Transition to home care after stroke: Depression, physical health, and adaptive processes in support persons

King, Rosemarie B.; Carlson, Carolyn E.; Shade-Zeldow, Yvonne; Bares, Kimberly K.; Roth, Elliot J.; Heinemann, Allen W.

doi:10.1002/nur.1032

Cited by 78 publications

(91 citation statements)

References 53 publications

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“…As stroke patients may not be able to assess their HRQL, proxy raters are often used in studies of stroke [6]. A high prevalence of depression was estimated among stroke caregivers (34%e52%) [11], which has been associated with the emotional and physical demands of caregiving [12]. As links between emotional distress and pain have been identified [13], caregivers of patients recovering from stroke may be at risk of developing symptoms of pain as well as depression.…”

Section: Introductionmentioning

confidence: 99%

Pain and depression in caregivers affected their perception of pain in stroke patients

Hung

Pickard

Witt

et al. 2007

Journal of Clinical Epidemiology

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Section: Introductionmentioning

confidence: 99%

Pain and depression in caregivers affected their perception of pain in stroke patients

Hung

Pickard

Witt

et al. 2007

Journal of Clinical Epidemiology

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“…In addition to the objective burden variables discussed before, caregiver subjective burden is potentially associated with patient’s age, gender, disability in ADL, general health status and residential location; with caregiver’s age, gender and general health status, and with the relationship between patient and caregiver [18, 22, 23, 25, 29, 30]. Patient’s disability in ADL was assessed using the Barthel Index (BI) [31].…”

Section: Methodsmentioning

confidence: 99%

Burden of Informal Caregiving for Stroke Patients

et al. 2005

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Background: We assessed the objective and subjective burden of caregiving for stroke patients and investigated which characteristics of the patient, the informal caregiver and the objective burden contribute most to subjective burden and to the condition of feeling substantially burdened. Methods: We studied a sample of 151 stroke survivors and their primary informal caregivers. We collected data through patient and caregiver interviews 6 months after stroke. Results: Both the level of subjective burden and the condition of feeling substantially burdened were associated with both caregiver’s and patient’s health-related quality of life, patient’s age, and the number of caregiving tasks performed. Conclusions: These conditions can be used in clinical practice to identify potentially vulnerable caregivers in need of support and at risk of adverse health effects. Monitoring stroke survivors as well as their family caregivers at discharge may help to prevent or alleviate caregiver burden.

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“…A few studies have examined the impact of physical health alone in which more physical disability in the SS tends to be associated with negative caregiver outcomes. [11][12][13] The relationship is less consistent when physical and cognitive abilities were considered together when SS behavioral and psychological symptoms (BPS) were negatively associated with caregiver outcomes but physical disability was not in 4 14 -17 of 7 18 -20 studies.…”

mentioning

confidence: 99%

Stroke Survivor Depressive Symptoms Are Associated With Family Caregiver Depression During the First 2 Years Poststroke

Cameron

Cheung

Streiner

et al. 2011

Stroke

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Background and Purpose-Behavioral and psychological symptoms associated with stroke are gaining increasing attention in a field in which recovery of physical function has dominated. A small body of research has begun to suggest that stroke survivors' (SSs') behavioral and psychological symptoms contribute to family caregivers' experiences of emotional distress. The objective of this research was to determine the unique contribution of SS behavioral and psychological symptoms on caregiver emotional distress during the first 2 years poststroke. Method-A longitudinal cohort study was conducted of individuals who have survived their first stroke and their caregivers. Participants completed standardized measures by telephone interviews at 1, 3, 6, and 12 months poststroke. A subsample completed additional assessments 18 and 24 months poststroke. These longitudinal data were analyzed using mixed effects modeling. Results-Three hundred ninety-nine SS/caregiver dyads participated. Overall, caregivers reported more emotional distress when caring for SSs exhibiting more depressive symptoms and more cognitive impairment and when caregivers were younger, female, in poorer physical health, experienced more lifestyle interference, and reported less mastery. SSs' physical disability, stroke severity, and comorbidity were not significant. The set of significant predictors remained consistent when examined in the subsample followed for 2 years (except SS cognitive impairment). Conclusions-Interventions aimed at improving caregiver well-being should focus on enhancing clinical management of SSs' depression and better preparing caregivers to manage behavioral and psychological symptoms. In addition, respite programs that encourage caregivers to maintain participation in valued activities may be beneficial. (Stroke. 2011;42:302-306.)

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Transition to home care after stroke: Depression, physical health, and adaptive processes in support persons

Cited by 78 publications

References 53 publications

Pain and depression in caregivers affected their perception of pain in stroke patients

Pain and depression in caregivers affected their perception of pain in stroke patients

Burden of Informal Caregiving for Stroke Patients

Stroke Survivor Depressive Symptoms Are Associated With Family Caregiver Depression During the First 2 Years Poststroke

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