Task difficulty and life changes among stroke family caregivers: Relationship to depressive symptoms

Susan M. McLennon, Tamilyn Bakas, Nenette M. Jessup, Barbara Habermann, Michael T. Weaver

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objectives: To investigate differences in stroke caregiver task difficulty and life changes based on level of caregiver depressive symptoms, and to estimate probabilities among task difficulty and life change items. Design: Descriptive analysis of baseline data from an ongoing stroke caregiver intervention trial. Setting: Hospitals and rehabilitation facilities. Participants: Caregivers (N=242; 78.6% women; 47.7% spouses; 71.8% white; mean age, 54.2±12.1y) caring for stroke survivors within 8 weeks of discharge to home. Interventions: Not applicable. Main Outcome Measures: Baseline measures for task difficulty (Oberst Caregiving Burden Scale) and life changes (Bakas Caregiving Outcomes Scale) were compared based on level of depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] scores <5 means no depressive symptoms; n=126; PHQ-9 scores ≥5 means mild to severe depressive symptoms, n=116). Mean scores were analyzed using general linear modeling, with item analyses using logistic regression and the Benjamini-Hochberg method to control type I error inflation. Results: Caregivers with mild to severe depressive symptoms have greater difficulty with tasks and worse life changes than those with no depressive symptoms (P<.001). Odds ratios were highest for the task of arranging care while away and for negative life changes (eg, addressing self-esteem, coping with stress, physical health). Conclusions: Findings underscore the importance of depressive symptom screening for stroke caregivers during or shortly after discharge. Assisting caregivers with depressive symptoms to arrange for respite care and addressing negative physical and psychological changes may be priority areas for future interventions.

Original languageEnglish (US)
Pages (from-to)2484-2490
Number of pages7
JournalArchives of physical medicine and rehabilitation
Volume95
Issue number12
DOIs
StatePublished - Jan 1 2014

Fingerprint

Caregivers
Stroke
Depression
Health
Respite Care
Economic Inflation
Spouses
Self Concept
Survivors
Rehabilitation
Logistic Models
Odds Ratio
Outcome Assessment (Health Care)
Psychology

Keywords

  • Caregivers
  • Depressive disorder
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Task difficulty and life changes among stroke family caregivers : Relationship to depressive symptoms. / McLennon, Susan M.; Bakas, Tamilyn; Jessup, Nenette M.; Habermann, Barbara; Weaver, Michael T.

In: Archives of physical medicine and rehabilitation, Vol. 95, No. 12, 01.01.2014, p. 2484-2490.

Research output: Contribution to journalArticle

McLennon, Susan M. ; Bakas, Tamilyn ; Jessup, Nenette M. ; Habermann, Barbara ; Weaver, Michael T. / Task difficulty and life changes among stroke family caregivers : Relationship to depressive symptoms. In: Archives of physical medicine and rehabilitation. 2014 ; Vol. 95, No. 12. pp. 2484-2490.
@article{af5d390d4fce487684b4683dd3909af1,
title = "Task difficulty and life changes among stroke family caregivers: Relationship to depressive symptoms",
abstract = "Objectives: To investigate differences in stroke caregiver task difficulty and life changes based on level of caregiver depressive symptoms, and to estimate probabilities among task difficulty and life change items. Design: Descriptive analysis of baseline data from an ongoing stroke caregiver intervention trial. Setting: Hospitals and rehabilitation facilities. Participants: Caregivers (N=242; 78.6{\%} women; 47.7{\%} spouses; 71.8{\%} white; mean age, 54.2±12.1y) caring for stroke survivors within 8 weeks of discharge to home. Interventions: Not applicable. Main Outcome Measures: Baseline measures for task difficulty (Oberst Caregiving Burden Scale) and life changes (Bakas Caregiving Outcomes Scale) were compared based on level of depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] scores <5 means no depressive symptoms; n=126; PHQ-9 scores ≥5 means mild to severe depressive symptoms, n=116). Mean scores were analyzed using general linear modeling, with item analyses using logistic regression and the Benjamini-Hochberg method to control type I error inflation. Results: Caregivers with mild to severe depressive symptoms have greater difficulty with tasks and worse life changes than those with no depressive symptoms (P<.001). Odds ratios were highest for the task of arranging care while away and for negative life changes (eg, addressing self-esteem, coping with stress, physical health). Conclusions: Findings underscore the importance of depressive symptom screening for stroke caregivers during or shortly after discharge. Assisting caregivers with depressive symptoms to arrange for respite care and addressing negative physical and psychological changes may be priority areas for future interventions.",
keywords = "Caregivers, Depressive disorder, Rehabilitation, Stroke",
author = "McLennon, {Susan M.} and Tamilyn Bakas and Jessup, {Nenette M.} and Barbara Habermann and Weaver, {Michael T.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1016/j.apmr.2014.04.028",
language = "English (US)",
volume = "95",
pages = "2484--2490",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "12",

