Being in control: a note on differences between caregiving and noncaregiving spouses

Assessing the health of adult daughter former caregivers for elders with Alzheimer's disease

Past research is varied in assessing the effect of caregiving on health, particularly caregivers in the postcaregiving phase. The variation may be due, in part, to methodological issues, including the use of health measures not psychometrically tested. The study examines the Medical Outcomes Study Short Form 36 (SF-36) health survey with 102 former caregivers whose family member was deceased for at least one year at the time of the study and had been identified as having Alzheimer's disease or a related disorder. The SF-36 measures eight dimensions of physical and mental health and has been tested on a variety of populations, though not with former daughter caregivers. Confirmatory Factor Analysis supported the factorial validity of the SF-36 for this population, indicating it is a promising tool for understanding postcaregiver health.

Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis

Providing care for a frail older adult has been described as a stressful experience that may erode psychological well-being and physical health of caregivers. In this meta-analysis, the authors integrated findings from 84 articles on differences between caregivers and noncaregivers in perceived stress, depression, general subjective well-being, physical health, and self-efficacy. The largest differences were found with regard to depression (g = .58), stress (g = .55), self-efficacy (g = .54), and general subjective well-being (g = -.40). Differences in the levels of physical health in favor of noncaregivers were statistically significant, but small (g = .18). However, larger differences were found between dementia caregivers and noncaregivers than between heterogeneous samples of caregivers and noncaregivers. Differences were also influenced by the quality of the study, relationship of caregiver to the care recipient, gender, and mean age of caregivers.

Comparing the well-being of post-caregivers and noncaregivers

Researchers who study family caregiving have begun to recognize the need to broaden the realm of inquiry to include the exploration of the positive aspects of caregiving as well as conceptualizing caregiving on a continuum from the pre-caregiving phase through the post-caregiving phase. Additionally, researchers are urged to use control groups in research. This study complements the current trends by examining the positive aspects of caregiving among former caregivers. Specifically, the well-being of post-caregivers is compared to that of noncaregivers. Bivariate analyses examine the factors that are significantly different between former caregivers and noncaregivers. Results show that former caregivers have higher well-being than noncaregivers. In the multivariate model, only one subscale of well-being (basic needs) is different between the two groups. Implications of this research are discussed.

A note on whether spousal caregivers try to control their environment or themselves

In this study, a two-process model of control (Rothbaum, Weisz, & Snyder, 1982) was used to investigate spousal caregivers' control in stressful situations. According to Rothbaum et al., primary control occurs when individuals retain control by changing their environment (other people, objects, or events), whereas secondary control occurs when individuals retain control by changing their own cognitions or emotions to adapt to the environment. In an exploration of whether caregivers would use primary or secondary control in caring for a spouse with dementia, 32 caregivers described a stressful situation they found difficult to control. Most of the participants used primary control to handle situations that focused on behavioral problems. Additional analyses indicated that most of the caregivers, in fact, used a combination of primary and secondary control.