Informal Caregiving, Poor Mental Health, and Subjective Cognitive Decline: Results From a Population-Based Sample

Overview

Journal J Gerontol Nurs

Specialties Geriatrics
Nursing

Date 2020 Nov 24

PMID 33232495

Citations 5

Authors

Monique J Brown

Steven A Cohen

Affiliations

Soon will be listed here.

Abstract

The current study examined potential gender differences in the associations between informal caregiving, poor mental health, and subjective cognitive decline (SCD). Data were obtained from the U.S. Behavioral Risk Factor Surveillance System (N = 16,042; 9,410 women, 6,632 men). Multivariate linear and logistic regression models were used to obtain adjusted βs and odds ratios (ORs), and 95% confidence intervals (CIs) depicting the association between informal caregiving, poor mental health, and SCD overall and by gender. Caregiving was positively associated with poor mental health among men (adjusted β = 2.60; 95% CI [2.59, 2.62]) and women (adjusted β = 0.40; 95% CI [0.23, 0.57]). Poor mental health was positively associated with SCD among men (adjusted OR = 1.05; 95% CI [1.02, 1.08]) and women (adjusted OR = 1.07; 95% CI [1.04, 1.10]). Poor mental health may be associated with SCD, irrespective of gender, and additional studies are needed that will identify key variables influencing SCD among male and female informal caregivers. [Journal of Gerontological Nursing, 46(12), 31-41.].

Citing Articles

Loneliness and Social and Emotional Support Among Sexual and Gender Minority Caregivers.

Xie Z, Hamadi H, Terrell K, George L, Wells J, Liang J JAMA Netw Open. 2024; 7(12):e2451931.

PMID: 39671192 PMC: 11645647. DOI: 10.1001/jamanetworkopen.2024.51931.

The roles of employment status and income in the mental health of informal caregivers in Germany.

Scheuermann J, Pendergrass A, Diehl K, Herr R BMC Public Health. 2024; 24(1):2802.

PMID: 39396955 PMC: 11472450. DOI: 10.1186/s12889-024-20252-y.

Affective Impact on Informal Caregivers over 70 Years of Age: A Qualitative Study.

Montejano-Lozoya R, Alcaniz-Garran M, Diego Ramos-Pichardo J, Sanchez-Alcon M, Garcia-Sanjuan S, Sanjuan-Quiles A Healthcare (Basel). 2024; 12(3).

PMID: 38338215 PMC: 10855777. DOI: 10.3390/healthcare12030329.

Physical and mental health of informal caregivers before and during the COVID-19 pandemic in the United States.

Ngamasana E, Zarwell M, Gunn L BMC Public Health. 2023; 23(1):2349.

PMID: 38012592 PMC: 10683238. DOI: 10.1186/s12889-023-17164-8.

Predictors of Sleep Quality in Spouse Caregivers of Community-Dwelling People With Dementia Using Propensity Score Matching Analysis.

Chu H, Jang H J Nurs Res. 2023; 31(6):e299.

PMID: 37962915 PMC: 11812664. DOI: 10.1097/jnr.0000000000000582.

References

Yin Z, Yan Z, Liang Y, Jiang H, Cai C, Song A . Interactive effects of diabetes and impaired kidney function on cognitive performance in old age: a population-based study. BMC Geriatr. 2016; 16:7. PMC: 4710025. DOI: 10.1186/s12877-016-0193-6. View

Kim G, Allen R, Wang S, Park S, Perkins E, Parmelee P . The Relation Between Multiple Informal Caregiving Roles and Subjective Physical and Mental Health Status Among Older Adults: Do Racial/Ethnic Differences Exist?. Gerontologist. 2018; 59(3):499-508. PMC: 6524479. DOI: 10.1093/geront/gnx196. View

Zhang X, Jiang X, Han S, Liu Q, Zhou J . Type 2 Diabetes Mellitus Is Associated with the Risk of Cognitive Impairment: a Meta-Analysis. J Mol Neurosci. 2019; 68(2):251-260. DOI: 10.1007/s12031-019-01290-3. View

Ng T, Feng L, Nyunt M, Feng L, Gao Q, Lim M . Metabolic Syndrome and the Risk of Mild Cognitive Impairment and Progression to Dementia: Follow-up of the Singapore Longitudinal Ageing Study Cohort. JAMA Neurol. 2016; 73(4):456-63. DOI: 10.1001/jamaneurol.2015.4899. View

Tales A, Jessen F, Butler C, Wilcock G, Phillips J, Bayer T . Subjective Cognitive Decline. J Alzheimers Dis. 2015; 48 Suppl 1:S1-3. PMC: 4923739. DOI: 10.3233/JAD-150719. View

