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Published in: Environmental Health and Preventive Medicine 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

Depressive symptoms in individuals with family members requiring ADL assistance

Authors: Junhyun Kwon, Eun-Cheol Park, Woorim Kim, Dong-Woo Choi, Sung-In Jang

Published in: Environmental Health and Preventive Medicine | Issue 1/2019

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Abstract

Background

The number of patients with depressive symptoms worldwide is increasing steadily, and the prevalence of depression among caregivers is high. Therefore, the present study aimed to identify the effects of individuals’ caregiving status with respect to their family members requiring activities of daily living (ADLs) assistance on depressive symptoms among those aged 45 or over.

Methods

Data were collected from the 2006–2016 using the Korean Longitudinal Study of Aging surveys. Participants were categorized into three groups based on their caregiving status with respect to family members requiring ADL assistance: whether they provided the assistance themselves, whether the assistance was provided by other caregivers, or whether no assistance was required. We analyzed the generalized estimating equation model and subgroups.

Results

A total of 3744 men and 4386 women were included for the analysis. Men who cared for family members requiring ADL assistance had higher depressive symptoms than those with family members who did not require ADL assistance. Among women, participants who had family members requiring ADL assistance that they themselves or others were providing had higher depressive symptoms than those without family members requiring ADL assistance. Subgroup analysis was conducted based on age, job status, regular physical activities, participation status in social activities, and the number of cohabiting generations.

