Family functioning is associated with depressive symptoms in caregivers of acute stroke survivors.

Abstract:

OBJECTIVE:To determine whether family functioning is uniquely associated with caregiver depressive symptoms in the immediate aftermath of stroke. DESIGN:Cross-sectional data from the baseline assessment of an intervention study for stroke survivors and their families. SETTING:Neurology inpatient service of a large urban hospital. PARTICIPANTS:Stroke survivors (n=192), each with a primary caregiver. The mean age of stroke survivors was 66 years, and most, 57%, were men (n=110). The mean age of caregivers was 57 years, and 73% (n=140) of the caregivers were women. Eighty-five percent of caregivers were white. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Measures were chosen to assess caregivers' depressive symptoms (Centers for Epidemiologic Studies Depression Scale), family functioning (Family Assessment Device), and additional factors such as health status (Medical Outcomes Study 36-Item Short-Form Health Survey) and stroke survivors' cognitive abilities (modified Mini-Mental State Examination) and functional impairments (FIM and Frenchay Activities Index). RESULTS:Depressive symptoms were mild to moderate in 14% and severe in 27% of caregivers. Family functioning was assessed as unhealthy in 34% of caregiver-patient dyads. In statistical regression models, caregiver depression was associated with patients' sex, caregivers' general health, and family functioning. CONCLUSIONS:Forty-one percent of caregivers experienced prominent depressive symptoms after their family member's stroke. Higher depression severity in caregivers was associated with caring for a man, and having worse health and poor family functioning. After stroke, the assessment of caregivers' health and family functioning may help determine which caregivers are most at risk for a depressive syndrome.

journal_name

Arch Phys Med Rehabil

authors

Epstein-Lubow GP,Beevers CG,Bishop DS,Miller IW

doi

10.1016/j.apmr.2008.12.014

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

947-55

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(09)00157-9

journal_volume

90

pub_type

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