Wei Y, Huang L, Chen C, Lin C, Shyu Y, Chen Y . Subjective Cognitive Decline in the Community Is Affected at Multiple Aspects of Mental Health and Life Quality: A Cross-Sectional Study of the Community Medicine of Keelung Chang Gung Memorial Hospital. Dement Geriatr Cogn Dis Extra. 2019; 9(1):152-162. PMC: 6465714. DOI: 10.1159/000497222. View

Hajek A, Konig H . The relation between personality, informal caregiving, life satisfaction and health-related quality of life: evidence of a longitudinal study. Qual Life Res. 2018; 27(5):1249-1256. DOI: 10.1007/s11136-018-1787-6. View

Andersen S, Sweigart B, Sebastiani P, Drury J, Sidlowski S, Perls T . Reduced Prevalence and Incidence of Cognitive Impairment Among Centenarian Offspring. J Gerontol A Biol Sci Med Sci. 2018; 74(1):108-113. PMC: 6298187. DOI: 10.1093/gerona/gly141. View

Tandetnik C, Hergueta T, Bonnet P, Dubois B, Bungener C . Influence of early maladaptive schemas, depression, and anxiety on the intensity of self-reported cognitive complaint in older adults with subjective cognitive decline. Int Psychogeriatr. 2017; 29(10):1657-1667. DOI: 10.1017/S1041610217001119. View

10.

Alltag S, Conrad I, Riedel-Heller S . [Caregiver burden among older informal caregivers of patients with dementia and its influence on quality of life : A systematic literature review]. Z Gerontol Geriatr. 2018; 52(5):477-486. DOI: 10.1007/s00391-018-1424-6. View

11.

Do E, Cohen S, Brown M . Socioeconomic and demographic factors modify the association between informal caregiving and health in the Sandwich Generation. BMC Public Health. 2014; 14:362. PMC: 3990012. DOI: 10.1186/1471-2458-14-362. View

12.

Anderson L, Deokar A, Edwards V, Bouldin E, Greenlund K . Demographic and health status differences among people aged 45 or older with and without functional difficulties related to increased confusion or memory loss, 2011 Behavioral Risk Factor Surveillance System. Prev Chronic Dis. 2015; 12:E30. PMC: 4353175. DOI: 10.5888/pcd12.140429. View

13.

Hill N, Mogle J, Wion R, Munoz E, DePasquale N, Yevchak A . Subjective Cognitive Impairment and Affective Symptoms: A Systematic Review. Gerontologist. 2016; 56(6):e109-e127. PMC: 5181393. DOI: 10.1093/geront/gnw091. View

14.

Studart Neto A, Nitrini R . Subjective cognitive decline: The first clinical manifestation of Alzheimer's disease?. Dement Neuropsychol. 2017; 10(3):170-177. PMC: 5642412. DOI: 10.1590/S1980-5764-2016DN1003002. View

15.

Abreu W, Tolson D, Jackson G, Costa N . A cross-sectional study of family caregiver burden and psychological distress linked to frailty and functional dependency of a relative with advanced dementia. Dementia (London). 2018; 19(2):301-318. DOI: 10.1177/1471301218773842. View

16.

Marquez D, Bustamante E, Kozey-Keadle S, Kraemer J, Carrion I . Physical activity and psychosocial and mental health of older caregivers and non-caregivers. Geriatr Nurs. 2012; 33(5):358-65. DOI: 10.1016/j.gerinurse.2012.03.003. View

17.

Dich N, Head J, Rod N . Role of psychosocial work factors in the relation between becoming a caregiver and changes in health behaviour: results from the Whitehall II cohort study. J Epidemiol Community Health. 2016; 70(12):1200-1206. PMC: 5136689. DOI: 10.1136/jech-2015-206463. View

18.

Zwar L, Konig H, Hajek A . The impact of different types of informal caregiving on cognitive functioning of older caregivers: Evidence from a longitudinal, population-based study in Germany. Soc Sci Med. 2018; 214:12-19. DOI: 10.1016/j.socscimed.2018.07.048. View

19.

Haley W, Roth D, Howard G, Safford M . Caregiving strain and estimated risk for stroke and coronary heart disease among spouse caregivers: differential effects by race and sex. Stroke. 2010; 41(2):331-6. PMC: 2818824. DOI: 10.1161/STROKEAHA.109.568279. View

20.

Hopps M, Iadeluca L, McDonald M, Makinson G . The burden of family caregiving in the United States: work productivity, health care resource utilization, and mental health among employed adults. J Multidiscip Healthc. 2017; 10:437-444. PMC: 5723115. DOI: 10.2147/JMDH.S135372. View