Conclusions

The study results indicated higher depressive symptoms among those with family members requiring ADL assistance and those who care for such family members themselves. This suggests that an alternative to family caregiving is necessary, especially for the elderly, regardless of caregiver sex.
Literature
1.
go back to reference World Health Organization. Depression and other common mental disorders: global health estimates. 2017. World Health Organization. Depression and other common mental disorders: global health estimates. 2017.
2.
go back to reference Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet. 2016;388:1545–602.CrossRef Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet. 2016;388:1545–602.CrossRef
4.
go back to reference Teasdale JD. Negative thinking in depression: cause, effect, or reciprocal relationship? ADV Behav Res Ther. 1983;5:3–25.CrossRef Teasdale JD. Negative thinking in depression: cause, effect, or reciprocal relationship? ADV Behav Res Ther. 1983;5:3–25.CrossRef
5.
go back to reference Adams KB, Sanders S, Auth E. Loneliness and depression in independent living retirement communities: risk and resilience factors. Aging Ment Health. 2004;8:475–85.CrossRefPubMed Adams KB, Sanders S, Auth E. Loneliness and depression in independent living retirement communities: risk and resilience factors. Aging Ment Health. 2004;8:475–85.CrossRefPubMed
6.
go back to reference Braam AW, Prince MJ, Beekman AT, Delespaul P, Dewey ME, Geerlings S, et al. Physical health and depressive symptoms in older Europeans: Results from EURODEP. Br J Psychiatry. 2005;187:35–42.CrossRefPubMed Braam AW, Prince MJ, Beekman AT, Delespaul P, Dewey ME, Geerlings S, et al. Physical health and depressive symptoms in older Europeans: Results from EURODEP. Br J Psychiatry. 2005;187:35–42.CrossRefPubMed
7.
go back to reference Minicuci N, Maggi S, Pavan M, Enzi G, Crepaldi G. Prevalence rate and correlates of depressive symptoms in older individuals: the Veneto Study. J Gerontol A Biol Sci Med Sci. 2002;57:M155–M61.CrossRefPubMed Minicuci N, Maggi S, Pavan M, Enzi G, Crepaldi G. Prevalence rate and correlates of depressive symptoms in older individuals: the Veneto Study. J Gerontol A Biol Sci Med Sci. 2002;57:M155–M61.CrossRefPubMed
8.
go back to reference Biderman A, Cwikel J, Fried A, Galinsky D. Depression and falls among community dwelling elderly people: a search for common risk factors. J Epidemiol Community Health. 2002;56:631–6.CrossRefPubMedPubMedCentral Biderman A, Cwikel J, Fried A, Galinsky D. Depression and falls among community dwelling elderly people: a search for common risk factors. J Epidemiol Community Health. 2002;56:631–6.CrossRefPubMedPubMedCentral
9.
go back to reference Gazmararian J, Baker D, Parker R, Blazer DG. A multivariate analysis of factors associated with depression: evaluating the role of health literacy as a potential contributor. Arch Intern Med. 2000;160:3307–14.CrossRefPubMed Gazmararian J, Baker D, Parker R, Blazer DG. A multivariate analysis of factors associated with depression: evaluating the role of health literacy as a potential contributor. Arch Intern Med. 2000;160:3307–14.CrossRefPubMed
10.
go back to reference Kritz-Silverstein D, Barrett-Connor E, Corbeau C. Cross-sectional and prospective study of exercise and depressed mood in the elderly: the Rancho Bernardo study. Am J Epidemiol. 2001;153:596–603.CrossRefPubMed Kritz-Silverstein D, Barrett-Connor E, Corbeau C. Cross-sectional and prospective study of exercise and depressed mood in the elderly: the Rancho Bernardo study. Am J Epidemiol. 2001;153:596–603.CrossRefPubMed
11.
go back to reference Hybels CF, Blazer DG, Pieper CF. Toward a threshold for subthreshold depression: an analysis of correlates of depression by severity of symptoms using data from an elderly community sample. Gerontologist. 2001;41:357–65.CrossRefPubMed Hybels CF, Blazer DG, Pieper CF. Toward a threshold for subthreshold depression: an analysis of correlates of depression by severity of symptoms using data from an elderly community sample. Gerontologist. 2001;41:357–65.CrossRefPubMed
12.
go back to reference Cummings SM, Neff JA, Husaini BA. Functional impairment as a predictor of depressive symptomatology: the role of race, religiosity, and social support. Health Soc Work. 2003;28:23–32.CrossRefPubMed Cummings SM, Neff JA, Husaini BA. Functional impairment as a predictor of depressive symptomatology: the role of race, religiosity, and social support. Health Soc Work. 2003;28:23–32.CrossRefPubMed
