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Ashe JJ, Evans MK, Zonderman AB, Waldstein SR. Absent Relations of Religious Coping to Telomere Length in African American and White Women and Men. Exp Aging Res 2024; 50:459-481. [PMID: 37258109 PMCID: PMC10687320 DOI: 10.1080/0361073x.2023.2219187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 05/23/2023] [Indexed: 06/02/2023]
Abstract
OBJECTIVES This study investigated whether race and sex moderated the relations of religious coping to telomere length (TL), a biomarker of cellular aging implicated in race-related health disparities. METHODS Participant data were drawn from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study, which included 252 socioeconomically diverse African American and White men and women aged (30-64 years old). Cross-sectional multivariable regression analyses examined interactive associations of religious coping, race, and sex to TL, adjusting for other sociodemographic characteristics. RESULTS Religious coping was unrelated to TL in this sample (p's > .05). There were no notable race or sex differences. Post hoc exploratory analyses similarly found that neither secular social support coping use nor substance use coping was associated with TL. CONCLUSION There was no evidence to support that religious coping use provided protective effects to TL in this sample of African American and White women and men. Nevertheless, future studies should use more comprehensive assessments of religious coping and intersectional identities to provide an in-depth examination of religiosity/spirituality as a potential culturally salient protective factor in cellular aging among African Americans in the context of specific chronic stressors such as discrimination.
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Affiliation(s)
- Jason J. Ashe
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, US
| | - Michele K. Evans
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, US
| | - Alan B. Zonderman
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, US
| | - Shari R. Waldstein
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, US
- Division of Gerontology and Geriatric Medicine, University of Maryland School of Medicine, Baltimore, MD, US
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Kaggwa MM, Najjuka SM, Mamun MA, Griffiths MD, Nyemara N, Ashaba S. Involvement and burden of informal caregivers of patients with mental illness: the mediating role of affiliated stigma. BMC Psychiatry 2023; 23:72. [PMID: 36703121 PMCID: PMC9881274 DOI: 10.1186/s12888-023-04553-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 01/17/2023] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND The fear and lack of understanding of mental illness can lead to stigma. The stigma of mental illness affects not only individuals who suffer from it, but also the caregivers. Stigma among caregivers can lead to delay in seeking care, poor adherence to treatment and a high risk of relapse. Caregivers of patients with mental illness are at an increased risk of distress due to the burden to stigma and caregiving burden. An increase in caregivers' burden can lead to a reduction in caregivers' involvement. There is a relationship between caregivers' involvement, burden, and affiliated stigma. The present study examined the mediating role of affiliated stigma in the relationship between caregivers' burden and involvement among informal caregivers of hospital-admitted patients with mental illness in Uganda. METHODS A cross-sectional study was conducted among 428 informal caregivers (mean age: 39.6 years [SD±14.6]; females = 62.1%). Information was collected regarding sociodemographic characteristics, affiliated stigma, and the involvement and burden of informal caregivers. RESULTS The findings indicate that affiliated stigma serves as a full mediator between the caregiver's roles and involvement (β=15.97, p<0.001). Being female increased the caregivers' burden of caregiving (β= -0.23, p<0.001). CONCLUSION The findings in the present study suggest that intervention to address affiliated stigma among caregivers of patients with mental illness should be incorporated into mainstream mental health care to reduce the caregiving burden.
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Affiliation(s)
- Mark Mohan Kaggwa
- grid.33440.300000 0001 0232 6272Department of Psychiatry, Mbarara University of Science & Technology, Mbarara, 1410 Uganda ,African Centre for Suicide Prevention and Research, Mbarara, 379 Uganda ,grid.25073.330000 0004 1936 8227Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Sarah Maria Najjuka
- grid.11194.3c0000 0004 0620 0548Makerere University, College of Health Sciences, Kampala, Uganda
| | - Mohammed A. Mamun
- CHINTA Research Bangladesh, Savar, Dhaka 1342 Bangladesh ,grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342 Bangladesh
| | - Mark D. Griffiths
- grid.12361.370000 0001 0727 0669Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ United Kingdom
| | - Novatus Nyemara
- grid.33440.300000 0001 0232 6272Department of Psychiatry, Mbarara University of Science & Technology, Mbarara, 1410 Uganda
| | - Scholastic Ashaba
- Department of Psychiatry, Mbarara University of Science & Technology, Mbarara, 1410, Uganda.
