A Comparison of Psychosocial Outcomes in Elderly Alzheimer Caregivers and Noncaregivers
Open accessAbstract
Objective To conduct an analysis of the stress, coping, and mood consequences of Alzheimer caregiving.Design Cross-sectional.Setting Community-based study.Participants Sample included 125 Alzheimer caregivers and 60 demographically similar older adults with nondemented spouses (i.e., noncaregivers).Measurements We compared caregivers and noncaregivers on stress, coping, and mood outcomes. We also examined antidepressant use within the caregiver sample. An emphasis was placed upon effect size differences, including Cohen's d as well as more clinically meaningful effect sizes.Results Caregivers were significantly more likely to endorse depressive symptoms and to meet clinically significant cutoff for depression (40% for caregivers; 5% for noncaregivers). Approximately 25% of caregivers reported taking antidepressant medication, although 69% of these continued to experience significant symptoms of depression. Caregivers also utilized fewer positive coping and greater negative coping strategies than noncaregivers.Conclusion The number of caregivers will increase dramatically over the next two decades, and caregivers will likely seek care from primary care providers. We provide an overview of the psychological issues facing caregivers so that effective screening and treatment may be recommended.
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Prior research suggests female carers spend more time caregiving and have multiple conflicting roles, resulting in greater psychological distress than male carers.
“Prior research suggests that female carers tend to spend more time in caregiving and often have to play multiple conflicting roles 57 resulting in greater psychological distress compared to male carers 11,58,59 .”
From Anxiety in Informal Dementia Carers: A Meta-Analysis of Prevalence (2020) · cites this paper as [11]
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Self-citationStress and Blood Pressure in Dementia Caregivers: The Moderator Role of Mindfulness
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Self-citationLong-term caregiving is associated with impaired cardiovagal baroreflex
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Self-citationTrends in healthy days at home for Medicare beneficiaries using the emergency department
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Sleep Behaviors in Persons With Alzheimer’s Disease: Associations With Caregiver Sleep and Affect
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Psychiatric Care of the Older Adult
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- Authors
- Mausbach, B. T., Chattillion, E. A., Roepke, S. K., Patterson, T. L., & Grant, I.
- Affiliations
- University of California San Diego (US)
- San Diego State University (US)
- Corresponding author
- Mausbach, Brent T.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 21
- Issue
- 1
- Pages
- 5-13
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC3376679
- OpenAlex
- W2043440614
- Cited by
- 142
- References
- 35
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 11 · 2021: 13 · 2020: 16 · 2019: 15 · 2018: 17 · 2017: 10 · 2016: 8 · 2015: 11 · 2014: 9 · 2013: 7 · 2012: 1
- FWCI
- 8.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG015301, R01AG031090)
- National Institute of Mental Health (R25MH080916)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- Alzheimer's disease, caregiver burden, elderly caregivers, depressive symptoms, depression, coping strategies, stress, antidepressant use, psychosocial outcomes, caregiver screening, primary care
- MeSH terms
- Adaptation, Psychological, Affect, Aged, Alzheimer Disease, Antidepressive Agents, Depression, Female, Humans, Longitudinal Studies, Male, Sex Characteristics, Stress, Psychological, Caregivers
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