IDEAS home Printed from https://ideas.repec.org/a/oup/geronb/v73y2018i3p457-467..html
   My bibliography  Save this article

Modeling Cortisol Daily Rhythms of Family Caregivers of Individuals With Dementia: Daily Stressors and Adult Day Services Use

Author

Listed:
  • Yin Liu
  • David M Almeida
  • Michael J Rovine
  • Steven H Zarit

Abstract

ObjectivesThe study examined the typical diurnal cortisol trajectory and its differential associations with an intervention, the adult day services (ADS) use, among a sample of family caregivers who experienced high levels of daily stress.MethodOn hundred and sixty-five caregivers of individuals with dementia completed an 8-day diary on daily stressors, positive events, sleep quality, and ADS use. The caregivers also provided five saliva samples on each diary day. Daily cortisol trajectories were modeled as a function of time elapsed since awakening, and three spline growth curve models were fit to the cortisol data. Based on the best-fitting linear spline model, the effect of daily ADS use was examined at both daily and person levels. Covariates included daily experiences and other caregiving characteristics.ResultsOn ADS days, caregivers had a steeper cortisol awakening response (CAR) slope and a steeper morning decline. ADS use remained significant after controlling for covariates at both daily and person levels.DiscussionThe findings suggested potential biophysiological benefits of daily ADS use for a sample that was under chronic stress and high levels of daily stress.

Suggested Citation

  • Yin Liu & David M Almeida & Michael J Rovine & Steven H Zarit, 2018. "Modeling Cortisol Daily Rhythms of Family Caregivers of Individuals With Dementia: Daily Stressors and Adult Day Services Use," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(3), pages 457-467.
  • Handle: RePEc:oup:geronb:v:73:y:2018:i:3:p:457-467.
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/geronb/gbw140
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Steven H. Zarit & Kyungmin Kim & Elia E. Femia & David M. Almeida & Jyoti Savla & Peter C. M. Molenaar, 2011. "Effects of Adult Day Care on Daily Stress of Caregivers: A Within-Person Approach," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(5), pages 538-546.
    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. Jyoti Savla & Steven H Zarit & David M Almeida, 2018. "Routine Support to Parents and Stressors in Everyday Domains: Associations With Negative Affect and Cortisol," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(3), pages 437-446.
    2. Amanda N. Leggett & Steven H. Zarit & Kyungmin Kim & David M. Almeida & Laura Cousino Klein, 2015. "Editor's choice Depressive Mood, Anger, and Daily Cortisol of Caregivers on High- and Low-Stress Days," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(6), pages 820-829.
    3. Michio Maruta & Takayuki Tabira & Hyuma Makizako & Akira Sagari & Hironori Miyata & Koji Yoshimitsu & Gwanghee Han & Kazuhiro Yoshiura & Masahiro Kawagoe, 2019. "Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospect," IJERPH, MDPI, vol. 16(7), pages 1-18, April.
    4. Hedva Vinarski-Peretz & Dafna Halperin, 2022. "Family Care in our Aging Society: Policy, Legislation and Intergenerational Relations: The Case of Israel," Journal of Family and Economic Issues, Springer, vol. 43(1), pages 187-203, March.
    5. Yujiro Kuroda & Taiki Sugimoto & Kenichi Satoh & Claudia K. Suemoto & Nanae Matsumoto & Kazuaki Uchida & Yoshinobu Kishino & Takashi Sakurai, 2022. "Factors Associated with Behavioral and Psychological Symptoms of Dementia during COVID-19," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    6. Hossein Tabatabaei-Jafari & Jose A. Salinas-Perez & Mary Anne Furst & Nasser Bagheri & John Mendoza & David Burke & Peter McGeorge & Luis Salvador-Carulla, 2020. "Patterns of Service Provision in Older People’s Mental Health Care in Australia," IJERPH, MDPI, vol. 17(22), pages 1-18, November.

    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:oup:geronb:v:73:y:2018:i:3:p:457-467.. 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: Oxford University Press (email available below). General contact details of provider: https://academic.oup.com/psychsocgerontology .

    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.