13.
go back to reference Kraaij V, De Wilde E. Negative life events and depressive symptoms in the elderly: a life span perspective. Aging Ment Health. 2001;5:84–91.CrossRefPubMed Kraaij V, De Wilde E. Negative life events and depressive symptoms in the elderly: a life span perspective. Aging Ment Health. 2001;5:84–91.CrossRefPubMed
14.
go back to reference Glass TA, Kasl SV, Berkman LF. Stressful life events and depressive symptoms among the elderly: Evidence from a prospective community study. J Aging Health. 1997;9:70–89.CrossRefPubMed Glass TA, Kasl SV, Berkman LF. Stressful life events and depressive symptoms among the elderly: Evidence from a prospective community study. J Aging Health. 1997;9:70–89.CrossRefPubMed
15.
go back to reference Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. J Soc Work Educ. 2008;44(sup3):105–13.CrossRef Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. J Soc Work Educ. 2008;44(sup3):105–13.CrossRef
16.
go back to reference Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry. 2004;12(3):240–9.CrossRefPubMed Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry. 2004;12(3):240–9.CrossRefPubMed
17.
go back to reference Jácome C, Figueiredo D, Gabriel R, Cruz J, Marques A. Predicting anxiety and depression among family carers of people with chronic obstructive pulmonary disease. Int Psychogeriatr. 2014;26:1191–9.CrossRefPubMed Jácome C, Figueiredo D, Gabriel R, Cruz J, Marques A. Predicting anxiety and depression among family carers of people with chronic obstructive pulmonary disease. Int Psychogeriatr. 2014;26:1191–9.CrossRefPubMed
18.
go back to reference Schulz R, O'Brien AT, Bookwala J, Fleissner K. Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. Gerontologist. 1995;35:771–91.CrossRefPubMed Schulz R, O'Brien AT, Bookwala J, Fleissner K. Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. Gerontologist. 1995;35:771–91.CrossRefPubMed
19.
go back to reference Holroyd S, Currie LJ, Wooten GF. Depression is associated with impairment of ADL, not motor function in Parkinson disease. Neurology. 2005;64:2134–5.CrossRefPubMed Holroyd S, Currie LJ, Wooten GF. Depression is associated with impairment of ADL, not motor function in Parkinson disease. Neurology. 2005;64:2134–5.CrossRefPubMed
20.
go back to reference Covinsky KE, Newcomer R, Fox P, Wood J, Sands L, Dane K, et al. Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. J Gen Intern Med. 2003;18:1006–14.CrossRefPubMedPubMedCentral Covinsky KE, Newcomer R, Fox P, Wood J, Sands L, Dane K, et al. Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. J Gen Intern Med. 2003;18:1006–14.CrossRefPubMedPubMedCentral
21.
go back to reference Kim BJ, Liu L, Nakaoka S, Jang S, Browne C. Depression among older Japanese Americans: The impact of functional (ADL & IADL) and cognitive status. Soc Work Health Care. 2018;57:109–25.CrossRefPubMed Kim BJ, Liu L, Nakaoka S, Jang S, Browne C. Depression among older Japanese Americans: The impact of functional (ADL & IADL) and cognitive status. Soc Work Health Care. 2018;57:109–25.CrossRefPubMed
22.
go back to reference Sallim AB, Sayampanathan AA, Cuttilan A, Ho RC-M. Prevalence of mental health disorders among caregivers of patients with Alzheimer disease. J Am Med Dir Assoc. 2015;16:1034–41.CrossRefPubMed Sallim AB, Sayampanathan AA, Cuttilan A, Ho RC-M. Prevalence of mental health disorders among caregivers of patients with Alzheimer disease. J Am Med Dir Assoc. 2015;16:1034–41.CrossRefPubMed
23.
go back to reference Lee HJ, Seo JM, Ahn SH. The role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. J Korean Acad Nurs. 2003;33:713–21.CrossRef Lee HJ, Seo JM, Ahn SH. The role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. J Korean Acad Nurs. 2003;33:713–21.CrossRef
24.
go back to reference Kim W, Lee TH, Shin J, Park EC. Depressive symptoms in spouse caregivers of dementia patients: A longitudinal study in South Korea. Geriatr Gerontol Int. 2017;17:973–83.CrossRefPubMed Kim W, Lee TH, Shin J, Park EC. Depressive symptoms in spouse caregivers of dementia patients: A longitudinal study in South Korea. Geriatr Gerontol Int. 2017;17:973–83.CrossRefPubMed
25.
