Predictors of caregiver distress among spouses, adult children living with the person with dementia, and adult children not living with the person with dementia

Psychogeriatrics. 2020 Sep;20(5):594-601. doi: 10.1111/psyg.12553. Epub 2020 May 10.

Abstract

Aim: The caregiving situation differs according to the type of relationship between the patient caregiver, and among dementia caregivers, living with the person with dementia can contribute to caregiver distress. This study aimed to identify the predictors of caregiver distress based on caregiver profile: spouse, adult child living with the person with dementia, and adult child not living with the person with dementia.

Method: In total, 213 caregivers participated in this study. Their responses to questionnaires helped identify the positive and negative implications of the caregiving situation and the level of caregiver distress. The analyses consisted of univariate and multiple linear regression models using a forward method.

Results: Based on the standardized beta scores, the variables that are the most significant in predicting spouse caregiver distress are the impact on health and impact on schedule. The variable that is the most significant in predicting the distress of adult child caregivers living with the person with dementia is the impact on health. The variables that are the most significant in predicting the distress of adult child caregivers not living with the person with dementia are the impact on health, impact on schedule, and impact on finances.

Conclusion: The results make it possible to consider different approaches to providing support, including evaluating the health of all caregivers, giving guidance on accepting help and focusing caregivers' actions on their values for spouse caregivers, providing family mediation for adult child caregivers living with the person with dementia, and offering information and assistance on the available aids for adult child caregivers not living with the person with dementia.

Keywords: caregiver; dementia; distress.

MeSH terms

  • Adult
  • Adult Children*
  • Caregivers* / psychology
  • Dementia* / nursing
  • Humans
  • Spouses
  • Surveys and Questionnaires