Title: Psychiatric morbidity and its correlates among informal caregivers of older adults
year: 2016
Journal: Compr Psychiatry
Volume: 68
Pages: 178-85
Epubdate: 29/05/2016
date: Jul
Alternate Journal: Comprehensive psychiatry
ISSN: 0010-440x
Article Number: 27234200
Abstract: OBJECTIVE: This present study estimated the psychiatric morbidity among informal caregivers of older adults and investigated its association with their socio-demographic factors and older adult's health status, including dementia, depression and physical health conditions. METHODS: Data from a national cross-sectional survey were used. For each participating older adult, an informal caregiver who 'knew the older adult best' and was aware of their health condition, was also interviewed to collect information on the older adults' care needs, and behavioral and psychological symptoms of dementia (BPSD). Data from 693 pairs was used. Informal caregivers were administered the Self Reporting Questionnaire (SRQ)-20 and psychiatric morbidity was defined as those with a total SRQ score of >/=8. Measures included informal caregivers' socio-demographic characteristics, assessment of dementia and depression in the older adults and self-report on their lifetime and current physical conditions. The association of socio-demographic characteristics, health conditions, care assistance and BPSD was investigated using backward stepwise logistic regression analysis where psychiatric morbidity (total SRQ score<or >/=8) was used as a dependent variable and all other variables served as independent covariates. RESULTS: Among informal caregivers, 8.8% exhibited psychiatric morbidity. Higher proportions of spousal caregivers and caregivers of older adults having more care needs and BPSD exhibited psychiatric morbidity. After adjusting for all covariates, caregivers' marital status, and the presence of BPSD and dementia in the older adults were identified as the strongest correlates of caregivers' psychiatric morbidity. The prevalence of psychiatric morbidity was 10%, 13.9% and 12.7% respectively in these groups. Married caregivers had higher odds of psychiatric morbidity (OR 2.50, 95% CI: 1.13-5.52). In addition, caregivers of older adults' with any BPSD (OR 5.87, 95% CI: 2.60-13.24) and dementia (OR 2.28, 95% CI: 1.23-4.20) were also associated with higher odds of psychiatric morbidity. CONCLUSION: Informal caregivers' marital status and presence of any BPSD and dementia in the older adults in their care were identified as the strongest correlates of caregivers' psychiatric morbidity. Clinicians should be cognizant of the risk in this group of caregivers and assess and intervene to alleviate caregivers' psychological problems.
Notes: 1532-8384 Vaingankar, Janhavi Ajit Chong, Siow Ann Abdin, Edimansyah Picco, Louisa Shafie, Saleha Seow, Esmond Pang, Shirlene Sagayadevan, Vathsala Chua, Boon Yiang Chua, Hong Choon Subramaniam, Mythily Journal Article Research Support, Non-U.S. Gov't United States Compr Psychiatry. 2016 Jul;68:178-85. doi: 10.1016/j.comppsych.2016.04.017. Epub 2016 Apr 28.
URL: http://ac.els-cdn.com/S0010440X15300523/1-s2.0-S0010440X15300523-main.pdf?_tid=b243da14-ffe2-11e6-8547-00000aab0f01&acdnat=1488526160_1d63e18fb5fb24123b1817d2c79e6215
URI: https://open-access.imh.com.sg/handle/123456789/5012
Authors Address: Research Division, Institute of Mental Health, 10 Buangkok View, Singapore 539747. Electronic address: janhavi_vaingankar@imh.com.sg. Research Division, Institute of Mental Health, 10 Buangkok View, Singapore 539747.
Database Provider: NLM
language: eng
Appears in Collections:2016

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