go back to reference Wakabayashi M, Kureishi W. Differences in the effects of informal family caregiving on health and life satisfaction between wives and husbands as caregivers. Rev Dev Econ. 2018;22(3):1063–80.CrossRef Wakabayashi M, Kureishi W. Differences in the effects of informal family caregiving on health and life satisfaction between wives and husbands as caregivers. Rev Dev Econ. 2018;22(3):1063–80.CrossRef
26.
go back to reference Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D depression symptoms index. J Aging Health. 1993;5:179–93.CrossRefPubMed Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D depression symptoms index. J Aging Health. 1993;5:179–93.CrossRefPubMed
27.
go back to reference Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: Evaluation of a short form of the CES-D. Am J Prev Med. 1994;10:77–84.CrossRefPubMed Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: Evaluation of a short form of the CES-D. Am J Prev Med. 1994;10:77–84.CrossRefPubMed
28.
go back to reference Irwin M, Artin KH, Oxman MN. Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Arch Intern Med. 1999;159(15):1701–4.CrossRefPubMed Irwin M, Artin KH, Oxman MN. Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Arch Intern Med. 1999;159(15):1701–4.CrossRefPubMed
29.
go back to reference Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1993;32(3):381–99. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1993;32(3):381–99.
30.
go back to reference Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5.PubMed Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5.PubMed
31.
go back to reference Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.CrossRef Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.CrossRef
32.
go back to reference Sikkes S, De Lange-de Klerk E, Pijnenburg Y, Scheltens P. A systematic review of Instrumental Activities of Daily Living scales in dementia: room for improvement. J Neurol Neurosurg Psychiatry. 2009;80:7–12.CrossRefPubMed Sikkes S, De Lange-de Klerk E, Pijnenburg Y, Scheltens P. A systematic review of Instrumental Activities of Daily Living scales in dementia: room for improvement. J Neurol Neurosurg Psychiatry. 2009;80:7–12.CrossRefPubMed
33.
go back to reference Gold DA. An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. J Clin Exp Neuropsychol. 2012;34:11–34.CrossRefPubMed Gold DA. An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. J Clin Exp Neuropsychol. 2012;34:11–34.CrossRefPubMed
34.
go back to reference Gallicchio L, Siddiqi N, Langenberg P, Baumgarten M. Gender differences in burden and depression among informal caregivers of demented elders in the community. Int J Geriatr Psychiatry. 2002;17(2):154–63.CrossRefPubMed Gallicchio L, Siddiqi N, Langenberg P, Baumgarten M. Gender differences in burden and depression among informal caregivers of demented elders in the community. Int J Geriatr Psychiatry. 2002;17(2):154–63.CrossRefPubMed
35.
go back to reference Bédard M, Chambers L, Molloy DW, Lever JA, Stones MJ, Martin NJ. The impact of Alzheimer's disease on caregivers is gender-specific. Ann R Coll Physicians Surg Can. 1999;32:21–8. Bédard M, Chambers L, Molloy DW, Lever JA, Stones MJ, Martin NJ. The impact of Alzheimer's disease on caregivers is gender-specific. Ann R Coll Physicians Surg Can. 1999;32:21–8.
36.
go back to reference Kramer BJ, Kipnis S. Eldercare and work-role conflict: Toward an understanding of gender differences in caregiver burden. Gerontologist. 1995;35(3):340–8.CrossRefPubMed Kramer BJ, Kipnis S. Eldercare and work-role conflict: Toward an understanding of gender differences in caregiver burden. Gerontologist. 1995;35(3):340–8.CrossRefPubMed
37.
go back to reference Nakayama H, Jørgensen H, Raaschou HO, Olsen TS. The influence of age on stroke outcome. The Copenhagen Stroke Study. Stroke. 1994;25:808–13.PubMed Nakayama H, Jørgensen H, Raaschou HO, Olsen TS. The influence of age on stroke outcome. The Copenhagen Stroke Study. Stroke. 1994;25:808–13.PubMed
38.
go back to reference Ryu HS. A study on ADL and dementia of aged person with medicaid in Korea. J Korean Acad Nurs. 2001;31:139–49.CrossRef Ryu HS. A study on ADL and dementia of aged person with medicaid in Korea. J Korean Acad Nurs. 2001;31:139–49.CrossRef
39.
go back to reference Statistics Korea. 2017 Elderly statistics. 2017. Statistics Korea. 2017 Elderly statistics. 2017.
40.
