The relationships between depression and other outcomes of chronic illness caregiving.
BACKGROUND: Many caregivers with chronically ill relatives suffer from depression. However, the relationship of depression to other outcomes of chronic caregiving remains unclear. This study tested a hypothesized model which proposed that hours of care, stressful life events, social support, age and gender would predict caregivers' outcomes through perceived caregiver stress. Depression was expected to mediate the relationship between perceived stress and outcomes of chronic caregiving (physical function, self-esteem, and marital satisfaction). METHODS: The sample for this secondary data analysis consisted of 236 and 271 subjects from the Americans' Changing Lives, Wave 1, 1986, and Wave 2, 1989, data sets. Measures were constructed from the original study. Structural equation modeling was used to test the hypothesized model, and an exploratory structural modeling method, specification search, was used to develop a data-derived model. Cross-validation was used to verify the paths among variables. RESULTS: Hours of care, age, and gender predicted caregivers' outcomes directly or through perceived caregiver stress (p < .01). Depression mediated the relationship between perceived stress and psychological outcomes and explained 40% and 11% of the variance in self-esteem and marital satisfaction, respectively. CONCLUSION: Depression predicted psychological outcomes. Whether depression predicts physical health outcomes needs to be further explored.
Tsai
Pao-Feng
PF
College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. Tsaipaofeng@uams.edu.
Jirovec
Mary M
MM
Pflege. 1998 Dec;11(6):319-23
10427275
J Adv Nurs. 1999 Sep;30(3):552-63
10499211
Aust N Z J Public Health. 1999 Dec;23(6):585-9
10641347
J Gerontol B Psychol Sci Soc Sci. 2000 Jan;55(1):S2-13
10728125
Gerontologist. 2000 Apr;40(2):147-64
10820918
Psychosom Med. 2000 May-Jun;62(3):374-85
10845351
Res Nurs Health. 2001 Feb;24(1):44-56
11260585
Int J Geriatr Psychiatry. 2002 Feb;17(2):154-63
11813279
Nurs Sci Q. 2003 Apr;16(2):137-45
12728832
Behav Med. 1992 Fall;18(3):115-20
1330102
Gerontologist. 1992 Oct;32(5):656-64
1427278
J Gen Intern Med. 2003 Dec;18(12):1006-14
14687259
Gerontologist. 1992 Dec;32(6):813-21
1478501
J Behav Med. 1992 Dec;15(6):627-62
1484384
J Gerontol. 1991 Jul;46(4):P174-80
2071843
J Gerontol. 1991 Jul;46(4):P181-9
2071844
J Gerontol. 1990 Sep;45(5):P181-91
2144310
J Gerontol. 1990 Mar;45(2):S52-9
2313053
J Gerontol. 1990 Sep;45(5):P192-9
2394915
Gerontologist. 1989 Oct;29(5):667-76
2513266
J Abnorm Psychol. 1989 Feb;98(1):23-30
2708635
J Gerontol Soc Work. 1992 Jun;18(1-2):151-161
28949857
Gerontologist. 1987 Oct;27(5):616-26
2960595
Nurs Res. 1988 Jul-Aug;37(4):217-22
3393428
Gerontologist. 1988 Jun;28(3):391-6
3396919
J Am Geriatr Soc. 1987 May;35(5):405-11
3571789
Psychosom Med. 1987 Sep-Oct;49(5):523-35
3671639
Gerontologist. 1986 Jun;26(3):248-52
3721231
Gerontologist. 1986 Jun;26(3):253-9
3721232
Psychol Bull. 1985 Sep;98(2):310-57
3901065
J Gerontol. 1986 Mar;41(2):248-60
3950353
Br J Med Psychol. 1984 Sep;57 ( Pt 3):241-8
6487555
Int Psychogeriatr. 1995 Spring;7(1):25-38
7579018
Gerontologist. 1995 Feb;35(1):94-102
7890209
Gerontologist. 1993 Dec;33(6):747-55
8314101
Arch Pediatr Adolesc Med. 1996 Jan;150(1):64-9
8542009
J Behav Med. 1996 Jun;19(3):273-87
8740469
Psychol Med. 1997 Mar;27(2):323-32
9089825
Am J Psychiatry. 1997 Oct;154(10):1384-90
9326820
Int J Geriatr Psychiatry. 1998 Jun;13(6):358-67
9658271
J Gerontol B Psychol Sci Soc Sci. 1999 Jan;54(1):P12-22
9934391