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Tsai FJ, Shen SW. Concepts of dementia prevention in the health promotion among older adults: A narrative review. Medicine (Baltimore) 2022; 101:e32172. [PMID: 36550862 PMCID: PMC9771271 DOI: 10.1097/md.0000000000032172] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
The number of older adults with dementia is predicted to markedly increase in the coming decades. A person suffers from dementia every 3 seconds globally, and one out of every 7 people suffers from dementia in Taiwan. The purpose of this narrative review is to integrate existing concepts of dementia prevention into health promotion and improve older adults' quality of life. This narrative review was performed using the PubMed database by searching for basic research and systematic reviews on dementia prevention and health promotion among older adults. We established a framework for dementia prevention and health promotion with regard to the physical, mental, spiritual, and social health aspects. We identified the following strategies related to older adults towards dementia prevention and health promotion in follows: Physical health promotion: cognitive activities, physical activities, body mass index, balanced diet, rainbow diet, Mediterranean diet, dietary approaches to stop hypertension diet, mind diet, no smoking and drinking, avoiding the "three highs" (i.e., hyperglycemia, hyperlipidemia, and hypertension), and head trauma; Mental health promotion: Positive thinking, Brief Symptom Rating Scale (BSRS-5), depression scale, and ascertained dementia 8 questionnaire (AD8) screening; Spiritual health promotion: religious beliefs, spiritual music, meditative activities, mindfulness, yoga, Qi-gong, Tai-chi, and Baduanjin; and Social health promotion: A supportive family system, socialization, social support, social networks, social interaction, and social participation. The conclusion of this narrative review was to integrate the concepts of dementia prevention and health promotion among older adults.
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Affiliation(s)
- Fu-Ju Tsai
- Department of Nursing, Fooyin University, Taiwan R.O.C
| | - Sheng-Wei Shen
- Department of Neurology, Pingtung Hospital, Ministry of Health and Welfare, Taiwan, R.O.C
- * Correspondence: Sheng-Wei Shen, 270, Ziyou Rd., Pingtung City, Pingtung County 900, Taiwan R.O.C. (e-mail: )
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Rote SM, Moon HE, Kacmar AM, Moore S. Exploring Coping Strategies and Barriers in Dementia Care: A Mixed-Methods Study of African American Family Caregivers in Kentucky. J Appl Gerontol 2022; 41:1851-1859. [PMID: 35543172 DOI: 10.1177/07334648221093618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study explores coping strategies and barriers to dementia care experienced by African American dementia caregivers in Kentucky. Utilizing a convergent mixed-method design integrating focus group and survey data on African American dementia caregivers recruited through churches in Kentucky (N = 28), we elucidate three coping strategies: love-based coping, religion-based coping, and family support. Results from survey data supported these themes, with over 90% of participants reporting that they provide care to give back to family members and for religious reasons. However, over half of the caregivers' reported strain due to three barriers identified by focus group data: time constraints, low support, and the high cost of formal care. This exploratory study highlights the importance of intervention tactics for African American dementia caregivers that focus not only on individual and family support but also community-based outreach and support.
