IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i13p7962-d851220.html
   My bibliography  Save this article

Effect of Perceived Stress on Health-Related Quality of Life among Primary Caregiving Spouses of Patients with Severe Dementia: The Mediating Role of Depression and Sleep Quality

Author

Listed:
  • Jinheum Kim

    (Department of Applied Statistics, University of Suwon, Hwaseong-si 18323, Korea)

  • Eunjeong Cha

    (Department of Nursing Science, University of Suwon, Hwaseong-si 18323, Korea)

Abstract

Recently, there has been a rise in the number of spouses becoming primary caregivers to patients with dementia. This study identifies the mediating effects of depression and sleep quality on the relationship between perceived stress and health-related quality of life (HRQoL) among primary caregiving spouses of patients with severe dementia through a secondary data analysis of the 2018 Korea Community Health Survey by the Korea Disease Control and Prevention Agency. Data from 229 primary caregiving spouses of patients with severe dementia were analyzed using descriptive statistics, Spearman’s rank correlation or Pearson’s correlation analysis, and the lavaan R package, version 0.6-9. The association between perceived stress status (PSS) and the European Quality of Life Five Dimension (EQ-5D) index was highly significant. The direct effect of PSS observed in the model was nullified with both the Patient Health Questionnaire-9 and the Pittsburgh Sleep Quality Index as mediators, which implies that they mediate the effect of PSS on caregivers’ EQ-5D indexes. The mediation model accounted for 33.2% of the variance in the EQ-5D index of caregivers. The results suggest the need to develop an intervention to improve sleep quality and manage depression to mitigate a decline in HRQoL for these caregivers.

