Swallowing Impairments Increase Emotional Burden in Spousal Caregivers of Older Adults

J Appl Gerontol. 2020 Feb;39(2):172-180. doi: 10.1177/0733464818821787. Epub 2019 Jan 9.

Abstract

Objective: The aim of this study was to determine the type and extent of caregiver burden uniquely experienced by spousal caregivers of older adults with dysphagia. Method: Using the Round 1 surveys from the National Health and Aging Trends Study and the National Study of Caregiving, we analyzed data on 422 community-dwelling older adults and their spousal caregivers. Results: Approximately 17% of care recipients reported swallowing difficulties. Logistic regression analysis revealed that caregivers of spouses with dysphagia were significantly more likely to experience emotional burden, p = .038; odds ratio (OR) = 2.06; 95% confidence interval (CI): [1.04, 4.09]. Of those spouses caring for partners with dysphagia who reported emotional burden, nearly 70% rated the burden moderate to severe. Discussion: Dysphagia in community-dwelling older adults is associated with increased emotional burden among spousal caregivers. Given the intricate relationship between the health and well-being of both members of the caregiving dyad, these findings support the need for interventions that prioritize dyadic health.

Keywords: National Health and Aging Trends Study; caregiver burden; deglutition; dysphagia; family caregiving.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregiver Burden / epidemiology*
  • Caregivers / psychology*
  • Cross-Sectional Studies
  • Deglutition Disorders / complications
  • Deglutition Disorders / psychology*
  • Deglutition Disorders / therapy
  • Emotions
  • Female
  • Humans
  • Independent Living
  • Logistic Models
  • Male
  • Middle Aged
  • Spouses / psychology*
  • Surveys and Questionnaires
  • United States