Comparison of Psychological Health Problems Between Families Living with Stroke Survivors and the General Population in the Community

Overview

Journal Chonnam Med J

Specialty General Medicine

Date 2021 Jun 14

PMID 34123739

Authors

Mina Kim

Young-Hoon Lee

Affiliations

Soon will be listed here.

Abstract

This study aimed to identify and assess the differences in psychological health problems between families living with stroke survivors (FwSS) and the general population without stroke families (GwoSF). A total of 4,514 cases of FwSS were selected for analysis from the 2013 Korea Community Health Survey. In order to determine control groups in GwoSF, propensity scores were generated based on the sociodemographic characteristics of age, gender, residential region, marital status, educational level, monthly household income, and employment status. Each FwSS was matched to 3 controls of GwoSF (13,542 controls) using a greedy matching algorithm with 8 to 1 digit matching. After propensity score-matching, the proportion of usual stress (30.2% vs 24.6%), depressive mood (7.1% vs 6.1%), and suicidal ideation (13.0% vs 11.1%) in FwSS were all significantly higher than those in GwoSF (<0.05). Compared to GwoSF, the adjusted odds ratios (aORs) with 95% confidence intervals (CIs) for psychological health problems in FwSS were calculated using multiple logistic regression analysis. The aORs for usual stress (aOR 1.32, 95% CI 1.21-1.42), depressive mood (aOR 1.14, 95% CI 0.99-1.31; borderline significance), and suicidal ideation (aOR 1.17, 95% CI 1.05-1.30) were significantly higher among FwSS than GwoSF. Moreover, the psychological health problems of FwSS were more evident in females than in males. This study shows that FwSS have poorer psychological health outcomes than GwoSF with similar sociodemographic characteristics. Community-based strategies and family support programs, especially for female family members of stroke survivors, are essential to improve the psychological health of stroke families.

References

Bakas T, Clark P, Kelly-Hayes M, King R, Lutz B, Miller E . Evidence for stroke family caregiver and dyad interventions: a statement for healthcare professionals from the American Heart Association and American Stroke Association. Stroke. 2014; 45(9):2836-52. DOI: 10.1161/STR.0000000000000033. View

Chamberlain L, Anderson C, Knifton C, Madden G . Suicide risk in informal carers of people living with dementia. Nurs Older People. 2018; 30(5):20-25. DOI: 10.7748/nop.2018.e1035. View

Berg A, Palomaki H, Lonnqvist J, Lehtihalmes M, Kaste M . Depression among caregivers of stroke survivors. Stroke. 2005; 36(3):639-43. DOI: 10.1161/01.STR.0000155690.04697.c0. View

Sharma S, Prakash K . Effect of Teaching Programme regarding Home Care on Knowledge and Practice of Informal Caregivers of CVA Patients in a Selected Hospital in Dehradun (Uttarakhand). Nurs J India. 2018; 107(3):99-103. View

Denno M, Gillard P, Graham G, DiBonaventura M, Goren A, Varon S . Anxiety and depression associated with caregiver burden in caregivers of stroke survivors with spasticity. Arch Phys Med Rehabil. 2013; 94(9):1731-6. DOI: 10.1016/j.apmr.2013.03.014. View

Gately C, Rogers A, Sanders C . Re-thinking the relationship between long-term condition self-management education and the utilisation of health services. Soc Sci Med. 2007; 65(5):934-45. DOI: 10.1016/j.socscimed.2007.04.018. View

Youn G, Knight B, Jeong H, Benton D . Differences in familism values and caregiving outcomes among Korean, Korean American, and White American dementia caregivers. Psychol Aging. 1999; 14(3):355-64. DOI: 10.1037//0882-7974.14.3.355. View

Dutrieux R, van Eijk M, van Mierlo M, van Heugten C, Visser-Meily J, Achterberg W . Discharge home after acute stroke: Differences between older and younger patients. J Rehabil Med. 2015; 48(1):14-8. DOI: 10.2340/16501977-2045. View

Kim M, Joo M, Sohn M, Lee J, Kim D, Lee S . Development and validation of a prediction model for home discharge in patients with moderate stroke: The Korean stroke cohort for functioning and rehabilitation study. Top Stroke Rehabil. 2020; 27(6):453-461. DOI: 10.1080/10749357.2019.1711338. View

10.

White C, Lauzon S, Yaffe M, Wood-Dauphinee S . Toward a model of quality of life for family caregivers of stroke survivors. Qual Life Res. 2004; 13(3):625-38. DOI: 10.1023/B:QURE.0000021312.37592.4f. View

11.

Saban K, Sherwood P, DeVon H, Hynes D . Measures of psychological stress and physical health in family caregivers of stroke survivors: a literature review. J Neurosci Nurs. 2010; 42(3):128-38. DOI: 10.1097/jnn.0b013e3181d4a3ee. View

12.

Yang Y, Shi Y, Zhang N, Wang S, Ungvari G, Ng C . Suicidal ideation at 1-year post-stroke: A nationwide survey in China. Gen Hosp Psychiatry. 2017; 44:38-42. DOI: 10.1016/j.genhosppsych.2016.09.006. View

13.

Cameron J, Cheung A, Streiner D, Coyte P, Stewart D . Stroke survivor depressive symptoms are associated with family caregiver depression during the first 2 years poststroke. Stroke. 2010; 42(2):302-6. DOI: 10.1161/STROKEAHA.110.597963. View

14.

Menon B, Salini P, Habeeba K, Conjeevaram J, Munisusmitha K . Female Caregivers and Stroke Severity Determines Caregiver Stress in Stroke Patients. Ann Indian Acad Neurol. 2017; 20(4):418-424. PMC: 5682751. DOI: 10.4103/aian.AIAN_203_17. View

15.

Kim M, Lee Y . Gender-specific factors related to suicidal ideation among community-dwelling stroke survivors: The 2013 Korean Community Health Survey. PLoS One. 2018; 13(8):e0201717. PMC: 6072110. DOI: 10.1371/journal.pone.0201717. View

16.

Han B, Haley W . Family caregiving for patients with stroke. Review and analysis. Stroke. 1999; 30(7):1478-85. DOI: 10.1161/01.str.30.7.1478. View

17.

Cameron J, Naglie G, Gignac M, Bayley M, Warner G, Green T . Randomized clinical trial of the Timing it Right Stroke Family Support Program: research protocol. BMC Health Serv Res. 2014; 14:18. PMC: 3898562. DOI: 10.1186/1472-6963-14-18. View

18.

Jessup N, Bakas T, McLennon S, Weaver M . Are there gender, racial or relationship differences in caregiver task difficulty, depressive symptoms and life changes among stroke family caregivers?. Brain Inj. 2014; 29(1):17-24. PMC: 4860205. DOI: 10.3109/02699052.2014.947631. View

19.

Tiegs T, Heesacker M, Ketterson T, Pekich D, Rittman M, Rosenbek J . Coping by stroke caregivers: sex similarities and differences. Top Stroke Rehabil. 2006; 13(1):52-62. DOI: 10.1310/CJVW-WCPK-2FCV-369P. View

20.

Forster A, Brown L, Smith J, House A, Knapp P, Wright J . Information provision for stroke patients and their caregivers. Cochrane Database Syst Rev. 2012; 11:CD001919. PMC: 6544775. DOI: 10.1002/14651858.CD001919.pub3. View