The Gerontologist, Vol 35, Issue 6 771-791, Copyright © 1995 by The Gerontological Society of America

REVIEWS

Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes

R Schulz, AT O'Brien, J Bookwala and K Fleissner
Department of Psychiatry, University of Pittsburgh, PA 15260, USA.

The dementia caregiving literature is reviewed with the goals of (a) assessing the prevalence and magnitude of psychiatric and physical morbidity effects among caregivers, (b) identifying individual and contextual correlates of reported health effects and their underlying causes, and (c) examining the policy relevance of observed findings. Virtually all studies report elevated levels of depressive symptomatology among caregivers, and those using diagnostic interviews report high rates of clinical depression and anxiety. The evidence is more equivocal and generally weaker for the association between caregiving and physical morbidity, such as self-rated health, number of illnesses, symptomatology, health care utilization, preventive health behaviors, and cardiovascular functioning. Across studies, psychiatric morbidity in caregivers was linked to patient problem behaviors, income, self-rated health, perceived stress, and life satisfaction. Physical morbidity was associated with patient problem behaviors and cognitive impairment, and with caregiver depression, anxiety, and perceived social support. Possible causes of reported effects and policy implications are discussed.

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				S. L. Hickenbottom, A. M. Fendrick, J. S. Kutcher, M. U. Kabeto, S. J. Katz, and K. M. Langa A national study of the quantity and cost of informal caregiving for the elderly with stroke Neurology, June 25, 2002; 58(12): 1754 - 1759. [Abstract] [Full Text] [PDF]

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				K. M. Langa, S. Vijan, R. A. Hayward, M. E. Chernew, C. S. Blaum, M. U. Kabeto, D. R. Weir, S. J. Katz, R. J. Willis, and A. M. Fendrick Informal Caregiving for Diabetes and Diabetic Complications Among Elderly Americans J. Gerontol. B. Psychol. Sci. Soc. Sci., May 1, 2002; 57(3): S177 - 186. [Abstract] [Full Text] [PDF]

				S. J. Czaja and M. P. Rubert Telecommunications Technology as an Aid to Family Caregivers of Persons With Dementia Psychosom Med, May 1, 2002; 64(3): 469 - 476. [Abstract] [Full Text] [PDF]

				I. Grant, K. A. Adler, T. L. Patterson, J. E. Dimsdale, M. G. Ziegler, and M. R. Irwin Health Consequences of Alzheimer's Caregiving Transitions: Effects of Placement and Bereavement Psychosom Med, May 1, 2002; 64(3): 477 - 486. [Abstract] [Full Text] [PDF]

				P. Dilworth-Anderson, I. C. Williams, and B. E. Gibson Issues of Race, Ethnicity, and Culture in Caregiving Research: A 20-Year Review (1980-2000) Gerontologist, April 1, 2002; 42(2): 237 - 272. [Abstract] [Full Text] [PDF]