TY - JOUR
T1 - Exploring the relationship between physical health, depressive symptoms, and depression diagnoses in Hispanic dementia caregivers
AU - Cucciare, Michael A.
AU - Gray, Heather
AU - Azar, Armin
AU - Jimenez, Daniel
AU - Gallagher-Thompson, Dolores
N1 - Funding Information:
(2) Second, we hypothesize that subjective and objective indices of physical health will each contribute independent variance to the occur-rence of depression diagnoses as determined by use of the SCID-I. Method Participants Participants were 89 self-identified Hispanic women DCs enrolled in an intervention study called ‘Reducing Stress in Hispanic and Anglo Dementia Family Caregivers’ which was part of a program project grant entitled: ‘Stress, the HPA, and Aging’ – grant # AG 18784 from the National Institute on Aging. Of the 89 Hispanic/Latino women participating in this study, 74% (n ¼ 66) self-identified as Mexican/Mexican-American/Chicana and 26% (n ¼ 23) self-identified as a mixture of Central American, South American, Cuban/Cuban-American, and Puerto Rican/Puerto Rican-American. Participants were women, at least 21 years of age, who provided 8 h or more a week of care for at least 6 months to a family member. Participation required caring for a family member needing assistance with at least two instrumental activities of daily living (IADL, Katz, Ford, Moskowitz, Jackson, & Jaffee, 1963) or one activity of daily living (ADL, Lawton & Brody, 1969). Either a physician’s diagnosis of dementia or a recent mini-mental state examination (MMSE, Folstein, Folstein, & McHugh, 1975) score less than or equal to 23 was also required for participation. All analyses in the present study were conducted on data obtained during baseline assessment, before random assignment of subjects to one of the intervention conditions.
Funding Information:
This research was supported by grant AG18784, titled Stress, the HPA, and Aging headed by David Speigel, MD. It is funded by the National Institute on Aging. This research was also supported by the Health Services Research & Development Service of the US Department of Veterans Affairs, Stanford University School of Medicine’s Postdoctoral Research Fellowship in Health Services Research to M.A. Cucciare.
Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2010/4
Y1 - 2010/4
N2 - Objectives: The present study examined the relationship between self-reported physical health, depressive symptoms, and the occurrence of depression diagnosis in Hispanic female dementia caregivers. Participants: Participants were 89 Hispanic female dementia caregivers. Design: This study used a cross-sectional design. Baseline depression and physical health data were collected from participants enrolled in the 'Reducing Stress in Hispanic Anglo Dementia Caregivers' study sponsored by the National Institute on Aging. Measurements: Physical health was assessed using the Medical Outcome Study Short Form-36 (SF-36), a one-item self-report health rating, body mass index, and the presence or history of self-reported physical illness. Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression Scale (CES-D). The occurrence of depression diagnosis was assessed using the Clinical Interview for DSM-IV Axis I Disorders (SCID). Analysis: Multiple linear and logistic regression analysis was used to examine the extent to which indices of physical health and depressive symptoms accounted for variance in participants' depressive symptoms and depressive diagnoses. Results. Self-reported indices of health (e.g., SF-36) accounted for a significant portion of variance in both CES-D scores and SCID diagnoses. Caregivers who reported worsened health tended to report increased symptoms of depression on the CES-D and increased likelihood of an SCID diagnosis of a depressive disorder. Conclusion. Self-reported health indices are helpful in identifying Hispanic dementia caregivers at risk for clinical levels of depression.
AB - Objectives: The present study examined the relationship between self-reported physical health, depressive symptoms, and the occurrence of depression diagnosis in Hispanic female dementia caregivers. Participants: Participants were 89 Hispanic female dementia caregivers. Design: This study used a cross-sectional design. Baseline depression and physical health data were collected from participants enrolled in the 'Reducing Stress in Hispanic Anglo Dementia Caregivers' study sponsored by the National Institute on Aging. Measurements: Physical health was assessed using the Medical Outcome Study Short Form-36 (SF-36), a one-item self-report health rating, body mass index, and the presence or history of self-reported physical illness. Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression Scale (CES-D). The occurrence of depression diagnosis was assessed using the Clinical Interview for DSM-IV Axis I Disorders (SCID). Analysis: Multiple linear and logistic regression analysis was used to examine the extent to which indices of physical health and depressive symptoms accounted for variance in participants' depressive symptoms and depressive diagnoses. Results. Self-reported indices of health (e.g., SF-36) accounted for a significant portion of variance in both CES-D scores and SCID diagnoses. Caregivers who reported worsened health tended to report increased symptoms of depression on the CES-D and increased likelihood of an SCID diagnosis of a depressive disorder. Conclusion. Self-reported health indices are helpful in identifying Hispanic dementia caregivers at risk for clinical levels of depression.
KW - Depression
KW - Hispanics dementia caregivers
KW - Physical health
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U2 - 10.1080/13607860903483128
DO - 10.1080/13607860903483128
M3 - Article
C2 - 20425646
AN - SCOPUS:77951947684
VL - 14
SP - 274
EP - 282
JO - Aging and Mental Health
JF - Aging and Mental Health
SN - 1360-7863
IS - 3
ER -