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Published in: The Journal of Behavioral Health Services & Research 2/2008

01-04-2008 | Brief Report

Associations in Sense of Coherence and Depression in Caregivers of Stroke Survivors Across 2 Years

Authors: Neale R. Chumbler, PhD, Maude R. Rittman, PhD, RN, Samuel S. Wu, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2008

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Abstract

The objective of this longitudinal study was to detect the relationship between the sense of coherence (SOC), which is an adaptive coping response, and depression in informal caregivers of stroke survivors across 2 years. One-hundred-fifteen veterans, who were hospitalized after experiencing an acute stroke, and their informal caregivers were enrolled prior to discharge. Data were collected via face-to-face in-home interviews at 1, 6, 12, 18, and 24 months after discharge. A linear mixed model was fitted to estimate the effects of the time-dependent covariates (SOC) while considering the dependence of outcome measures at repeated times. Based on the linear mixed model, caregivers with a stronger SOC were associated with lower levels of caregiver depression across 2 years following a stroke (p < 0.0001). SOC seems to be an important aspect of a caregiver’s capacity to cope after tending to the needs of a stroke patient.
Literature
1.
go back to reference Visser-Meily A, Post M, Schepers V, et al. Spouses’ quality of life 1 year after stroke: Prediction at the start of clinical rehabilitation. Cerebrovascular Diseases. 2005;20(6):443–448.PubMedCrossRef Visser-Meily A, Post M, Schepers V, et al. Spouses’ quality of life 1 year after stroke: Prediction at the start of clinical rehabilitation. Cerebrovascular Diseases. 2005;20(6):443–448.PubMedCrossRef
2.
go back to reference Grant JS, Elliott TR, Weaver M, et al. Telephone intervention with family caregivers of stroke survivors after rehabilitation. Stroke. 2002;33(8):2060–2065.PubMedCrossRef Grant JS, Elliott TR, Weaver M, et al. Telephone intervention with family caregivers of stroke survivors after rehabilitation. Stroke. 2002;33(8):2060–2065.PubMedCrossRef
3.
go back to reference Visser-Meily A, van Heugten C, Post M, et al. Intervention studies for caregivers of stroke survivors: a critical review. Patient Education and Counseling. 2005;56(3):257–267.PubMedCrossRef Visser-Meily A, van Heugten C, Post M, et al. Intervention studies for caregivers of stroke survivors: a critical review. Patient Education and Counseling. 2005;56(3):257–267.PubMedCrossRef
4.
go back to reference Chumbler NR, Rittman M, Van Puymbroeck M, et al. The sense of coherence, burden, and depressive symptoms in informal caregivers during the first month after stroke. International Journal of Geriatric Psychiatry. 2004;19(10):944–953.PubMedCrossRef Chumbler NR, Rittman M, Van Puymbroeck M, et al. The sense of coherence, burden, and depressive symptoms in informal caregivers during the first month after stroke. International Journal of Geriatric Psychiatry. 2004;19(10):944–953.PubMedCrossRef
5.
go back to reference Gallagher TJ, Wagenfeld MO, Baro F, et al. Sense of coherence, coping and caregiver role overload. Social Science and Medicine. 1994;39(12):1615–1622.PubMedCrossRef Gallagher TJ, Wagenfeld MO, Baro F, et al. Sense of coherence, coping and caregiver role overload. Social Science and Medicine. 1994;39(12):1615–1622.PubMedCrossRef
6.
go back to reference Van Puymbroeck M, Rittman MR. Quality-of-life predictors for caregivers at 1 and 6 months poststroke: Results of path analyses. Journal of Rehabilitation Research and Development. 2005;42(6):747–760.PubMedCrossRef Van Puymbroeck M, Rittman MR. Quality-of-life predictors for caregivers at 1 and 6 months poststroke: Results of path analyses. Journal of Rehabilitation Research and Development. 2005;42(6):747–760.PubMedCrossRef
7.
go back to reference Forsberg-Warleby G, Moller A, Blomstrand C. Spouses of first-ever stroke victims: sense of coherence in the first phase after stroke. Journal of Rehabilitation Medicine. 2002;34(3):128–133.PubMedCrossRef Forsberg-Warleby G, Moller A, Blomstrand C. Spouses of first-ever stroke victims: sense of coherence in the first phase after stroke. Journal of Rehabilitation Medicine. 2002;34(3):128–133.PubMedCrossRef
8.
go back to reference Williams CL, Rittman MR, Boylstein C, et al. Qualitative and quantitative measurement of depression in veterans recovering from stroke. Journal of Rehabilitation Research and Development. 2005;42(3):277–290.PubMedCrossRef Williams CL, Rittman MR, Boylstein C, et al. Qualitative and quantitative measurement of depression in veterans recovering from stroke. Journal of Rehabilitation Research and Development. 2005;42(3):277–290.PubMedCrossRef
9.
go back to reference Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research. 1982;17(1):37–49.PubMedCrossRef Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research. 1982;17(1):37–49.PubMedCrossRef
10.
go back to reference Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well, 1st ed. San Francisco: Jossey-Bass; 1987. Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well, 1st ed. San Francisco: Jossey-Bass; 1987.
11.
