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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2012

01-08-2012 | Original Article

Group-Based Trajectory Modeling of Caregiver Psychological Distress Over Time

Authors: Chien-Wen J. Choi, MS, Roslyn A. Stone, PhD, Kevin H. Kim, PhD, Dianxu Ren, MD, PhD, Richard Schulz, PhD, Charles W. Given, PhD, Barbara A. Given, PhD, RN, FAAN, Paula R. Sherwood, PhD, RN, CNRN, FAAN

Published in: Annals of Behavioral Medicine | Issue 1/2012

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Abstract

Background

Competing theories of adaptation and wear-and-tear describe psychological distress patterns among family caregivers.

Purpose

This study seeks to characterize psychological distress patterns in family caregivers and identify predictors.

Methods

One hundred three caregivers of care recipients with primary malignant brain tumors were interviewed within 1, 4, 8, and 12 months post-diagnosis regarding psychological distress; care recipients were interviewed regarding clinical/functional characteristics. Group-based trajectory modeling identified longitudinal distress patterns, and weighted logistic/multinomial regression models identified predictors of distress trajectories.

Results

Group-based trajectory modeling identified high-decreasing (51.1 % of caregivers) and consistently low (48.9 %) depressive symptom trajectories, high-decreasing (75.5 %) and low-decreasing (24.5 %) anxiety trajectories, and high (37.5 %), moderate (40.9 %), and low-decreasing (21.6 %) caregiver burden trajectories. High depressive symptoms were associated with high trajectories for both anxiety and burden, lower caregivers age, income, and social support, and lower care recipient functioning.

Conclusions

Our data support the adaptation hypothesis; interventions should target those at risk for persistent distress.
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Metadata
Title
Group-Based Trajectory Modeling of Caregiver Psychological Distress Over Time
Authors
Chien-Wen J. Choi, MS
Roslyn A. Stone, PhD
Kevin H. Kim, PhD
Dianxu Ren, MD, PhD
Richard Schulz, PhD
Charles W. Given, PhD
Barbara A. Given, PhD, RN, FAAN
Paula R. Sherwood, PhD, RN, CNRN, FAAN
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9371-8

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