Anxiety and depression are associated with coping strategies in caregivers of Alzheimer's disease patients: results from the MÁLAGA-AD study
Open accessAbstract
Background Caregiving for people with Alzheimer's disease (AD) is highly stressful and has significant negative consequences, such as anxiety and depression. Previous research offers conflicting findings as to whether coping strategies are associated with greater psychological distress or not. We conducted this study with a view to obtaining new data regarding the association of coping strategies and psychological distress in AD caregivers. Methods Eighty people with AD and their primary caregivers living in the community were recruited from local health services. Purposive recruitment was carried out to ensure that the sample was representative of people living with dementia in terms of dementia severity, gender, and care setting. We used the State-Trait Anxiety Inventory to measure anxiety, the Beck Depression Inventory to measure depression, and the Coping Strategies Inventory to measure coping strategies. Results Most caregivers reported higher anxiety and depression levels. Use of disengagement coping strategies (Wald = 3.35, p = 0.01) and higher caregiver burden (Wald = 4.83, p = 0.02) predicted anxiety on logistic regression. In turn, use of disengagement coping strategies (Wald = 12.48, p = 0.001) and higher caregiver burden (Wald = 6.91, p = 0.009) predicted depression on logistic regression. Conclusion These results may be useful for designing treatment interventions that aim to modify the use of coping strategies and thus reduces caregiver anxiety and depression.
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Avoidant coping strategies, including thought suppression, have been found to be associated with elevated symptoms of depression and anxiety in older adults and family caregivers of persons with dementia.
“while avoidant coping strategies, including thought suppression, have been found to be associated with elevated symptoms of depression and anxiety in older adults (Petkus, Gum, & Wetherell, 2012) and family caregivers of persons with dementia (García-Alberca et al., 2012;Spira et al., 2007).”
From Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care. (2022) · cites this paper as García-Alberca et al., 2012
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Issues and recommendations regarding use of the Beck Depression Inventory
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“…while avoidant coping strategies, including thought suppression, have been found to be associated with elevated symptoms of depression and anxiety in older adults (Petkus, Gum, & Wetherell, 2012) and family caregivers of persons with dementia (García-Alberca et al., 2012; Spira et al., 2007).”
Background
- Authors
- García-Alberca, J. M., Cruz, B., Lara, J. P., Garrido, V., Lara, A., & Gris, E.
- Affiliations
- Universidad de Málaga (ES)
- ORCID
- Lara, José Pablo
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2012-08
- Volume
- 24
- Issue
- 8
- Pages
- 1325-1334
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2106398166
- Cited by
- 66
- References
- 4
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 10 · 2014: 8 · 2013: 7 · 2012: 1
- FWCI
- 5.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- 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, dementia caregivers, coping strategies, anxiety, depression, psychological distress, caregiver burden, disengagement coping, primary caregivers
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Aged, Aged, 80 and over, Alzheimer Disease, Anxiety Disorders, Depressive Disorder, Female, Health Surveys, Humans, Male, Middle Aged, Personality Inventory, Psychometrics, Quality of Life, Spain, Stress, Psychological, Caregivers, Cost of Illness
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