dura et al. participants may have engaged in less caregiving for people with less severe dementia, which may explain lower prevalence in the diagnostic group.
“It is possible that the Coope et al 38 and Dura et al 39 participants engaged in less caregiving for people with less severe dementia and both factors postulated to impact on psychological difficulties in carers 5,61 .”
From Anxiety in Informal Dementia Carers: A Meta-Analysis of Prevalence (2020) · cites this paper as [61]
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References 30 · Cited by 141
- Authors
- Gaugler, J. E., Jarrott, S. E., Zarit, S. H., Stephens, M. P., Townsend, A., & Greene, R.
- Affiliations
- University of Kentucky (US)
- Virginia Tech (US)
- Pennsylvania State University (US)
- Kent State University (US)
- Case Western Reserve University (US)
- New Jersey Department of Health (US)
- Corresponding author
- Gaugler, Joseph E.
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2002-12-20
- Volume
- 18
- Issue
- 1
- Pages
- 55-62
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2007736605
- Cited by
- 141
- References
- 30
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 6 · 2023: 10 · 2022: 1 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 7 · 2013: 5 · 2012: 10
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation
- National Institute on Aging (1R01AG1135)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- adult day care, dementia caregivers, caregiver stress, caregiving hours, respite care, role overload, psychological well-being, memory impairment, activities of daily living, caregiver burden, family caregivers
- MeSH terms
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Day Care, Medical, Dementia, Family Health, Female, Humans, Longitudinal Studies, Male, Middle Aged, New Jersey, Psychiatric Status Rating Scales, Regression Analysis, Respite Care, Stress, Psychological, Time Factors, Caregivers
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