0 55

Cited 0 times in

Depressive Symptom Trajectories in Family Caregivers of Stroke Survivors During First Year of Caregiving

Authors
 Misook L Chung  ;  Suk Jeong Lee  ;  Youn-Jung Son  ;  Jennifer L Miller  ;  Rosemarie B King 
Citation
 JOURNAL OF CARDIOVASCULAR NURSING, Vol.36(3) : 254-262, 2021-05,06 
Journal Title
JOURNAL OF CARDIOVASCULAR NURSING
ISSN
 0889-4655 
Issue Date
2021-05
MeSH
Aftercare ; Caregivers ; Depression* / epidemiology ; Depression* / etiology ; Family ; Humans ; Patient Discharge ; Stroke* ; Survivors
Abstract
Background: The purpose of this study was to identify patterns of depressive symptom trajectory and examine the associations of the symptom trajectory with caregiving burden, family function, social support, and perceived health status of caregivers of stroke survivors during the first year of caregiving after discharge from rehabilitation center.

Methods: Caregivers of stroke survivors completed a survey of depressive symptoms, caregiving burden, family function, perceived availability of social support, and perceived health status at postdischarge and 1 year. Patterns of depressive symptom trajectory (ie, symptom-free, symptom relieved, symptom developed, and persistent symptom groups) were identified by grouping depressive symptoms based on 2 assessments using the Center for Epidemiologic Studies-Depression. Repeated-measures analysis of variance and multinomial logistic regression were used to examine the associations.

Results: Of the 102 caregivers, 57.8% were symptom-free, 20.6% experienced persistent depressive symptoms, 11.8% relieved depressive symptoms, and 9.8% developed depressive symptoms. There were significant changes in family function (Wilks λ = 0.914, P = .038) and perceived health status (Wilks λ = 0.914, P = .033) among the groups during the first year of caregiving. The persistent symptom group reported the highest level of burden and the lowest level of family function and perceived availability of social support at both assessment times. Compared with symptom-free caregivers, caregivers with persistent depressive symptoms were 7 times more likely to have fair/poor health rather than excellent/very good health at 1 year (odds ratio, 7.149; P = .012).

Conclusion: Caregivers with persistent depressive symptoms are the most vulnerable to negative psychosocial outcomes and poor perceived health status during the first year of caregiving from discharge for stroke survivors.
Full Text
https://journals.lww.com/jcnjournal/Fulltext/2021/05000/Depressive_Symptom_Trajectories_in_Family.11.aspx
DOI
10.1097/JCN.0000000000000773
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190952
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links