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Depression in frail elders: impact on family caregivers

✍ Scribed by Maida J. Sewitch; Jane McCusker; Nandini Dendukuri; Mark J. Yaffe

Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
97 KB
Volume
19
Category
Article
ISSN
0885-6230

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✦ Synopsis

Abstract

Objectives

To examine the relationship between depression among medically ill, frail elders and family caregivers' hours of care, health status, and quality of life.

Design and Methods

A cross‐sectional study of 193 family caregivers of seniors treated in the emergency department (ED) was conducted. Measures included patient depression (Geriatric Depression Scaleβ€”15), and caregivers' hours of care, mental health and physical functioning (SF‐36), and quality of life (EQ‐5D).

Results

Mean caregiver age was 60.0 ± 16.1 years and 70.5% were female. More caregivers of depressed seniors provided more care in the previous month (37.3% vs 22.4%, p = 0.03), had poor mental health (63.5% vs 47.0%, p = 0.03), and poor perceived quality of life (63.5% vs 50.4%, p = 0.04) compared to caregivers of non‐depressed seniors. Multiple logistic regression analyses indicated that patient depression was associated with poor caregiver quality of life (OR = 3.15, 95% CI 1.48, 6.73), and poor mental health in spousal and adult child caregivers (OR = 2.72, 95% CI = 0.88, 8.39, and OR = 3.29, 95% CI = 1.10, 9.86, respectively).

Conclusions

Psychosocial support may be needed for caregivers of depressed seniors. Copyright Β© 2004 John Wiley & Sons, Ltd.

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