Article ; Online: A high sense of coherence protects from the burden of caregiving in older spousal caregivers.
Archives of gerontology and geriatrics
2017 Volume 75, Page(s) 76–82
Abstract: Objectives: Caregiving is often associated with burden and chronic stress. Sense of coherence (SOC) may help the caregivers in coping with their stress and was identified as a positive factor for health outcomes and quality of life. We aimed to study ... ...
| Abstract | Objectives: Caregiving is often associated with burden and chronic stress. Sense of coherence (SOC) may help the caregivers in coping with their stress and was identified as a positive factor for health outcomes and quality of life. We aimed to study the links between SOC, burden, depression and positive affects among caregivers of frail older patients. Methods: Seventy-nine spousal caregivers were recruited via the geriatric outpatient clinic. Data collected: Zarit Burden Inventory, SOC-13, Geriatric Depression Scale, Caregiver Reaction Assessment (CRA), sleep, time of supervision, Katz Index, Global Deterioration Scale and Neuropsychiatric Inventory. Analyses: Caregiver's characteristics were analyzed by burden severity and SOC level. Multivariable logistic regressions were used in order to identify the variable that best predict caregiver burden and high SOC. Results: The mean age was 79.4±5.3; 53% were women. Among care-recipient, 82% had cognitive impairment and the median Katz Index was 3. Caregivers with a high SOC and an older age reported a lower burden (Odds Ratio (OR) 0.18, 95% confidence interval (CI) 0.04-0.65 and OR 0.87, 95% CI 0.76-0.98, respectively). A higher burden was associated with patient functional limitations (OR 8.69, 95% CI 2.28-40.46). Discussion: Having a high sense of coherence seems to be a protective factor against the burden. To support caregivers, health providers should recognize the expertise of the caregivers and the meaningfulness of this care situation. |
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| MeSH term(s) | Adaptation, Psychological ; Aged ; Aged, 80 and over ; Caregivers/psychology ; Cross-Sectional Studies ; Depression/prevention & control ; Depression/psychology ; Female ; Follow-Up Studies ; Humans ; Male ; Odds Ratio ; Quality of Life ; Retrospective Studies ; Sense of Coherence | |||||
| Language | English | |||||
| Publishing date | 2017-11-24 | |||||
| Publishing country | Netherlands | |||||
| Document type | Journal Article ; Research Support, Non-U.S. Gov't | |||||
| ZDB-ID | 603162-6 | |||||
| ISSN | 1872-6976 ; 0167-4943 | |||||
| ISSN (online) | 1872-6976 | |||||
| ISSN | 0167-4943 | |||||
| DOI | 10.1016/j.archger.2017.11.013 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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