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Depressive symptoms in caregivers immediately after stroke
| Content Provider | Scilit |
|---|---|
| Author | Byun, Eeeseung Evans, Lois Sommers, Marilyn Tkacs, Nancy Riegel, Barbara |
| Copyright Year | 2019 |
| Description | Background: Caregivers of stroke survivors often suffer depressive symptoms that interfere with their own health. Early recognition may lead to attenuation of symptoms and better health and well-being for caregivers. Objective: We examined characteristics of caregivers and stroke survivors associated with caregivers' depressive symptoms in the early poststroke period. Methods: We conducted a prospective, longitudinal exploratory observational study with a convenience sample of 63 caregivers of older adult (≥ 65 years) stroke survivors recruited from urban acute-care settings. We enrolled caregivers by 2 weeks poststroke (T1) and revisited them 4 weeks later (T2). Depressive symptoms were measured using the Patient Health Questionnaire-9. A separate unadjusted linear mixed model was computed to explore significant associations between each caregiver or stroke-survivor characteristic and depressive symptoms. Results: Caregivers, on average, reported mild depressive symptoms at T1 and T2. Each of the following characteristics was independently associated with caregiver depressive symptoms over the first 6 weeks poststroke: caregiver uncertainty (p < 0.001), perceived stress (p < 0.001) but not cortisol levels (p = 0.858 on waking, p = 0.231 evening), coping (p < 0.001), social support (p = 0.006), race (p = 0.022), income (p = 0.001), time spent on care (p = 0.039), and stroke-survivor race (p = 0.033) and functional status (p = 0.003). At T2, caregiver depressive symptoms were correlated with evening cortisol level (p = 0.001). Conclusions: Caregiver and stroke-survivor characteristics may help identify caregivers at highest risk for early depressive symptoms and guide interventions aimed at their resolution. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6675402/pdf |
| Ending Page | 194 |
| Page Count | 8 |
| Starting Page | 187 |
| ISSN | 10749357 |
| e-ISSN | 19455119 |
| DOI | 10.1080/10749357.2019.1590950 |
| Journal | Topics in Stroke Rehabilitation |
| Issue Number | 3 |
| Volume Number | 26 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2019-04-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Topics in Stroke Rehabilitation Psychiatry and Mental Health Caregivers Coping Cortisol Depression Depressive Symptoms Stroke Stress Uncertainty |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Neurology (clinical) Community and Home Care |