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Affiliation(s)
- Sunshine M Rote
- Kent School of Social Work, University of Louisville, Louisville, KY, USA
| | - Heehyul E Moon
- Kent School of Social Work, University of Louisville, Louisville, KY, USA
| | - Allison M Kacmar
- Kent School of Social Work, University of Louisville, Louisville, KY, USA
| | - Sharon Moore
- Kent School of Social Work, University of Louisville, Louisville, KY, USA
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Experiences and Needs of Families Caring for Children and Adolescents With Chronic Kidney Disease: A meta-Synthesis. J Pediatr Nurs 2022; 63:52-63. [PMID: 35007849 DOI: 10.1016/j.pedn.2021.12.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 12/23/2021] [Accepted: 12/28/2021] [Indexed: 11/21/2022]
Abstract
PROBLEM Families struggle to care for children and adolescents with chronic kidney disease (CKD). They face extensive burden of care and altered family dynamics. ELIGIBILITY CRITERIA A meta-synthesis review was conducted to explore the experiences and needs of families caring for children and adolescents with CKD using seven electronic databases (CINAHL, EMBASE, ProQuest Dissertations and Theses, PsycINFO, PubMed, Scopus, and Web of Science). The inclusion criteria are (1) qualitative English studies from January 2010 to December 2020 that (2) report personal experiences or needs of (3) family members caring for children and adolescents aged 19 years and below who have been diagnosed with CKD of any stage (4) across all settings. Quality appraisal was done using the Critical Appraisal Skill Program checklist. Data was synthesised using Sandelowski & Barroso's (2007) method. SAMPLE 2,236 records were identified and 13 eligible studies were included. Family members involved mothers (n = 190), fathers (n = 83), siblings (n = 5), and grandparents (n = 2). RESULTS Three themes emerged: (1) demands of caregiving, (2) support systems, and (3) defining and making sense of new reality. CONCLUSIONS Family caregivers experience overwhelming demands of caregiving and unmet support needs to cope. Appropriate interventions are needed to alleviate their burden. IMPLICATIONS Knowledge of learning and support needs of families caring for children with CKD may shape nursing education and practice to cultivate more effective communication for better psychosocial family support.
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Gonyea JG, O'Donnell AE. Religious coping and psychological well-being in Latino Alzheimer's caregivers. Int J Geriatr Psychiatry 2021; 36:1922-1930. [PMID: 34378229 DOI: 10.1002/gps.5606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Accepted: 08/05/2021] [Indexed: 11/09/2022]
Abstract
OBJECTIVES Prior research has demonstrated the benefits of religion on caregiver well-being; however, less research exists on the processes underlying this relationship, particularly in Latino Alzheimer's disease (AD) families. This study's aim was therefore to explore the direct and indirect influences of positive religious coping (RC-P) and negative religious coping (RC-N) on caregivers' experiences of depression and anxiety. METHODS The data are from the Circulo de Cuidado Study baseline interviews; participant eligibility criteria were that the person identifies as being Latino, providing at least 5 h of care weekly, and their relative has an AD diagnosis and neuropsychiatric symptoms. In person at-home interviews were conducted in Spanish with 67 caregivers. Religious coping was assessed with the Brief RCOPE; depression and anxiety were measured with the Center for Epidemiological Studies Depression Scale-Spanish version and State Anxiety Inventory. Multivariate regression analyses, controlling for caregiving stressors, were used to test our core hypotheses. RESULTS As hypothesized, RC-N had significant direct effect on depression (p < 0.001) and anxiety (p < 0.001) as well as partially mediated the relationship between caregiver subjective stressor and depression (p < 0.01) and anxiety (p < 0.01). However, contrary to our hypothesis, RC-P did not have a direct or indirect effects on psychological well-being. CONCLUSIONS Our findings are consistent with other studies linking RC-N to poorer caregiver outcomes. Caregivers who questioned God's power, perceived God punishing them, or felt abandoned by God reported greater levels of depression and anxiety. The results suggest that caregivers experiencing religious distress may feel overwhelmed and view a more hopeless future.
