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Journal of Aging and Health
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Depression and Health in Family Caregivers

Adaptation over Time

Carol J. Wehilatch, PhD

The Benjamin Rose Institute

Lynn Friss Feinberg, MSW

Family Caregiver Alliance, San Francisco

Douglas S. Sebesta, PhD

Family Caregiver Alliance, San Francisco

This study examined the predictors of caregiver depression and "adaptation" over time in a sample of 202 family caregivers of cognitively impaired adults. By examining caregiver adaptation (i.e., a caregiver's ability to adjust psychologically to the demands of providing long-term in-home care), we were able to account for initial levels of depression, regression to the mean, and floor and ceiling effects. Results indicated that the strongest predictors of caregiver depression 1 year after baseline were initial levels of depression, worsening of caregiver subjective physical health status and burden, and short-term use of in-home respite assistance. These findings suggest that caregivers who experience deterioration in levels of physical health and burden and who use in-home respite on a short-term or spoadic basis may be especially vulnerable to the chronic stress of providing long-term in-home care.

Journal of Aging and Health, Vol. 9, No. 2, 222-243 (1997)
DOI: 10.1177/089826439700900205


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