Benjamin D Capistrant1, Lisa F Berkman2, M Maria Glymour3. 1. Carolina Population Center, University of North Carolina-Chapel Hill, Chapel Hill, NC. Electronic address: ben_capistrant@unc.edu. 2. Department of Social and Behavior Sciences, Harvard School of Public Health, Boston, MA; Department of Epidemiology, Harvard School of Public Health, Boston, MA; Harvard Center for Development and Population Studies, Harvard University, Cambridge, MA. 3. Department of Social and Behavior Sciences, Harvard School of Public Health, Boston, MA.
Abstract
OBJECTIVES: To assess the association of current and long-term spousal caregiving with risk of depression in a nationally (U.S.) representative sample of older adults. METHODS: We studied married and depression-free Health and Retirement Study respondents aged 50 years and older (n = 9,420) at baseline from 2000 to 2010. Current (≥14 hours per week of help with instrumental/activities of daily living for a spouse in the most recent biennial survey) and long-term caregiving (care at two consecutive surveys) were used to predict onset of elevated depressive symptoms (≥3 on a modified Centers for Epidemiologic Studies Depression scale) with discrete-time hazards models and time-updated exposure and covariate information. RESULTS: Current caregiving was associated with significant elevations in risk of depression onset (hazard ratio: 1.64; Wald χ(2), 1 df: 28.34; p <0.0001). Effect estimates for long-term caregiving were similar (hazard ratio: 1.52, Wald χ(2), 1 df: 3.63; p = 0.06). CONCLUSIONS: Current spousal caregiving significantly predicted onset of depression; the association was not exacerbated by longer duration of caregiving.
OBJECTIVES: To assess the association of current and long-term spousal caregiving with risk of depression in a nationally (U.S.) representative sample of older adults. METHODS: We studied married and depression-free Health and Retirement Study respondents aged 50 years and older (n = 9,420) at baseline from 2000 to 2010. Current (≥14 hours per week of help with instrumental/activities of daily living for a spouse in the most recent biennial survey) and long-term caregiving (care at two consecutive surveys) were used to predict onset of elevated depressive symptoms (≥3 on a modified Centers for Epidemiologic Studies Depression scale) with discrete-time hazards models and time-updated exposure and covariate information. RESULTS: Current caregiving was associated with significant elevations in risk of depression onset (hazard ratio: 1.64; Wald χ(2), 1 df: 28.34; p <0.0001). Effect estimates for long-term caregiving were similar (hazard ratio: 1.52, Wald χ(2), 1 df: 3.63; p = 0.06). CONCLUSIONS: Current spousal caregiving significantly predicted onset of depression; the association was not exacerbated by longer duration of caregiving.
Authors: Elissa S Epel; Alexandra D Crosswell; Stefanie E Mayer; Aric A Prather; George M Slavich; Eli Puterman; Wendy Berry Mendes Journal: Front Neuroendocrinol Date: 2018-03-15 Impact factor: 8.606
Authors: Jacqueline M Torres; Uchechi A Mitchell; Oleg Sofrygin; Kara E Rudolph; Mariana López-Ortega; Mienah Z Sharif; Rebeca Wong; M Maria Glymour Journal: Int J Geriatr Psychiatry Date: 2020-12-11 Impact factor: 3.485