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Affiliation(s)
- Judith G Gonyea
- Human Behavior, Policy and Research Department, School of Social Work, Boston University, Boston University Institute for Health Systems Innovation & Policy, Boston, Massachusetts, USA
| | - Arden E O'Donnell
- Human Behavior, Policy and Research Department, School of Social Work, Boston University, Boston, Massachusetts, USA
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McGee JS, Myers DR, Meraz R, Davie M. Caring for a family member with early stage alzheimer’s disease: caregiver perceptions, connections, and relational dynamics with the sacred. JOURNAL OF RELIGION, SPIRITUALITY & AGING 2021. [DOI: 10.1080/15528030.2021.1934771] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Kevern P, Stifoss-Hanssen H. The challenges of dementia care and the (un)making of meaning: Analysis of an online forum on carer spirituality. DEMENTIA 2020; 19:1220-1236. [PMID: 30170499 DOI: 10.1177/1471301218797248] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Although one writer has called dementia ‘the theological disease’, there has been remarkably little research on how people with dementia and their carers find spiritual meaning and significance in their experience. While there is a significant body of literature examining the role of existing spiritual or religious beliefs and practices in supporting the carer of a person with dementia, there is very little research which offers an insight into the reverse process: how the experience of caring challenges a carer’s sources of spiritual or religious meaning, and what strategies are adopted to resolve the experienced tension between belief and experience. The present study aimed to supplement this incomplete picture by examining the archive of an online forum responding to a request for ‘thoughts which lend a spiritual perspective to going through dementia’. Interpretative Phenomenal Analysis (IPA) was undertaken on two levels. First, attention was focussed on the forum as an integrated discussion, identifying its recurrent and superordinate themes. The contributions of selected individual participants were then analysed to further examine the way in which their positions were developed. The analysis uncovered the importance which at least some carers of people with dementia attached to spiritual perspectives, as supplying strength for and meaning to the challenges they faced; but also how meaning was undermined by their experience. Few participants identified with traditional religious resources, but attempted to find meaning by reflection on their personal narrative. Six distinct types of response to the initial question were identified. These findings indicate that the wellbeing and resilience of at least some carers may benefit from validation of their spiritual concerns along with sensitive and attentive spiritual support. In this task, a key resource is their reflection on their personal narrative in relation to current challenges.
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Epps F, Brewster G, Alexander K, Choe J, Heidbreder V, Hepburn K. Dementia-friendly faith village worship services to support African American families: Research protocol. Res Nurs Health 2019; 42:189-197. [PMID: 30892713 DOI: 10.1002/nur.21940] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 02/02/2019] [Accepted: 02/20/2019] [Indexed: 11/05/2022]
Abstract
African American caregivers for persons living with dementia frequently experience emotional strain, burden, social isolation, and depression. One source of support for them when in distress is their church community. However, many African American churches do not have programs to support families and congregants living with dementia. Dementia often restricts persons living with dementia and their caregivers from attending church. Both become increasingly uncomfortable in church settings due to fear of embarrassment, uncertainty about the behavior of the person living with dementia, and shame. Church attendance and religion has been shown to be beneficial for caregivers and elders living with dementia. However, there is little work exploring how involvement in religious practices together (caregivers and persons living with dementia) might enhance the quality of life for these families. This protocol is written to detail the designing and testing of the feasibility and preliminary efficacy of a dementia-friendly faith village worship service. In the study, we will examine how dementia-friendly faith village worship services support the well-being of caregivers and care recipients in three African American churches through observation, interviews, and surveys. A sample of 30 dyads of African American caregivers and persons living with dementia will be asked to attend six modified worship services together over 6 months. In this study, we hope to demonstrate the significant role of churches in the lives of African American family caregivers and persons living with dementia and show that a faith-based, family-oriented approach can promote a greater quality of life for African American families living with dementia.
