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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				L. Burgio, A. Stevens, D. Guy, D. L. Roth, and W. E. Haley Impact of Two Psychosocial Interventions on White and African American Family Caregivers of Individuals With Dementia Gerontologist, August 1, 2003; 43(4): 568 - 579. [Abstract] [Full Text] [PDF]

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				L. Albinsson and P. Strang Differences in supporting families of dementia patients and cancer patients: a palliative perspective Palliative Medicine, June 1, 2003; 17(4): 359 - 367. [Abstract] [PDF]

				E. Matteau, P. Landreville, L. Laplante, and C. Laplante Disruptive vocalizations: A means to communicate in dementia? American Journal of Alzheimer's Disease and Other Dementias, May 1, 2003; 18(3): 147 - 153. [Abstract] [PDF]

				S. Zank and C. Schacke Science Is A Matter of Cumulative Learning: Authors' Reply to the Commentary J. Gerontol. B. Psychol. Sci. Soc. Sci., May 1, 2003; 58(3): P197 - 199. [Full Text] [PDF]

				G. T. Grossberg and A. K. Desai Management of Alzheimer's Disease J. Gerontol. A Biol. Sci. Med. Sci., April 1, 2003; 58(4): M331 - 353. [Full Text] [PDF]

				L. C. Burton, B. Zdaniuk, R. Schulz, S. Jackson, and C. Hirsch Transitions in Spousal Caregiving Gerontologist, April 1, 2003; 43(2): 230 - 241. [Abstract] [Full Text] [PDF]