go back to reference Nolen-Hoeksema S. Gender differences in depression. Curr Dir Psychol Sci. 2001;10:173–6.CrossRef Nolen-Hoeksema S. Gender differences in depression. Curr Dir Psychol Sci. 2001;10:173–6.CrossRef
41.
go back to reference Oshio T. Mental health among middle-aged and older adults-evidence from a nationwide panel survey in Japan. Econ Rev. 2014;65(4):332–44. Oshio T. Mental health among middle-aged and older adults-evidence from a nationwide panel survey in Japan. Econ Rev. 2014;65(4):332–44.
42.
go back to reference Beeson RA. Loneliness and depression in spousal caregivers of those with Alzheimer’s disease versus non-caregiving spouses. Arch Psychiatr Nurs. 2003;17:135–43.CrossRefPubMed Beeson RA. Loneliness and depression in spousal caregivers of those with Alzheimer’s disease versus non-caregiving spouses. Arch Psychiatr Nurs. 2003;17:135–43.CrossRefPubMed
43.
go back to reference Langa KM, Valenstein MA, Fendrick AM, Kabeto MU, Vijan S. Extent and cost of informal caregiving for older Americans with symptoms of depression. Am J Psychiatry. 2004;161:857–63.CrossRefPubMed Langa KM, Valenstein MA, Fendrick AM, Kabeto MU, Vijan S. Extent and cost of informal caregiving for older Americans with symptoms of depression. Am J Psychiatry. 2004;161:857–63.CrossRefPubMed
44.
go back to reference Ouyang P, Sun W. The association between depressive symptoms and fall accidents among middle-aged and elderly people in China. Environ Health Prev Med. 2018;23:42.CrossRefPubMedPubMedCentral Ouyang P, Sun W. The association between depressive symptoms and fall accidents among middle-aged and elderly people in China. Environ Health Prev Med. 2018;23:42.CrossRefPubMedPubMedCentral
45.
go back to reference Okabayashi S, Kawamura T, Wakai K, Ando M, Tsushita K, Ohira H, Ukawa S, Tamakoshi A. Lifestyle and psychosocial factors and a decline in competence in daily living among Japanese early elderly people: from an age-specified community-based cohort study (NISSIN project). Environ Health Prev Med. 2019;24:28.CrossRefPubMedPubMedCentral Okabayashi S, Kawamura T, Wakai K, Ando M, Tsushita K, Ohira H, Ukawa S, Tamakoshi A. Lifestyle and psychosocial factors and a decline in competence in daily living among Japanese early elderly people: from an age-specified community-based cohort study (NISSIN project). Environ Health Prev Med. 2019;24:28.CrossRefPubMedPubMedCentral
46.
go back to reference Nikmat AW, Al-Mashoor SH, Hashim NA. Quality of life in people with cognitive impairment: nursing homes versus home care. Int Psychogeriatr. 2015;27:815–24.CrossRefPubMed Nikmat AW, Al-Mashoor SH, Hashim NA. Quality of life in people with cognitive impairment: nursing homes versus home care. Int Psychogeriatr. 2015;27:815–24.CrossRefPubMed
47.
go back to reference Ministry of Health and Welfare RoK. National dementia strategy. 2012. Ministry of Health and Welfare RoK. National dementia strategy. 2012.
48.
go back to reference Juva K, MÄKELÄ M, Erkinjuntti T, Sulkava R, YUKOSKI R, Valvanne J, et al. Functional assessment scales in detecting dementia. Age ageing. 1997;26:393–400.CrossRefPubMed Juva K, MÄKELÄ M, Erkinjuntti T, Sulkava R, YUKOSKI R, Valvanne J, et al. Functional assessment scales in detecting dementia. Age ageing. 1997;26:393–400.CrossRefPubMed
49.
go back to reference Fieo R, Zahodne L, Tang MX, Manly JJ, Cohen R, Stern Y. The historical progression from ADL scrutiny to IADL to advanced ADL: assessing functional status in the earliest stages of dementia. J Gerontol. 2017;73(12):1695–700.CrossRef Fieo R, Zahodne L, Tang MX, Manly JJ, Cohen R, Stern Y. The historical progression from ADL scrutiny to IADL to advanced ADL: assessing functional status in the earliest stages of dementia. J Gerontol. 2017;73(12):1695–700.CrossRef
50.
go back to reference Jorm A, Korten A. Assessment of cognitive decline in the elderly by informant interview. Br J Psychiatry. 1988;152:209–13.CrossRefPubMed Jorm A, Korten A. Assessment of cognitive decline in the elderly by informant interview. Br J Psychiatry. 1988;152:209–13.CrossRefPubMed
Metadata
Title
Depressive symptoms in individuals with family members requiring ADL assistance
Authors
Junhyun Kwon
Eun-Cheol Park
Woorim Kim
Dong-Woo Choi
Sung-In Jang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2019
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-019-0804-x

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