Preventive Health Behaviors among Spousal Caregivers

Burton, Lynda; Newsom, Jason T.; Schulz, Richard; Hirsch, Calvin H.; German, Pearl S.

doi:10.1006/pmed.1996.0129

Cited by 244 publications

(209 citation statements)

References 34 publications

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“…108 The poor physical health of caregivers with chronic strain from providing care to a relative with dementia has been associated with adverse changes in health risk behaviors, such as smoking, alcohol consumption, and the use of prescription drugs, 109 and with getting inadequate rest, lack of exercise, and forgetting to take prescription drugs to manage their own health conditions. 110,111 It remains unknown, however, whether cancer caregivers at this phase also would display increases in unhealthy behaviors.…”

Section: Middle-to Long-term Survivorship Phase With Remissionmentioning

confidence: 99%

Quality of life of family caregivers of cancer survivors

Kim

Given

2008

Cancer

394

342

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Objective: The aim of this pilot study was to determine whether early atorvastatin treatment will reduce left ventricle (LV) remodeling, infarct size, and improve microvascular perfusion. Background: In animal studies, early statin therapy reduces reperfusion injury after a percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Methods: Forty‐two consecutive patients (82% male, mean age 61.2 ± 9.8) who underwent a primary PCI for a first ST‐elevated AMI were randomized for pretreatment with atorvastatin 80 mg (n = 20) or placebo (n = 22) and continued with the same dosage daily for 1 week. All patients received atorvastatin 80 mg once daily 7 days after primary PCI. The LV function and infarct size were measured by magnetic resonance imaging within 1 day, at 1 week, and 3 months follow up. The primary endpoint was the end‐systolic volume index (ESVI) at 3 months. Secondary endpoints were global LV function measurements, myocardial infarct size, biochemical cardiac markers, TIMI flow, and ST‐T elevation resolution. Results: ESVI 3 months after AMI was 25.1 mL/m2 in the atorvastatin arm and 25.0 mL/m2 in the placebo arm (P = 0.74). The differences in change from baseline to 3 months follow up in global LV function and myocardial infarct size did not differ between both treatment arms. Furthermore, biochemical markers, TIMI flow, and ST‐T elevation resolution did not differ between atorvastatin and placebo arm. Conclusions: In this pilot study, pretreatment with atorvastatin in an acute myocardial infarction does not result in an improved cardiac function, microvascular perfusion, or decreased myocardial infarct size. © 2012 Wiley Periodicals Inc.

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Section: Middle-to Long-term Survivorship Phase With Remissionmentioning

confidence: 99%

Quality of life of family caregivers of cancer survivors

Kim

Given

2008

Cancer

394

342

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“…One caregiver emphasised the difficulties in monitoring their own wellbeing when dedicating much of the time to support the other person; "I am so emotionally and physically drained I haven't actually time to think about myself". Caregivers are more likely to experience inadequate sleep, self-care, nutrition and physical exercise [21][22][23] . ICT should also target these issues and help caregivers adapt to the changing situation.…”

Section: Previous Educational Researchmentioning

confidence: 99%

Identifying opportunities for supporting caregivers of persons with dementia through information and communication technology

McHugh¹,

Wherton²,

Prendergast³

et al. 2013

Gerontechnology

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“…The Health Risk Behavior Scale (Burton et al, 1997) assessed behavioral health risks of caregiving (e.g., eating less than 3 meals a day, not getting enough rest, forgetting to take medications, missing doctors' appointments). This 9-item measure correlates with perceptions of general health (Ware and Sherbourne, 1992), and demonstrated good internal consistency reliability in the present study (Cronbach's α = 0.80).…”

Section: Measures Of Stress and Coping: Criterion Variables For Clustmentioning

confidence: 99%

Caregiver Burden and Health in Bipolar Disorder

Perlick

Rosenheck²,

Miklowitz³

et al. 2008

Journal of Nervous &Amp; Mental Disease

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To identify caregivers at risk for adverse health effects associated with caregiving, the stress, coping, health and service use of 500 primary caregivers of patients with bipolar disorder were assessed at baseline, 6, and 12 months. K-means cluster analysis and ANOVA identified and characterized groups with differing baseline stress/coping profiles. Mixed effects models examined the effects of cluster, time, and covariates on health outcomes. Three groups were identified. Burdened caregivers had higher burden and avoidance coping levels, and lower mastery and social support than effective and stigmatized caregivers; stigmatized caregivers reported the highest perceived stigma (p < 0.05). Effective and stigmatized groups had better health outcomes and less service use than the burdened group over time; stigmatized caregivers had poorer selfcare than effective caregivers. Cluster analysis is a promising method for identifying subgroups of caregivers with different stress and coping profiles associated with different health-related outcomes. Copyright Caring for a relative with bipolar disorder poses both objective burdens such as increased expenditure of time and money, and emotional burdens such as worry, tension, and grief (Chakrabarti and Gill, 2002;Fadden et al., 1987;Perlick et al., 1999;Reinares and Vieta, 2004). Perlick et al. (2001) found that 93% of caregivers of patients with bipolar disorder reported a moderate or higher degree of caregiving strain when their relative was admitted to a psychiatric facility, and that 70% continued to report moderate or higher burden 15 months later.In addition to its impact on quality of life, caregiving strain has been associated with compromised health and mental health among caregivers of patients with major affective and other chronic mental disorders. For example, caregivers who report high levels of caregiving strain also report experiencing poorer general health and a higher number of chronic medical conditions relative to the general population (Gallagher and Mechanic, 1996), as well as increased primary care visits (Perlick et al., 2005), more sleep problems (Perlick et al., 2007), greater use of psychotropic drugs such as tranquilizers and antidepressants (Dyck et al., 1999), and increased risk of medical hospitalization (Gallagher and Mechanic, 1996). Finally, studies have shown that high levels of caregiving strain are associated with clinically significant levels of depressive symptoms (Coyne et al., 1987;Dyck et al., 1999;Struening et al., 1995).The causal links between caregiving strain, adverse health effects and increased service use have not been clearly elucidated. Studies have demonstrated an association between various forms of psychological stress and health complaints and/or use of primary care services (e.g., Katon, 1984;Olfson and Klerman, 1992;Salovey et al., 2000), and studies among caregivers have suggested that those who experience high levels of strain are low in coping self-efficacy or employ less effective coping strategies, whi...

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Preventive Health Behaviors among Spousal Caregivers

Cited by 244 publications

References 34 publications

Quality of life of family caregivers of cancer survivors

Quality of life of family caregivers of cancer survivors

Identifying opportunities for supporting caregivers of persons with dementia through information and communication technology

Caregiver Burden and Health in Bipolar Disorder

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