Family caregivers: Gender differences in adjustment to stroke survivors' mental changes.

Alexander, Tatjana; Wilz, Gabriele

doi:10.1037/a0019253

Cited by 30 publications

(26 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dès lors, le niveau élevé d'estime qu'elles accordent aux activités d'aide pourrait être envisagé en termes d'accommodation à l'environnement familial et social. En cela, nous rejoignons les conclusions d'études qui semblent établir que les aidants femmes s'ajusteraient mieux que les hommes aux troubles cognitifs et émotionnels des personnes victimes d'un AVC [31]. Les femmes retirent certes une satisfaction de l'aide prodiguée quotidiennement à autrui [32], mais est-ce le signe d'un trait constitutif du genre féminin ou plutôt une manière de réinterpréter positivement une situation [33] qu'elles ne peuvent pas changer ?…”

Section: Discussionunclassified

Prendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes

Bucki¹,

Spitz²,

Baumann³

2012

Santé Publique

View full text Add to dashboard Cite

Résumé : Deux ans après la survenue d'un accident vasculaire cérébral (AVC), les réactions émotionnelles des aidants informels hommes et femmes et leurs répercussions sociales et psychologiques ont été analysées. 62 dyades patient (64,4 ans) / aidant informel (59,3 ans) ont répondu à domicile à un questionnaire administré par un enquêteur : 1) déficiences résiduelles de l'AVC classées selon l'American Heart Association Stroke Outcome Classification ; 2) réactions émotionnelles du 'Caregiver Reaction Assessment' ; 3) évolution de la répartition des activités au sein du foyer familial. Les retombées de l'aide affectent davantage les femmes que les hommes sur l'état de santé, l'organisation de l'emploi du temps et le manque de soutien familial. Les femmes se sentent « fatiguées » (50 % vs 12,5 % des hommes), ne parviennent pas à « trouver du temps pour se détendre » (35,7% vs 6,3 %) et estiment que « les autres se sont déchargés sur elles » (35,7 % vs 11,8 %). Plus qu'avant la survenue de l'AVC, elles estiment assurer les responsabilités au sein du foyer (37,5 % vs 5,9 %). En revanche, les hommes déclarent « prendre plaisir à s'occuper » des patient-e-s (93,8 % vs 67,9 % chez les femmes) et organiser plus qu'avant des loisirs tels que les vacances (29 % vs 5,6 %) et les invitations d'amis (20,6 % vs 10,5 %). L'épuisement des aidants, en particulier des femmes, les définit aujourd'hui comme une « population à risque ». Des interventions comme le trialogue et le counseling devraient permettre aux professionnels de mieux répondre à leurs besoins.Mots-clés : Soutien informel -accident cérébrovasculaire -femme -homme. Summary:The objective of this study was to assess the emotional response to caregiving among stroke caregivers and to assess the social and psychological impact of strokes on households two years after the event. Questionnaires were administered to 62 patient (64.4 years old)/caregiver (59.3 years old) dyads. The survey focused on: 1) residual impairments, based on the American Heart Association Stroke Outcome Classification; 2) the Caregiver Reaction Assessment (CRA -24 items -5 dimensions); and 3) changes in the division of household tasks (seven items). Although male and female caregivers care for patients with similar residual impairments, the study found that female caregivers were more likely to be affected by the impact of caregiving on their health and schedule and by lack of family support. Women were more likely to feel "tired all the time" (50% vs. 12.5%), to struggle to "find time to relax" (35.7% vs. 6.3%) and to feel that "others dumped caring onto them" (35.7% vs. 11.8%). Since the onset of stroke, women had also taken on more responsibilities in the household (37.5% vs. 5.9%), while men were more likely to "enjoy caring" for patients (93.8% vs. 67.9%) and to have become more involved in organizing holidays (29% vs. 5.6%) and seeing friends (20.6% vs. 10.5%). Because of the high level of exhaustion, particularly among women, caregivers are a high-risk population for the healthcare system. In...

show abstract

Section: Discussionunclassified

Prendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes

Bucki¹,

Spitz²,

Baumann³

2012

Santé Publique

View full text Add to dashboard Cite

show abstract

“…Female spouses have previously been found to have an increased risk of burden and poorer outcome on several measures one year post stroke [28,45]. However, although female spouses indeed reported more symptoms of anxiety and depression shortly after a stroke occurred, some studies have found that men fare worse than women in later follow-up studies [46,47]. This may imply that female spouses adjust more successfully to the changes linked to their partners’ illness in time than do male spouses.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress in spouses of somatically Ill: longitudinal findings from The Nord-TrØndelag Health Study (HUNT)

