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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 4/2018

01-08-2018 | Original Paper

Psychological Distress of Ethnically Diverse Adult Caregivers in the California Health Interview Survey

Authors: Oanh L. Meyer, Xiaoyan Liu, Thuc-Nhi Nguyen, Ladson Hinton, Daniel Tancredi

Published in: Journal of Immigrant and Minority Health | Issue 4/2018

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Abstract

This study examined factors associated with psychological distress for culturally diverse family caregivers using a population-based sample. Data were analyzed from the 6634 caregivers of adults (i.e. elderly as well as non-elderly) who self-reported as non-Hispanic White, Mexican, Chinese, or Vietnamese in the 2009 California Health Interview Survey. Simple and multiple regression analyses were conducted to assess the potential influence of race/ethnicity, caregiving context, and social contextual variables on psychological distress. Analyses that included moderators showed that while more education was associated with less distress for White caregivers, it was associated with more distress for Vietnamese and Chinese caregivers. Identifying the caregiving and contextual variables associated with psychological distress is critical for tailoring interventions towards those who need the most help—in this case, possibly less educated White caregivers and more educated Asian American caregivers.
Literature
1.
U.S. Department of Health and Human Services. A profile of older Americans. 2012.
2.
Sinclair L, Gomez O. Ethnic and racial populations with disabilities: a public health bibilography. Atlanta, GA; 2006.
3.
Haan MN, Mungas DM, Gonzalez HM, Ortiz TA, Acharya A, Jagust WJ. Prevalence of dementia in older latinos: the influence of type 2 diabetes mellitus, stroke and genetic factors. J Am Geriatr Soc. 2003;51(2):169–77.CrossRefPubMed
4.
Tang MX, Stern Y, Marder K, Bell K, Gurland B, Lantigua R, et al. The APOE-epsilon4 allele and the risk of Alzheimer disease among African Americans, whites, and Hispanics. J Am Med Assoc. 1998;279(10):751–5.CrossRef
5.
Fact Sheet: Selected Caregiver Statistics: Family Caregiver Alliance; 2012.
6.
Schulz R, Newsom J, Mittelmark M, Burton L, Hirsch C, Jackson S. Health effects of caregiving: the caregiver health effects study: an ancillary study of the Cardiovascular Health Study. Ann Behav Med. 1997;19(2):110–6.CrossRefPubMed
7.
Yaffe K, Fox P, Newcomer R, Sands L, Lindquist K, Dane K, et al. Patient and caregiver characteristics and nursing home placement in patients with dementia. JAMA. 2002;287(16):2090–7.CrossRefPubMed
8.
Kiecolt-Glaser JK, Dura JR, Speicher CE, Trask OJ, Glaser R. Spousal caregivers of dementia victims: longitudinal changes in immunity and health. Psychosom Med. 1991;53(4):345–62.CrossRefPubMed
9.
Kiecolt-Glaser JK, Marucha PT, Malarkey WB, Mercado AM, Glaser R. Slowing of wound healing by psychological stress. Lancet. 1995;346(8984):1194–6.CrossRefPubMed
10.
Teri L, Logsdon RG, Uomoto J, McCurry SM. Behavioral treatment of depression in dementia patients: a controlled clinical trial. J Gerontol B Psychol Sci Soc Sci. 1997;52(4):159–66.CrossRef
11.
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
12.
13.
14.
Pinquart M, Sorensen S. Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis. Gerontologist. 2005;45(1):90–106.CrossRefPubMed
15.
Haley WE, Gitlin LN, Wisniewski SR, Mahoney DF, Coon DW, Winter L, et al. Well-being, appraisal, and coping in African-American and Caucasian dementia caregivers: findings from the REACH study. Aging Ment Health. 2004;8(4):316–29.CrossRefPubMed
16.
Pearlin LI, Mullan JT, Semple SJ, Skaff MM. Caregiving and the stress process—an overview of concepts and their measures. Gerontologist. 1990;30(5):583–94.CrossRefPubMed
17.
Aranda MP, Knight BG. The influence of ethnicity and culture on the caregiver stress and coping process: a sociocultural review and analysis. Gerontologist. 1997;37(3):342–54.CrossRefPubMed
18.
Knight BG, Sayegh P. Cultural values and caregiving: the updated sociocultural stress and coping model. J Gerontol B Psychol Sci Soc Sci. 2010;65B(1):5–13.CrossRefPubMed
19.
Dilworth-Anderson P, Anderson N. Dementia caregiving in Blacks: a contextual approach to research. In: Light E, Niederehe G, Lebowitz BD, editors. Stress effects on family Alzheimer’s patient. New York: Springer; 1994.
20.
Chong AM, Kwan CW, Chi I, Lou VW, Leung AY. Domestic helpers as moderators of spousal caregiver distress. J Gerontol B Psychol Sci Soc Sci. 2014;69(6):966–72.CrossRefPubMed