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Affiliation(s)
- Fayron Epps
- Byrdine F. Lewis College of Nursing & Health Professions, Georgia State University, Atlanta, Georgia
| | - Glenna Brewster
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia
| | - Karah Alexander
- School of Public Health, Georgia State University, Atlanta, Georgia
| | - Jenny Choe
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia
| | | | - Kenneth Hepburn
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia
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Saffari M, Koenig HG, O'Garo KN, Pakpour AH. Mediating effect of spiritual coping strategies and family stigma stress on caregiving burden and mental health in caregivers of persons with dementia. DEMENTIA 2018:1471301218798082. [PMID: 30205692 DOI: 10.1177/1471301218798082] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Background A considerable number of the persons living with dementia rely on family members for care and assistance when performing activities of daily living. As a result, caregivers may be at increased risk for mental health problems such as depression, anxiety and caregiver burden. This study examined if and how spiritual coping and stigma-related family stress impacted the associations between the patient activities of daily living impairment and caregiver mental health. Methods Using a longitudinal design, 664 caregivers were assessed at baseline for spiritual coping strategies and family stigma stress, along with patients' instrumental activities of daily living and cognitive functioning. After 12 months, caregivers were assessed for depressive and anxiety symptoms, caregiver burden, and quality of life (physical and mental). Sequential mediation of spiritual coping strategies and stigma-related family stress on the relationship between patient instrumental activities of daily living and caregiver mental health outcomes was examined using the PROCESS macro statistical method. Results Participants had been caring for someone with dementia for an average of 46.4 (SD, 16.9) months and 63% of caregivers were female. There were significant indirect associations between patient instrumental activities of daily living and caregiver anxiety, depression, caregiving burden, and the mental health component of quality of life. Spiritual coping and stigma-related stress mediated these associations (-0.54
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Affiliation(s)
| | - Harold G Koenig
- Duke University Medical Center, USA; King Abdulaziz University, Saudi Arabia; Ningxia Medical University, China
| | | | - Amir H Pakpour
- Qazvin University of Medical Sciences, Iran; Jönköping University, Sweden
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Kazmer MM, Glueckauf RL, Schettini G, Ma J, Silva M. Qualitative Analysis of Faith Community Nurse-Led Cognitive-Behavioral and Spiritual Counseling for Dementia Caregivers. QUALITATIVE HEALTH RESEARCH 2018; 28:633-647. [PMID: 29169293 DOI: 10.1177/1049732317743238] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This article presents themes emerging from semistructured interviews with dementia family caregivers in rural communities who participated in an integrative, cognitive-behavioral and spiritual counseling intervention, and with faith community nurses (FCNs) who delivered the intervention. The primary objectives of the counseling intervention were to ameliorate dementia caregivers' depressive affect and the severity of their self-identified caregiving and self-care problems. The qualitative portion of the study was intended to elicit caregivers' and FCNs' perceptions of the benefits and drawbacks of the intervention. We conducted interviews with seven FCN/caregiver pairs 4 times during the 6-month counseling process, totaling 56 interviews. Themes emerging from the interviews included caregivers' perception of burden and care partners' problem behavior; formation of therapeutic alliance between FCNs and caregivers; problem-solving skills, tools, and resources; caregivers' use of problem-solving strategies; spirituality in caregiving and counseling processes; FCNs' prior professional experience; and caregiver and FCN time constraints.
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Affiliation(s)
| | | | | | - Jinxuan Ma
- 2 Emporia State University, Emporia, Kansas, USA
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Yoon KH, Moon YS, Lee Y, Choi SH, Moon SY, Seo SW, Park KW, Ku BD, Han HJ, Park KH, Han SH, Kim EJ, Lee JH, Park SA, Shim YS, Kim JH, Hong CH, Na DL, Ye BS, Kim HJ, Moon Y, Lee SS, Kim DH. The moderating effect of religiosity on caregiving burden and depressive symptoms in caregivers of patients with dementia. Aging Ment Health 2018; 22:141-147. [PMID: 27661263 DOI: 10.1080/13607863.2016.1232366] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES This study explored whether religiosity/spirituality has a protective role against negative caregiving outcomes, in a large multicenter nationwide sample of caregivers of patients with dementia in South Korea. Additionally, this study was the first to examine whether religiosity/spirituality could affect caregiving outcomes according to the various religious affiliations of caregivers. METHODS The study was conducted on a sample of 476 caregivers of patients with dementia participated in the Clinical Research Center for Dementia of South Korea (CREDOS). We examined the moderating effect of each of the three dimensions of religiosity/spirituality (organizational religious activity, ORA; non-organizational religious activity, NORA; intrinsic religiosity, IR) on the relationship between activities of daily living (ADL) of patients with dementia and caregiving burden and depressive symptoms of caregivers, using a series of hierarchical regression analyses. In addition, these analyses were conducted according to the religious affiliations of the caregivers. RESULTS ORA, NORA, and IR of religiosity/spirituality alleviated the effect of ADL of patients on caregiving burden. ORA and IR moderated the relationship between ADL of patients and depressive symptoms of caregivers. These moderating effects of religiosity on caregiving outcomes were different according to various religious groups. CONCLUSION We have identified religiosity/spirituality as a protective factor for caregivers of patients with dementia. The sub-dimensions of religiosity as moderators were different by religious affiliations of caregivers. Further studies are needed to investigate the specific religiosity-related factors which could positively impact the mental health of the caregivers of patients with dementia by religions.
