The enduring and contextual effects of physical health and depression on care‐dyad mutuality

Lyons, Karen S.; Sayer, Aline G.; Archbold, Patricia G.; Hornbrook, Mark C.; Stewart, Barbara J.

doi:10.1002/nur.20165

Cited by 67 publications

(85 citation statements)

References 55 publications

(69 reference statements)

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“…The advantages of such models for the examination of dyadic data and time-varying covariates have been well described. 34,35 Three longitudinal dyad models were tested for each QOL domain (ie, physical, psychological, social, and environmental) using Hierarchical Linear Modeling v7 (Skokie, IL). 36 The first model was an unconditional (ie, no covariates included) linear model of QOL within dyads over time, which estimates the population averages of QOL for both survivors and caregivers (fixed effects), the interdependence between QOL of members of the survivor-caregiver dyad (tau correlations), and the variability around average trajectories of QOL for both members (random effects).…”

Section: Discussionmentioning

confidence: 99%

Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke

Pucciarelli

Vellone

Savini

et al. 2017

Stroke

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111

115

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Background and Purpose-The purpose of this study was to examine changes in stroke survivor and caregiver quality of life (QOL) and to determine whether changes in survivor physical functioning and caregiver burden (ie, the impact of the physical, psychological, and social demands of caregiving) influence changes in QOL. Methods-Longitudinal design with 226 stroke survivor-caregiver dyads enrolled at survivor discharge from rehabilitation hospitals. Data collection was performed over 12 months. We measured survivor physical functioning, caregiver burden, and QOL (physical, psychological, social, and environmental) in both survivor and caregiver. Multilevel modeling was used to control for the interdependence of the data. Results-Survivors (50% male sex) and caregivers (66% female sex) were 70.8 (SD=11.9) and 52.4 (SD=13.1) years old, respectively. Over the 12 months, stroke survivor's physical (γ=1.59; P<0.001) and psychological (γ=0.86; P<0.05) QOL significantly improved; social and environmental QOL did not P>0.05. Caregiver QOL, on average, did not significantly change over time P>0.05. Improvements in survivor physical functioning were associated with increases in survivor and caregiver physical and psychological QOL and survivor environmental QOL. Decreases in caregiver burden were significantly associated with improvements in caregiver physical, psychological, and environmental QOL but not with survivor QOL. Conclusions-QOL of stroke survivors and caregivers covaries and is greatly impacted by the physical function changes of the survivor. Dyadic approaches to stroke rehabilitation that acknowledge the interdependence of dyads are needed.

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Section: Discussionmentioning

confidence: 99%

Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke

Pucciarelli

Vellone

Savini

et al. 2017

Stroke

Self Cite

111

115

View full text Add to dashboard Cite

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“…A 5-point response format is used, ranging from 0 = not at all to 4 = a great deal. The relationship between worsening health and declining mutuality with a family caregiver in older adults over 20 months provides evidence for construct validity of the original Mutuality Scale and highlights its relevance for this study of cancer survivors (Lyons, Sayer, Archbold, Hornbrook, & Stewart, 2007). In previous caregiving research with Caucasians and African Americans, Cronbach's alpha was .90 to .95.…”

Section: Instrumentsmentioning

confidence: 95%

Coping Strategies of African American Head and Neck Cancer Survivors

Agarwal

Hamilton²,

Crandell

et al. 2010

Journal of Psychosocial Oncology

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A cross-sectional study was conducted with 50 African American head and neck cancer survivors. Common coping strategies were identified and examined in relation with quality of life and relationship well-being. Coping through support from God, seeking emotional support from family and friends, and helping others were the most commonly used strategies. Having emotional support, being strong and self-reliant, and engaging in distracting activities with family and friends had strongest associations with quality of life. Coping through emotional support, help from God, assistance from one's church family to maintain religious practices, helping others, and engaging in distracting activities with others was more strongly associated with relationship well-being. Future intervention studies should consider these strategies and their possible impact on the physical, psychological, and relationship well-being of this population.

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“…In dementia care dyads, studies have evaluated such cross-partner dyadic outcomes as mutuality (Archbold, Stewart, Greenlick, & Harvath, 1990;Lyons, Sayer, Archbold, Hornbrook, & Stewart, 2007) and communality (Williamson, Shaffer, & Schulz, 1998) in the relationship. Each of these concepts is relationship-oriented and would be susceptible to contributions both from within the individual and from the partner.…”

Section: Classifying Outcomes Related To Dementia Caregivers' Stress mentioning

confidence: 99%

A Model of Consequences of Dementia Caregivers’ Stress Process: Influence on Behavioral Symptoms of Dementia and Caregivers’ Behavior-Related Reactions

Campbell¹

2009

Res Theory Nurs Pract

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The purpose of this article is to extend the Schultz and Martire Caregiver Stress-Health Model by explaining consequences of the stress process beyond those related to health in dementia caregivers, including consequences for caregivers and the dyadic unit, and to highlight the dynamic that exists between caregivers' stress, behavioral symptoms of dementia, and behavior-related reactions of caregivers. The relevant literature is reviewed, establishing the pervasive effects of caregivers' stress within a care dyad. Primary informal caregivers play a predominant role in managing environmental stimuli and providing for needs, in particular adjusting their own approaches and demeanor to enhance the care environment. Thus, behavioral symptoms of dementia and the behavior-related reactions of caregivers are conceptualized as a dyadic consequence of the caregivers' stress process. This model presents an extended view of the consequences of caregivers' stress and provides a more holistic, dyadic approach to the issues these vulnerable dyads face. Behavioral symptoms of dementia and behavior-related reactions are seen as amenable to caregiver- or dyad-directed interventions that target stress reduction. This conceptualization may provide support for research, clinical, or policy initiatives that include caregiver-directed or dyadic interventions for these important behavior-related outcomes.

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The enduring and contextual effects of physical health and depression on care‐dyad mutuality

Cited by 67 publications

References 55 publications

Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke

Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke

Coping Strategies of African American Head and Neck Cancer Survivors

A Model of Consequences of Dementia Caregivers’ Stress Process: Influence on Behavioral Symptoms of Dementia and Caregivers’ Behavior-Related Reactions

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