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Cited by 364Nursing care and researchIntergenerational Family Dynamics and CaregivingHealth and Well-being Studies

Contributors to and Mediators of Psychological Well-Being for Informal Caregivers

Yates, M. E., Tennstedt, S., Chang, B.-H.·1999·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
DOI 10.1093/geronb/54b.1.p12
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Abstract

This article explores the relationships between caregiving stressors and caregiver well-being in a representative community sample of disabled elders and their informal caregivers. The direct and indirect effects of stressors and potential mediators on the outcome of caregiver psychological well-being, as measured by depression, were examined using path analysis. Potential mediators of the primary stressors on depression included mastery, emotional support; quality of relationship between the caregiver and the care recipient, formal service use and role overload. Findings indicate that the caregiving stressors (needs for care) led to caregiver depression indirectly through their effect on hours of care provided and the resulting caregiver perception of role overload. Quality of the caregiver/care recipient relationship mediated the relationship of the caregiving stressors and caregiver overload and depression. Finally, regardless of the level of primary stressors, caregivers with high levels of mastery or emotional support were at lower risk of depression. These findings can be used to inform the design of proactive caregiver interventions.

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  • The manifestations of disturbing behaviors (wandering, hitting, disrobing) associated with dementia have been consistently related to greater caregiver burden.

    “the manifestations of disturbing behaviors (wandering, hitting, disrobing) associated with dementia have been consistently related to greater caregiver burden.”

    From Therapeutic recreation interventions for need-driven dementia-compromised (2002) · cites this paper as [22]

    The Results (page not available) link problem behaviors associated with cognitive impairment to greater caregiver overload, primarily through increased care hours and poorer relationship quality. The Measures list wandering and hitting, but not disrobing; the paper also does not establish that the association has been found consistently across studies. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • Caregivers who reported role overload were also more likely to be depressed.

    “In addition, caregivers who reported this type of role overload were also more likely to be depressed. 22”

    From Therapeutic recreation interventions for need-driven dementia-compromised (2002) · cites this paper as [22]

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Research works printed but not linked: 4

  1. McFall, S., & Miller, B. (1992). Caregiver burden and nursing home ad- mission of frail elders. Journal of Gerontology: Social Sciences, 47, S573-S579.
  2. McKinlay, J. (1975). A case for refocusing upstream-the political econ- omy of sickness. In A. Enelow et al. (Eds.), Behavioral aspects of prevention. American Heart Association.
  3. Montgomery, R. (1992). Examining respite: Its promise and limits. In M. G. Ory & A. P. Duncker (Eds.), In-home care for older people (pp. 75-96). Newbury Park, CA: Sage Pulications, Inc.
  4. Pruchno, R. A., &. Resch, N. L. (1989). Aberrant behaviors of Alzheimer's disease: Mental health effects on spouse caregivers. Journal of Gerontology, 44, S177-S182.

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Authors
Yates, M. E., Tennstedt, S., & Chang, B.-H.
Affiliations
New England Research Institutes (US)
ORCID
Chang, B.-H.
Venue
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Publisher
Oxford University Press (OUP)
Published
1999-01-01
Volume
54B
Issue
1
Pages
P12-P22
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
DOI
10.1093/geronb/54b.1.p12
OpenAlex
W2088415087
Cited by
364
References
53
Citations by year
2026: 9 · 2025: 9 · 2024: 6 · 2023: 12 · 2022: 16 · 2021: 15 · 2020: 15 · 2019: 19 · 2018: 10 · 2017: 9 · 2016: 11 · 2015: 19 · 2014: 12 · 2013: 8 · 2012: 15
Type
paratext
Language
en
Open access
closed
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r37ag007182-10)
  • National Institute on Aging (AG07182)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
Keywords
informal caregivers, caregiver depression, psychological well-being, role overload, mastery, emotional support, caregiver-care recipient relationship, older adults with disabilities, mediation, caregiver interventions
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Behavior, Cognition, Depression, Female, Humans, Male, Middle Aged, Models, Psychological, Social Support, Stress, Psychological, Frail Elderly, Caregivers

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