}

TY - JOUR

T1 - Task difficulty and life changes among stroke family caregivers

T2 - Relationship to depressive symptoms

AU - McLennon, Susan M.

AU - Bakas, Tamilyn

AU - Jessup, Nenette M.

AU - Habermann, Barbara

AU - Weaver, Michael T.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objectives: To investigate differences in stroke caregiver task difficulty and life changes based on level of caregiver depressive symptoms, and to estimate probabilities among task difficulty and life change items. Design: Descriptive analysis of baseline data from an ongoing stroke caregiver intervention trial. Setting: Hospitals and rehabilitation facilities. Participants: Caregivers (N=242; 78.6% women; 47.7% spouses; 71.8% white; mean age, 54.2±12.1y) caring for stroke survivors within 8 weeks of discharge to home. Interventions: Not applicable. Main Outcome Measures: Baseline measures for task difficulty (Oberst Caregiving Burden Scale) and life changes (Bakas Caregiving Outcomes Scale) were compared based on level of depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] scores <5 means no depressive symptoms; n=126; PHQ-9 scores ≥5 means mild to severe depressive symptoms, n=116). Mean scores were analyzed using general linear modeling, with item analyses using logistic regression and the Benjamini-Hochberg method to control type I error inflation. Results: Caregivers with mild to severe depressive symptoms have greater difficulty with tasks and worse life changes than those with no depressive symptoms (P<.001). Odds ratios were highest for the task of arranging care while away and for negative life changes (eg, addressing self-esteem, coping with stress, physical health). Conclusions: Findings underscore the importance of depressive symptom screening for stroke caregivers during or shortly after discharge. Assisting caregivers with depressive symptoms to arrange for respite care and addressing negative physical and psychological changes may be priority areas for future interventions.

AB - Objectives: To investigate differences in stroke caregiver task difficulty and life changes based on level of caregiver depressive symptoms, and to estimate probabilities among task difficulty and life change items. Design: Descriptive analysis of baseline data from an ongoing stroke caregiver intervention trial. Setting: Hospitals and rehabilitation facilities. Participants: Caregivers (N=242; 78.6% women; 47.7% spouses; 71.8% white; mean age, 54.2±12.1y) caring for stroke survivors within 8 weeks of discharge to home. Interventions: Not applicable. Main Outcome Measures: Baseline measures for task difficulty (Oberst Caregiving Burden Scale) and life changes (Bakas Caregiving Outcomes Scale) were compared based on level of depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] scores <5 means no depressive symptoms; n=126; PHQ-9 scores ≥5 means mild to severe depressive symptoms, n=116). Mean scores were analyzed using general linear modeling, with item analyses using logistic regression and the Benjamini-Hochberg method to control type I error inflation. Results: Caregivers with mild to severe depressive symptoms have greater difficulty with tasks and worse life changes than those with no depressive symptoms (P<.001). Odds ratios were highest for the task of arranging care while away and for negative life changes (eg, addressing self-esteem, coping with stress, physical health). Conclusions: Findings underscore the importance of depressive symptom screening for stroke caregivers during or shortly after discharge. Assisting caregivers with depressive symptoms to arrange for respite care and addressing negative physical and psychological changes may be priority areas for future interventions.

KW - Caregivers

KW - Depressive disorder

KW - Rehabilitation

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=84927910468&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927910468&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2014.04.028

DO - 10.1016/j.apmr.2014.04.028

M3 - Article

C2 - 24858447

AN - SCOPUS:84927910468

VL - 95

SP - 2484

EP - 2490

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 12

ER -