21.
Pot AM, Deeg DJ, van Dyck R. Psychological distress of caregivers: moderator effects of caregiver resources? Patient Educ Couns. 2000;41(2):235–40.CrossRefPubMed
22.
Rabinowitz YG, Mausbach BT, Gallagher-Thompson D. Self-efficacy as a moderator of the relationship between care recipient memory and behavioral problems and caregiver depression in female dementia caregivers. Alzheimer Dis Assoc Disord. 2009;23(4):389–94.CrossRefPubMed
23.
Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310–57.CrossRefPubMed
24.
25.
Tran TV, Phan PT. The changing Vietnamese American family. In: Wright RH Jr, Mindel CH, Tran TV, Habenstein RW, editors. Ethnic variations in America: patterns and variations. 5th ed. New York: Pearson; 2012.
26.
Krause N. Chronic financial strain, social support, and depressive symptoms among older adults. Psychol Aging. 1987;2(2):185–92.CrossRefPubMed
27.
Booth J, Ayers SL, Marsiglia FF. Perceived neighborhood safety and psychological distress: exploring protective factors. J Sociol Soc Welf. 2012;39(4):137–56.
28.
Aneshensel CS, Sucoff CA. The neighborhood context of adolescent mental health. J Health Soc Behav. 1996;37(4):293–310.CrossRefPubMed
29.
Ellaway A, Macintyre S, Kearns A. Perceptions of place and health in socially contrasting neighbourhoods. Urban Stud. 2001;39:2299–316.CrossRef
30.
31.
Faris RE, Dunham HW. Mental disorders in urban areas: an ecological study of schizophrenia and other psychoses. Chicago: The University of Chicago Press; 1939.
32.
Ross CE, Mirowsky J. Neighborhood disadvantage, disorder, and health. J Health Soc Behav. 2001;42(3):258–76.CrossRefPubMed
33.
Pew Research Center. The rise of Asian Americans. Washington, DC: Pew Research Center; 2012.
34.
35.
Rote S, Angel JL, Markides K. Health of elderly Mexican American adults and family caregiver distress. Research on Aging. 2015;37(3):306–31.CrossRefPubMed
36.
California Health Interview Survey (CHIS) Los Angeles, CA: UCLA Center for Health Policy Research. 2009.
37.
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRefPubMed
38.
Furukawa TA, Kessler RC, Slade T, Andrews G. The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychol Med. 2003;33(2):357–62.CrossRefPubMed
39.
Kessler RC, Green JG, Gruber MJ, Sampson NA, Bromet E, Cuitan M, et al. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative. Int J Methods Psychiatr Res. 2010;19(Suppl 1):4–22.CrossRefPubMedPubMedCentral
40.
Gim RH, Atikinson DR, Whiteley S. Asian American acculturation, severity of concerns, and willingness to see a counselor. J Couns Psychol. 1990;37:281–5.CrossRef
41.
Liem R, Lim BA, Liem JH. Acculturation and emotion among Asian Americans. Cult Divers Ethnic Minor Psychol. 2000;6:13–31.CrossRef
42.
Dohrenwend BP, Dohrenwend BS. Social status and psychological disorder: a causal inquiry. New York: Wiley-Interscience; 1966.
43.
Kramer E, Kwong K, Lee E, Chung H. Cultural factors influencing the mental health of Asian Americans. West J Med. 2002;176:227–31.PubMedPubMedCentral
44.
Zhang W, Hong S. Perceived discrimination and psychological distress among Asian Americans: does education matter? J Immigr Minor Health. 2012;15:932–43.CrossRef
45.
Lin N. Social capital: a theory of social structure and action. New York: Cambridge University Press; 2002.
46.
Nguyen D, Goel M. Social determinants and the psychological distress of Vietnamese immigrants. Int J Cult Ment Health. 2014;8(1):22–33.CrossRef
47.
Pinquart M, Sorensen S. Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2003;58(2):112–28.CrossRef
48.
Hilgeman MM, Durkin DW, Sun F, DeCoster J, Allen RS, Gallagher-Thompson D, et al. Testing a theoretical model of the stress process in Alzheimer’s caregivers with race as a moderator. Gerontologist. 2009;49(2):248–61.CrossRefPubMedPubMedCentral
49.
Napoles AM, Chadiha L, Eversley R, Moreno-John G. Reviews: developing culturally sensitive dementia caregiver interventions: are we there yet? Am J Alzheimers Dis Other Demen. 2010;25(5):389–406.CrossRefPubMedPubMedCentral
50.
Kalra L, Evans A, Perez I, Melbourn A, Patel A, Knapp M, et al. Training carers of stroke patients: randomised controlled trial. BMJ. 2004;328(7448):1099.CrossRefPubMedPubMedCentral
Metadata
Title
Psychological Distress of Ethnically Diverse Adult Caregivers in the California Health Interview Survey
Authors
Oanh L. Meyer
Xiaoyan Liu
Thuc-Nhi Nguyen
Ladson Hinton
Daniel Tancredi
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 4/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-017-0634-0

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