go back to reference Eriksson M, Lindstrom B. Validity of Antonovsky’s sense of coherence scale: a systematic review. Journal of Epidemiology and Community Health. 2005;59(6):460–466.PubMedCrossRef Eriksson M, Lindstrom B. Validity of Antonovsky’s sense of coherence scale: a systematic review. Journal of Epidemiology and Community Health. 2005;59(6):460–466.PubMedCrossRef
12.
go back to reference Granger CV, Hamilton BB. UDS report. The Uniform Data System for Medical Rehabilitation report of first admissions for 1990. American Journal of Physical Medicine & Rehabilitation. 1992;71(2):108–113.CrossRef Granger CV, Hamilton BB. UDS report. The Uniform Data System for Medical Rehabilitation report of first admissions for 1990. American Journal of Physical Medicine & Rehabilitation. 1992;71(2):108–113.CrossRef
13.
go back to reference SAS Institute. SAS Procedures Guide, Version 8 [computer program]. Cary: SAS Institute; 2000. SAS Institute. SAS Procedures Guide, Version 8 [computer program]. Cary: SAS Institute; 2000.
14.
go back to reference Verbeke G, Molengerghs G. Linear mixed models for longitudinal data. New York: Springer; 2000. Verbeke G, Molengerghs G. Linear mixed models for longitudinal data. New York: Springer; 2000.
15.
go back to reference Dennis M, O’Rourke S, Lewis S, et al. A quantitative study of the emotional outcome of people caring for stroke survivors. Stroke. 1998;29(9):1867–1872.PubMed Dennis M, O’Rourke S, Lewis S, et al. A quantitative study of the emotional outcome of people caring for stroke survivors. Stroke. 1998;29(9):1867–1872.PubMed
16.
go back to reference Jonsson AC, Lindgren I, Hallstrom B, et al. Determinants of quality of life in stroke survivors and their informal caregivers. Stroke. 2005;36(4):803–808.PubMedCrossRef Jonsson AC, Lindgren I, Hallstrom B, et al. Determinants of quality of life in stroke survivors and their informal caregivers. Stroke. 2005;36(4):803–808.PubMedCrossRef
17.
go back to reference Berg A, Palomaki H, Lonnqvist J, et al. Depression among caregivers of stroke survivors. Stroke. 2005;36(3):639–643.PubMedCrossRef Berg A, Palomaki H, Lonnqvist J, et al. Depression among caregivers of stroke survivors. Stroke. 2005;36(3):639–643.PubMedCrossRef
18.
go back to reference Wyller TB, Thommessen B, Sodring KM, et al. Emotional well-being of close relatives to stroke survivors. Clinical Rehabilitation. 2003;17(4):410–417.PubMedCrossRef Wyller TB, Thommessen B, Sodring KM, et al. Emotional well-being of close relatives to stroke survivors. Clinical Rehabilitation. 2003;17(4):410–417.PubMedCrossRef
19.
go back to reference van den Heuvel ET, de Witte LP, Schure LM, et al. Risk factors for burn-out in caregivers of stroke patients, and possibilities for intervention. Clinical Rehabilitation. 2001;15(6):669–677.PubMedCrossRef van den Heuvel ET, de Witte LP, Schure LM, et al. Risk factors for burn-out in caregivers of stroke patients, and possibilities for intervention. Clinical Rehabilitation. 2001;15(6):669–677.PubMedCrossRef
20.
go back to reference Thurston RC, Kubzansky LD, Kawachi I, et al. Do depression and anxiety mediate the link between educational attainment and CHD? Psychosomatic Medicine. 2006;68(1):25–32.PubMedCrossRef Thurston RC, Kubzansky LD, Kawachi I, et al. Do depression and anxiety mediate the link between educational attainment and CHD? Psychosomatic Medicine. 2006;68(1):25–32.PubMedCrossRef
21.
go back to reference Morimoto T, Schreiner AS, Asano H. Caregiver burden and health-related quality of life among Japanese stroke caregivers. Age and Ageing. 2003;32(2):218–223.PubMedCrossRef Morimoto T, Schreiner AS, Asano H. Caregiver burden and health-related quality of life among Japanese stroke caregivers. Age and Ageing. 2003;32(2):218–223.PubMedCrossRef
22.
go back to reference Rule B, Harvey H, Dobbs A. Reliability of GDS in adult population. Clinical Gertontology. 1989(9):37–43. Rule B, Harvey H, Dobbs A. Reliability of GDS in adult population. Clinical Gertontology. 1989(9):37–43.
23.
go back to reference Weintraub D, Saboe K, Stern MB. Effect of age on geriatric depression scale performance in Parkinson’s disease. Movement Disorders. 2007;22(9):1331–1335.PubMedCrossRef Weintraub D, Saboe K, Stern MB. Effect of age on geriatric depression scale performance in Parkinson’s disease. Movement Disorders. 2007;22(9):1331–1335.PubMedCrossRef
24.
go back to reference Han B, Haley WE. Family caregiving for patients with stroke. Review and analysis. Stroke. 1999;30(7):1478–1485.PubMed Han B, Haley WE. Family caregiving for patients with stroke. Review and analysis. Stroke. 1999;30(7):1478–1485.PubMed
25.
go back to reference Lindstrom B, Eriksson M. Salutogenesis. Journal of Epidemiology and Community Health. 2005;59(6):440–442.PubMedCrossRef Lindstrom B, Eriksson M. Salutogenesis. Journal of Epidemiology and Community Health. 2005;59(6):440–442.PubMedCrossRef
Metadata
Title
Associations in Sense of Coherence and Depression in Caregivers of Stroke Survivors Across 2 Years
Authors
Neale R. Chumbler, PhD
Maude R. Rittman, PhD, RN
Samuel S. Wu, PhD
Publication date
01-04-2008
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 2/2008
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-007-9083-1

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