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Spousal caregivers' activity restriction and depression: A model for changes over time

Author

Listed:
  • Nieboer, A. P.
  • Schulz, R.
  • Matthews, K. A.
  • Scheier, M. F.
  • Ormel, J.
  • Lindenberg, S. M.

Abstract

In this paper we examine the effects of increasing as well as decreasing caregiving demands on depressive symptomatology. In addition, we focus on spousal caregivers' activity restriction as an explanatory mechanism for changes in depressive symptomatology in the caregiving context. Two databases are used to answer our research questions. An increase of caregiving demands is assessed in study 1, which includes prospective data on 127 spousal caregivers of stroke, hip fracture, congestive heart failure and myocardial infarction patients. A decrease of caregiving demands is examined in study 2, which includes prospective data on 110 spousal caregivers of bypass operation patients. The results generally support the hypothesis that an increase in caregiving demands results in increased depressive symptomatology, while a decrease in caregiving demands reduces depressive symptomatology. The results also support the notion of activity restriction as a critical mediator of changes in depressive symptoms. Cross-sectionally it mediates the association between caregiving and depressive symptomatology, and longitudinally it contributes to changes in depressive symptomatology in both samples.

Suggested Citation

  • Nieboer, A. P. & Schulz, R. & Matthews, K. A. & Scheier, M. F. & Ormel, J. & Lindenberg, S. M., 1998. "Spousal caregivers' activity restriction and depression: A model for changes over time," Social Science & Medicine, Elsevier, vol. 47(9), pages 1361-1371, November.
    • Handle: RePEc:eee:socmed:v:47:y:1998:i:9:p:1361-1371
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    Cited by:

    1. Bamberg, Sebastian & Fujii, Satoshi & Friman, Margareta & Gärling, Tommy, 2011. "Behaviour theory and soft transport policy measures," Transport Policy, Elsevier, vol. 18(1), pages 228-235, January.
    2. Uccheddu, Damiano & Gauthier, Anne H. & Steverink, Nardi & Emery, Tom, 2019. "The pains and reliefs of the transitions into and out of spousal caregiving. A cross-national comparison of the health consequences of caregiving by gender," Social Science & Medicine, Elsevier, vol. 240(C).
    3. Takashi Oshio & Kemmyo Sugiyama, 2022. "Social Participation as a Moderator for Caregivers’ Psychological Distress: a Dynamic Panel Data Model Analysis in Japan," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(3), pages 1813-1829, June.
    4. Claudio Singh Solorzano & Elizabeth Leigh & Andrew Steptoe & Amy Ronaldson & Tara Kidd & Marjan Jahangiri & Lydia Poole, 2021. "The Impact of Caregiving Burden on Mental Well-Being in Coronary Artery Bypass Graft Surgery Caregivers: The Mediatory Role of Perceived Social Support," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    5. Gärling, Tommy & Eek, Daniel & Loukopoulos, Peter & Fujii, Satoshi & Johansson-Stenman, Olof & Kitamura, Ryuichi & Pendyala, Ram & Vilhelmson, Bertil, 2002. "A conceptual analysis of the impact of travel demand management on private car use," Transport Policy, Elsevier, vol. 9(1), pages 59-70, January.
    6. Lord, Robert G. & Brown, Douglas J. & Freiberg, Steven J., 1999. "Understanding the Dynamics of Leadership: The Role of Follower Self-Concepts in the Leader/Follower Relationship," Organizational Behavior and Human Decision Processes, Elsevier, vol. 78(3), pages 167-203, June.
    7. Vancouver, Jeffrey B. & Putka, Dan J., 2000. "Analyzing Goal-Striving Processes and a Test of the Generalizability of Perceptual Control Theory," Organizational Behavior and Human Decision Processes, Elsevier, vol. 82(2), pages 334-362, July.
    8. Stansfeld, Stephen & Smuk, Melanie & Onwumere, Juliana & Clark, Charlotte & Pike, Cleo & McManus, Sally & Harris, Jenny & Bebbington, Paul, 2014. "Stressors and common mental disorder in informal carers – An analysis of the English Adult Psychiatric Morbidity Survey 2007," Social Science & Medicine, Elsevier, vol. 120(C), pages 190-198.
    9. Nieboer, Anna P. & Cramm, Jane M., 2018. "How do older people achieve well-being? Validation of the Social Production Function Instrument for the level of well-being–short (SPF-ILs)," Social Science & Medicine, Elsevier, vol. 211(C), pages 304-313.
    10. Hirst, Michael, 2005. "Carer distress: A prospective, population-based study," Social Science & Medicine, Elsevier, vol. 61(3), pages 697-708, August.
    11. Simon, Chantal & Kumar, Satinder & Kendrick, Tony, 2009. "Cohort study of informal carers of first-time stroke survivors: Profile of health and social changes in the first year of caregiving," Social Science & Medicine, Elsevier, vol. 69(3), pages 404-410, August.

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