Quality of the caregiver--care recipient relationship: does it offset negative consequences of caregiving for family caregivers?

This study examined whether relationship quality mediates, moderates, or both mediates and moderates the associations between caregiving stressors (e.g., disability and behavioral problems) and negative consequences associated with caregiver well-being (overload, role captivity, and depression). Data on family (spouses and children) caregivers (n = 118) came from a longitudinal study of a representative sample of disabled older people and their primary caregivers. Relationship quality mediated the linkages between the presence of problem behaviors and the outcomes of role captivity and depression. That is, when problem behaviors were present, they related to higher levels of captivity and depression because quality of the relationship suffered. Relationship quality moderated the linkage between disability and overload. Specifically, for those with a higher quality of relationship, increased disability was related to higher levels of perceived overload.

[1]  M. Skaff,et al.  Transitions in the caregiving career : Effects on sense of mastery , 1996 .

[2]  J. Mckinlay,et al.  The Everyday Impacts of Providing Informal Care to Dependent Elders and their Consequences for the Care Recipients , 1995, Journal of aging and health.

[3]  W. Rakowski,et al.  Functional transitions among the elderly: patterns, predictors, and related hospital use. , 1994, American journal of public health.

[4]  L. Pearlin,et al.  Stress, role captivity, and the cessation of caregiving. , 1993, Journal of health and social behavior.

[5]  S. Tennstedt,et al.  Depression among Caregivers of Impaired Elders , 1992, Journal of aging and health.

[6]  C. Long Family Care of the Elderly: Stress, Appraisal, and Coping , 1991 .

[7]  M. Lawton,et al.  A two-factor model of caregiving appraisal and psychological well-being. , 1991, Journal of gerontology.

[8]  M. Caserta,et al.  Coping and Caregiver Well-Being: The Impact of Maladaptive Strategies , 1991 .

[9]  M. Skaff,et al.  Caregiving and the stress process: an overview of concepts and their measures. , 1990, The Gerontologist.

[10]  M. Kleban,et al.  Mental and physical health of caregiving spouses: development of a causal model. , 1990, Journal of gerontology.

[11]  R. Schulz,et al.  Psychiatric and physical morbidity effects of caregiving. , 1990, Journal of gerontology.

[12]  M. Stephens,et al.  Family caregiving to dependent older adults: stress, appraisal, and coping. , 1989, Psychology and aging.

[13]  R. Pruchno,et al.  Mental health of caregiving spouses: coping as mediator, moderator, or main effect? , 1989, Psychology and aging.

[14]  W. Haley,et al.  Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. , 1987, Psychology and aging.

[15]  J. Gubrium,et al.  Measurement and the interpretation of burden in the Alzheimer's disease experience. , 1987, Journal of aging studies.

[16]  L. Gwyther,et al.  Caregiver well-being: a multidimensional examination of family caregivers of demented adults. , 1986, The Gerontologist.

[17]  J. Morris,et al.  An assessment tool for use in identifying functionally vulnerable persons in the community. , 1984, The Gerontologist.

[18]  E. Diener,et al.  Subjective well-being. , 1984, Psychological bulletin.

[19]  S. W. Poulshock,et al.  Families caring for elders in residence: issues in the measurement of burden. , 1984, Journal of gerontology.

[20]  M. Cantor Strain among caregivers: a study of experience in the United States. , 1983, The Gerontologist.

[21]  M P Lawton,et al.  Environment and other determinants of well-being in older people. , 1983, The Gerontologist.

[22]  S. Zarit,et al.  Relatives of the impaired elderly: correlates of feelings of burden. , 1980, The Gerontologist.

[23]  L. Radloff The CES-D Scale , 1977 .

[24]  E. Pfeiffer A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients † , 1975, Journal of the American Geriatrics Society.

[25]  G. Albrecht,et al.  Life-Span Developmental Psychology: Normative Life Crises , 1975 .

[26]  M. Lawton THE FUNCTIONAL ASSESSMENT OF ELDERLY PEOPLE , 1971, Journal of the American Geriatrics Society.

[27]  R. Lazarus Psychological stress and the coping process , 1970 .

[28]  M. Sussman,et al.  SOCIOLOGY AND REHABILITATION , 1967 .

[29]  S. Crawford,et al.  Is family care on the decline? A longitudinal investigation of the substitution of formal long-term care services for informal care. , 1993, The Milbank quarterly.

[30]  S. West,et al.  Multiple Regression: Testing and Interpreting Interactions , 1991 .

[31]  T J Yager,et al.  Reliability and validity of screening scales: effect of reducing scale length. , 1989, Journal of clinical epidemiology.

[32]  V. Bengtson,et al.  Measurement of Intergenerational Relations , 1988 .

[33]  Judith G. Gonyea,et al.  Caregiving and the experience of subjective and objective burden. , 1985 .

[34]  J. Greene,et al.  Measuring behavioural disturbance of elderly demented patients in the community and its effects on relatives: a factor analytic study. , 1982, Age and ageing.