Suggested Citation

  • Jinheum Kim & Eunjeong Cha, 2022. "Effect of Perceived Stress on Health-Related Quality of Life among Primary Caregiving Spouses of Patients with Severe Dementia: The Mediating Role of Depression and Sleep Quality," IJERPH, MDPI, vol. 19(13), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7962-:d:851220
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/13/7962/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/13/7962/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mihyun Jeong, 2020. "Predictors of Health-Related Quality of Life in Korean Adults with Diabetes Mellitus," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    2. Katherine Ka Pik Chang & Frances Kam Yuet Wong & Ka Long Chan & Fiona Wong & Hung Chak Ho & Man Sing Wong & Yuen Shan Ho & John Wai Man Yuen & Judy Yuen-man Siu & Lin Yang, 2020. "The Impact of the Environment on the Quality of Life and the Mediating Effects of Sleep and Stress," IJERPH, MDPI, vol. 17(22), pages 1-17, November.
    3. Rie Fujisawa & Francesca Colombo, 2009. "The Long-Term Care Workforce: Overview and Strategies to Adapt Supply to a Growing Demand," OECD Health Working Papers 44, OECD Publishing.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eva Boj del Val & M. Mercè Claramunt Bielsa & Xavier Varea Soler, 2020. "Role of Private Long-Term Care Insurance in Financial Sustainability for an Aging Society," Sustainability, MDPI, vol. 12(21), pages 1-21, October.
    2. Marianne Tenand, 2018. "Being dependent rather than handicapped in France: Does the institutional barrier at 60 affect care arrangements?," Working Papers halshs-01889452, HAL.
    3. Laia Calvó-Perxas & Joan Vilalta-Franch & Howard Litwin & Oriol Turró-Garriga & Pedro Mira & Josep Garre-Olmo, 2018. "What seems to matter in public policy and the health of informal caregivers? A cross-sectional study in 12 European countries," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-12, March.
    4. Schulz, Erika, 2013. "Ageing, Care Need and Long-Term Care Workforce in Germany," EconStor Preprints 128597, ZBW - Leibniz Information Centre for Economics.
    5. Angermann, Annette & Eichhorst, Werner, 2012. "Unterstützende Dienstleistungen für ältere Menschen im europäischen Vergleich," IZA Research Reports 45, Institute of Labor Economics (IZA).
    6. Shu‐Ching Chang & Ming‐Neng Shiu & Huey‐Tzy Chen & Yee‐Yung Ng & Li‐Chan Lin & Shiao‐Chi Wu, 2015. "Evaluation of care quality for disabled older patients living at home and in institutions," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3469-3480, December.
    7. Nguyen, Ha Trong & Connelly, Luke Brian, 2014. "The effect of unpaid caregiving intensity on labour force participation: Results from a multinomial endogenous treatment model," Social Science & Medicine, Elsevier, vol. 100(C), pages 115-122.
    8. repec:ilo:ilowps:485561 is not listed on IDEAS
    9. Geyer, Johannes & Haan, Peter & Korfhage, Thorben, 2015. "Indirect fiscal effects of long-term care insurance," Ruhr Economic Papers 584, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    10. Momota, Akira, 2012. "Population aging and sectoral employment shares," Economics Letters, Elsevier, vol. 115(3), pages 527-530.
    11. Gianluca Misuraca & Csaba Kucsera & Fiorenza Lipparini & Christian Voigt & Raluca Radescu, 2016. "Mapping and Analysis of ICT-enabled Social Innovation initiatives promoting social investment in integrated approaches to the provision of social services: IESI Knowledge Map 2015," JRC Research Reports JRC101042, Joint Research Centre.
    12. Tennyson, Sharon & Yang, Hae Kyung, 2014. "The role of life experience in long-term care insurance decisions," Journal of Economic Psychology, Elsevier, vol. 42(C), pages 175-188.
    13. Andy Felix Jităreanu & Mioara Mihăilă & Ciprian-Ionel Alecu & Alexandru-Dragoș Robu & Gabriela Ignat & Carmen Luiza Costuleanu, 2022. "The Relationship between Environmental Factors, Satisfaction with Life, and Ecological Education: An Impact Analysis from a Sustainability Pillars Perspective," Sustainability, MDPI, vol. 14(17), pages 1-25, August.
    14. Juan Oliva-Moreno & Marta Trapero-Bertran & Luz Maria Peña-Longobardo & Raúl del Pozo-Rubio, 2017. "The Valuation of Informal Care in Cost-of-Illness Studies: A Systematic Review," PharmacoEconomics, Springer, vol. 35(3), pages 331-345, March.
    15. Courtin, Emilie & Jemiai, Nadia & Mossialos, Elias, 2014. "Mapping support policies for informal carers across the European Union," Health Policy, Elsevier, vol. 118(1), pages 84-94.
    16. Bofinger, Peter & Feld, Lars P. & Schmidt, Christoph M. & Schnabel, Isabel & Wieland, Volker, 2018. "Vor wichtigen wirtschaftspolitischen Weichenstellungen. Jahresgutachten 2018/19 [Setting the Right Course for Economic Policy. Annual Report 2018/19]," Annual Economic Reports / Jahresgutachten, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung, volume 127, number 201819.
    17. Schulz, Erika & Geyer, Johannes, 2013. "Societal Change, Care Need and Long-Term Care Workforce in Selected European Countries," EconStor Preprints 128602, ZBW - Leibniz Information Centre for Economics.
    18. John Rodwell & Julia Ellershaw, 2024. "Suggesting Context Differences Influence the Impact of Nurses’ Psychological Contracts," Social Sciences, MDPI, vol. 13(1), pages 1-17, January.
    19. Wickramasekara, Piyasiri., 2014. "Assessment of the impact of migration of health professionals on the labour market and health sector performance in destination countries," ILO Working Papers 994855613402676, International Labour Organization.
    20. Liu, Yang & Kwan, Mei-Po & Wong, Man Sing & Yu, Changda, 2023. "Current methods for evaluating people's exposure to green space: A scoping review," Social Science & Medicine, Elsevier, vol. 338(C).
    21. Fuino, Michel & Wagner, Joël, 2020. "Duration of long-term care: Socio-economic factors, type of care interactions and evolution," Insurance: Mathematics and Economics, Elsevier, vol. 90(C), pages 151-168.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7962-:d:851220. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.