Borren

Tambs

Gustavson

et al. 2014

Health Qual Life Outcomes

View full text Add to dashboard Cite

BackgroundStudies of caregiver burden and somatic illness tend to be based on relatively small, clinical samples. Longitudinal, population based studies on this topic are still scarce and little is known about the long-term impact of partner illness on spousal mental health in the general population. In this study we investigate whether spouses of partners who either have become somatically ill or cured from illness in an 11 year period - or who have long-term illness - have different mental health scores compared to spouses of healthy partners.MethodsApproximately 9000 couples with valid self-report data on a Global Mental Health (GMH) scale and somatic illness status were identified. The diagnoses stroke, angina pectoris, myocardial infarction and severe physical disability, were transformed into a dichotomous ‘any illness’-scale, and also investigated separately. Analyses of variance (ANOVA) stratified by sex were conducted with spousal GMH score at follow-up (1995–97, T2) as the outcome variable, adjusting for spousal GMH score at baseline (1984–86, T1) and several covariates.ResultsResults showed that male and female spouses whose partners had become somatically ill since T1 had significantly poorer mental health than partners in the reference category, comprising couples healthy at both time points. Further, female spouses of partners who had recovered from illness since T1 had significantly better mental health than controls. Of the somatic conditions, physical disability had the most significant contribution on spousal GMH, for both sexes, in addition to stroke on male spouses’ GMH. The effect sizes were small. Some of the loss of spousal mental health seems to be mediated by the ill persons’ psychological distress.ConclusionThe occurrence of partner illness during the follow-up period affect the mental health of spouses negatively, while partner recovery appeared to be associated with improved mental health scores for female spouses. Of the measured conditions, physical disability had the largest impact on spousal distress, but for some conditions the distress of the ill person mediated much of the loss of mental health among spouses.

show abstract

“…The psychosocial state of the patients may be more deeply affected as the duration of caregiving increases. [17,19] In our study, an association between the length of the daily period of caregiving and psychosocial indicators of the caregivers was analyzed, and a significant positive correlation was found between overall anxiety level and hours spent in caregiving.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have also found that depression increased as the duration of care increased, and that anxiety was greater among female caregivers. [16][17][18][19][20][21] Investigations performed related to the gender of caregivers have demonstrated that the caregiving burden is perceived differently by female caregivers. [21] In many cultures, including our culture, caregiving is considered a simple task that should be performed by a woman, an attitude that increases the caregiving burden of women and may weaken their self-confidence.…”

Section: Discussionmentioning

confidence: 99%

Anxiety, Depression And Burnout Levels In Caregivers Of Stroke Patients In A Rehabilitation Hospital

Sarı¹

2017

South Clin Ist Euras

View full text Add to dashboard Cite

Objective:The rehabilitation of stroke patients is work that requires a multi-faceted team, which includes the patients, physicians, nurses, psychologists, and caregivers. In this study, the purpose was to determine the level of anxiety, depression, and burnout in caregivers of stroke inpatients. Methods:In all, 72 caregivers who each care for 1 stroke patient were included in the study. The Beck Anxiety Inventory, the Beck Depression Inventory, and the Maslach Burnout Inventory were used to assess the level of anxiety, depression, and burnout in the study group. Results:The caregivers of stroke patients were found to have scores reflecting mild depression and mild anxiety. The burnout level evaluated in subdimensions of emotional exhaustion, desensitization, and personal accomplishment was at a normal level. Conclusion:The psychiatric component of stroke therapy and rehabilitation should not only be patient-oriented. Patient relatives, and particularly their caregivers, may need training and psychiatric support. A rehabilitation program that includes education and interactive group therapies could be very useful.

show abstract

Family caregivers: Gender differences in adjustment to stroke survivors' mental changes.

Cited by 30 publications

References 58 publications

Prendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes

Prendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes

Psychological distress in spouses of somatically Ill: longitudinal findings from The Nord-TrØndelag Health Study (HUNT)

Anxiety, Depression And Burnout Levels In Caregivers Of Stroke Patients In A Rehabilitation Hospital

Contact Info

Product

Resources

About