Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

Zwart, P. L. de; Bakx, Pieter; Doorslaer, Eddy van

doi:10.1002/hec.3542

Cited by 57 publications

(73 citation statements)

References 34 publications

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“…Therefore, it is becoming more common for spouses to take on the caregiving role (Lawn & McMahon, 2014). In Europe, spouses provide about a third of all informal care (de Zwart, Bakx, & van Doorslaer, 2017). A survey done in Singapore reported that the spouses made up the second largest group of informal caregiver after adult children (Chan, Malhotra, Rush, & Østbye, 2013).…”

Section: Introductionmentioning

confidence: 99%

The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

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Aims To examine factors associated with the four types of caregiver reactions according to the modified Caregiver Reaction Assessment (mCRA) and assess the differences in the narrative assessment from spouse caregivers between the high‐positive and high‐negative caregiver reactions. Background There is a limited understanding of the factors contributing to positive and negative reactions among older spouse caregivers with chronic illnesses. Narrative assessment from spouse caregivers has not been studied before. Design The study design was a paired‐sample, mixed‐method survey design. Data were collected from spouse caregivers (≥55 years old) and care‐recipients in one medical institute from February 2017–December 2017. This manuscript used STROBE checklist to ensure complete reporting. Methods Demographic, socioeconomic, Frailty Index, perceived stress, and quality of life data were gathered from caregiver dyads. mCRA, relationship, and life satisfaction data were collected from caregivers. mCRA identified the four types of caregiver reactions: (a) high‐positive, low‐negative; (b) high‐positive, high‐negative; (c) low‐positive, high‐negative; and (d) low‐positive, low‐negative. A qualitative interview was conducted to understand the differences in the narrative and choice of words used to describe caregiving experience. Results Seventy‐five caregiver dyads were recruited. Total perceived stress was found to be negatively associated with high‐positive, low‐negative caregiver reaction (baseline category: low‐positive, high‐negative) by multinomial logistic regression. Content analyses showed that low‐positive and high‐negative caregivers used words that implied a lack of volition. Caregivers with positive experience viewed caregiving as a responsibility; the opposite viewed it as having ‘no choice’. Conclusions Perceived stress is an important indicator of caregiver reactions. Words used when describing caregiving experiences can potentially depict the spouse caregivers' current state of being as a caregiver. Relevance to clinical practice Spouse caregiver's narrative of their caregiving experience may provide easy and quick insights if interventions are needed. Early identification of negative reactions will allow for prompt interventions in mitigating caregivers' stress.

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Section: Introductionmentioning

confidence: 99%

The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

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“…To deal with the potential endogeneity between caregiving and own health, we start from the economic intuition behind the caregiving decision as presented by De Zwart et al (2017). According to their model, a set of elements affect the caregiving decision.…”

Section: Methodsmentioning

confidence: 99%

“…Using FE models they controlled for time constant heterogeneity, however they did not consider selection into caregiving based on time-variant elements such as previous health. The studies making use of matching (Brenna and Di Novi, 2016;de Zwart et al, 2017;Schmitz and Westphal, 2015), addressed endogeneity of caregiving by statistically matching caregivers and non-caregivers on observable characteristics. By matching on pre-treatment variables, these papers make it credible that treatment is random conditional on controls and hence that an average treatment effect on the treated can be identified.…”

Section: Earlier Work On Health Effects Of Informal Caregivingmentioning

confidence: 99%

Health Effects of Caring for and About Parents and Spouses

et al. 2018

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Informal caregiving is a potentially attractive alternative to formal care but may entail health costs for the caregiver. We examine the mental and physical health impact of providing informal care and disentangle the caregiving effect-the effect of caring for someone in need-from the family effect-the effect of caring about someone in need. We account for the main sources of endogeneity in the caregiving decision using Arellano-Bond difference GMM models. We use four waves (2010-2013) of panel data from the Dutch Study on Transitions in Employment, Ability and Motivation (STREAM). We find that caregiving harms the mental health of caregivers; the effect is more prominent for spousal caregivers. On top of this, a negative health shock of a family member also has a direct negative effect on mental health, providing evidence of a family effect. Our findings thus highlight that the total effect of having a sick relative may be underestimated when the family effect is not adequately accounted for. As the caregiving effect differs substantially between various types of caregivers, policies to cushion these effects should specifically target those subgroups of caregivers that carry the largest burden of informal caregiving.

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“…Studien zeigen auch negative Auswirkungen der Angehörigenpflege auf die physische Gesundheit, die sich bspw. in der Vernachlässigung einer gesunden Lebensweise [13] und erhöhtem Medikamentenkonsum [9,14] zeigen.…”

Section: Introductionunclassified

Vereinbarkeit von Beruf und Pflege: Wie wirkt sich Erwerbstätigkeit auf die Gesundheit pflegender Angehöriger aus?

Bidenko

Bohnet-Joschko

2020

Gesundheitswesen

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Zusammenfassung Ziel Die Studie untersucht, inwieweit die Gesundheitsauswirkungen der informellen Pflege durch den kontextuellen Faktor Erwerbstätigkeit beeinflusst werden. Methodik Die Analyse basiert auf repräsentativen Bevölkerungsdaten aus den Jahren 2015 und 2016 (n=19 791). Als Untersuchungsgruppe „pflegende Angehörige“ definiert werden Personen, die mindestens eine Stunde pro Woche eine pflegebedürftige Person informell unterstützen, betreuen oder versorgen. Durch Anwendung von Propensity Score Matching wird eine strukturangepasste Vergleichsgruppe identifiziert. Anhand eines multivariaten Regressionsmodells werden Zusammenhänge in der Gruppe der pflegenden Angehörigen und der strukturangepassten Vergleichsgruppe analysiert. Für eine grafische Darstellung werden Untergruppen zum zeitlichen Einsatz im Hinblick auf Angehörigenpflege und Erwerbstätigkeit gebildet. Ergebnisse Die psychische Gesundheit pflegender Angehöriger verschlechtert sich mit zunehmendem Aufwand für die Betreuung (B=-0,44; p=0,02). Die negativen gesundheitlichen Auswirkungen der Angehörigenbetreuung werden durch die Erwerbstätigkeit verringert (B=0,58; p<0,01), allerdings nur bis zum einem bestimmten zeitlichen Arbeitseinsatz. Bei einem höheren zeitlichen Aufwand für beide Tätigkeiten nimmt der moderierende Effekt ab (bis zu 32% der Standardabweichung). Schlussfolgerungen Der signifikante moderierende Effekt der Erwerbstätigkeit ist in der Wirkung maßgeblich durch die Gesamtbelastung aus den beiden Tätigkeitsbereichen geprägt. Die Ergebnisse vermitteln einen Eindruck von der potentiell stärkenden und schützenden Wirkung von Erwerbstätigkeit auf die gesundheitlich negativen Auswirkungen der Angehörigenbetreuung.

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Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

Cited by 57 publications

References 34 publications

The types of caregiving reactions experienced by the older spouse caregivers

The types of caregiving reactions experienced by the older spouse caregivers

Health Effects of Caring for and About Parents and Spouses

Vereinbarkeit von Beruf und Pflege: Wie wirkt sich Erwerbstätigkeit auf die Gesundheit pflegender Angehöriger aus?

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