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Affiliation(s)
- Kyung Hee Yoon
- a Department of Psychiatry, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea.,b Institute for Skeletal Aging, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea
| | - Yoo Sun Moon
- a Department of Psychiatry, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea.,b Institute for Skeletal Aging, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea
| | - Yunhwan Lee
- c Department of Preventive Medicine and Public Health , Ajou University School of Medicine , Suwon , South Korea.,d Institute on Aging , Ajou University Medical Center , Suwon , South Korea
| | - Seong Hye Choi
- e Department of Neurology , Inha University School of Medicine , Incheon , South Korea
| | - So Young Moon
- d Institute on Aging , Ajou University Medical Center , Suwon , South Korea.,f Department of Neurology , Ajou University School of Medicine , South Korea
| | - Sang Won Seo
- g Department of Neurology, Samsung Medical Center , Sungkyunkwan University School of Medicine , Seoul , South Korea.,h Neuroscience Center, Samsung Medical Center , Seoul , South Korea.,i Department of Clinical Research Design and Evaluation , SAIHST, Sungkyunkwan University , Seoul , South Korea
| | - Kyung Won Park
- j Department of Neurology , Dong-A University College of Medicine , Pusan , South Korea
| | - Bon D Ku
- k Department of Neurology , Catholic Kwandong University College of Medicine , Gangneung , South Korea
| | - Hyun Jeong Han
- l Department of Neurology , Myongji Hospital , Goyang , South Korea
| | - Kee Hyung Park
- m Department of Neurology , Gachon University Gil Medical Center , Incheon , South Korea
| | - Seol-Heui Han
- n Department of Neurology , Konkuk University College of Medicine , Seoul , South Korea
| | - Eun-Joo Kim
- o Department of Neurology , Pusan National University School of Medicine , Pusan , South Korea
| | - Jae-Hong Lee
- p Department of Neurology , University of Ulsan College of Medicine, Asan Medical Center , Seoul , South Korea
| | - Sun A Park
- q Department of Neurology , Soonchunhyang University Bucheon Hospital, College of Medicine , Bucheon , South Korea
| | - Yong S Shim
- r Department of Neurology , Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Bucheon , South Korea
| | - Jong Hun Kim
- s Department of Neurology , Ilsan Hospital, National Health Insurance Service , Goyang , South Korea
| | - Chang Hyung Hong
- d Institute on Aging , Ajou University Medical Center , Suwon , South Korea.,t Department of Psychiatry , Ajou University School of Medicine , Suwon , South Korea
| | - Duk L Na
- g Department of Neurology, Samsung Medical Center , Sungkyunkwan University School of Medicine , Seoul , South Korea.,h Neuroscience Center, Samsung Medical Center , Seoul , South Korea.,i Department of Clinical Research Design and Evaluation , SAIHST, Sungkyunkwan University , Seoul , South Korea
| | - Byoung Seok Ye
- u Department of Neurology , Yonsei University College of Medicine , Seoul , South Korea
| | - Hee Jin Kim
- g Department of Neurology, Samsung Medical Center , Sungkyunkwan University School of Medicine , Seoul , South Korea.,h Neuroscience Center, Samsung Medical Center , Seoul , South Korea.,i Department of Clinical Research Design and Evaluation , SAIHST, Sungkyunkwan University , Seoul , South Korea
| | - Yeonsil Moon
- n Department of Neurology , Konkuk University College of Medicine , Seoul , South Korea
| | - Sang Soo Lee
- b Institute for Skeletal Aging, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea
| | - Do Hoon Kim
- a Department of Psychiatry, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea
