Predictors of Burden in Spouse Caregivers of Individuals With Alzheimer's Disease

This study used the following model of distress: Distress = [Exposure to Stress + Vulnerability] / [Psychological and Social Resources]. The constructs in the model were operationalized as (a) distress in response to caregiver experiences (burden); (b) exposure to stress (care recipient functional i...

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Bibliographic Details
Published in:Psychology and aging 1991-09, Vol.6 (3), p.392-402
Main Authors: Vitaliano, Peter P, Russo, Joan, Young, Heather M, Teri, Linda, Maiuro, Roland D
Format: Article
Language:English
Subjects:
Activities of Daily Living - psychology
Adaptation, Psychological
Aged
Alzheimer Disease - psychology
Alzheimer Disease - therapy
Alzheimer's Disease
Anger
Anxiety - psychology
At Risk Populations
Biological and medical sciences
Caregivers
Coping Behavior
Depression - psychology
Distress
Female
Follow-Up Studies
Followup Studies
Hostility
Human
Humans
Longitudinal Studies
Male
Marriage - psychology
Medical sciences
Mental Status Schedule - statistics & numerical data
Personal Satisfaction
Personality Assessment - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Sick Role
Social psychiatry. Ethnopsychiatry
Social Support
Sociocultural environment
Spouses
Stress
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Summary:This study used the following model of distress: Distress = [Exposure to Stress + Vulnerability] / [Psychological and Social Resources]. The constructs in the model were operationalized as (a) distress in response to caregiver experiences (burden); (b) exposure to stress (care recipient functional impairment in activities of daily living [ADLs]); (c) vulnerability (caregiver health problems, anger, and anxiety); and (d) resources (coping, outlook on life, and social supports). Long-term burden (15-18 months after entry) was predicted by several baseline variables: burden, care recipient ADLs, vulnerability and resource variables, and specific interactions of burden, ADLs, vulnerability, and resource variables. The interactions showed that caregivers with high vulnerability and low resources had higher burden scores than caregivers with other combinations of these variables.
ISSN:0882-7974
1939-1498
DOI:10.1037/0882-7974.6.3.392