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Fider CRA, Lee JW, Gleason PC, Jones P. Influence of Religion on Later Burden and Health of New Black and White Caregivers. J Appl Gerontol 2017; 38:1282-1303. [PMID: 28385112 DOI: 10.1177/0733464817703017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: We assessed the relationship between positive aspects of religiosity and reduced stress in caregivers, and negative aspects of religiosity and increased caregiver burden. Method: Using data from the Biopsychosocial Religion and Health Study, we performed multiple linear regression analysis on 584 caregivers. Results: Mental health, but not physical health, was predicted by caregiver burden. Caregivers who viewed God as loving and not controlling and felt a sense of community with their church family had less burden. Caregivers who engaged in negative religious coping had a greater decline in mental health than those who saw God as loving and not controlling and who gave emotional support to others. Discussion: Some aspects of religion appear to play an important role in alleviating the mental stresses of being a caregiver.
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Jewell A, Cole J, Rolph J, Rolph P. The faith of primary carers of persons with dementia. JOURNAL OF RELIGION, SPIRITUALITY & AGING 2016. [DOI: 10.1080/15528030.2016.1193098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Gray RS, Hahn L, Thapsuwan S, Thongcharoenchupong N. Strength and stress: Positive and negative impacts on caregivers for older adults in Thailand. Australas J Ageing 2016; 35:E7-E12. [PMID: 26969906 PMCID: PMC5069609 DOI: 10.1111/ajag.12266] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Aim To understand the experiences of caregivers with older people living in Thailand, particularly as related to quality of life and stress management. Method In‐depth interviews with 17 family caregivers were conducted and then data were thematically analysed. Results Carers experience not only negative impacts but also positive impacts from caregiving. Negative impacts include emotional stress, financial struggles and worry due to lack of knowledge. Positive impacts include affection from care recipients, good relationships with caregivers before needing care themselves and encouragement from the wider community. Opportunities to show gratitude, build karma (from good deeds) and ideas shaped largely by Buddhist teachings result in positive experiences. Negotiating between the extremes of bliss and suffering and understanding suffering as a part of life may help carers manage their stress. Conclusions Temples and centres for older people could be engaged to develop caregiving programs.
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Affiliation(s)
| | - Laura Hahn
- Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.,Department of Sociology and Gerontology, Miami University, Oxford, Ohio, USA
| | - Sasinee Thapsuwan
- Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand
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Even-Zohar A. The Contribution of a "Supportive Community" Program for Older Persons in Israel to Their Offspring Who Are Primary Caregivers. Curr Gerontol Geriatr Res 2015; 2015:914543. [PMID: 26346881 PMCID: PMC4546745 DOI: 10.1155/2015/914543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Revised: 07/07/2015] [Accepted: 07/15/2015] [Indexed: 11/23/2022] Open
Abstract
The "supportive community" programs in Israel provide a basket of services for older persons living in their own homes. This study examined the differences between caregiver burden and quality of life of 55 offspring who were the primary caregivers of their older parents who were members of a supportive community, compared to 64 offspring whose parents were nonmembers. The findings showed that the role stress factor of caregiving burden was lower, and the psychological health domain of quality of life was higher among offspring whose parents were members of supportive communities. Some of the predictor variables of burden were income status of caregiver, sharing with others in caregiving, and membership of the parent in a supportive community. The primary predictor variable of the quality of life was caregiving burden. The practical conclusion of this study is to further develop and market supportive community programs in various communities.
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Affiliation(s)
- Ahuva Even-Zohar
- School of Social Work, Faculty of Social Sciences, Ariel University, 40700 Ariel, Israel
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