Adriana Izquierdo1, Jeanne Miranda2, Elizabeth Bromley3, Cathy Sherbourne4, Gery Ryan4, David Kennedy4, Kenneth Wells2. 1. Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, 90024, USA; Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90024, USA. Electronic address: aizquierdo@mednet.ucla.edu. 2. Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, 90024, USA. 3. Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, 90024, USA; West Los Angeles VA Healthcare Center, Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), Los Angeles, CA, 90073, USA. 4. RAND Corporation, Santa Monica, CA, 90407, USA.
Abstract
OBJECTIVE: Grandparenting is an important social role, but how adults with a history of depression experience grandparenting is unknown; we describe grandparenting experiences reported by an ethnically diverse sample of adults with a history of depression. METHOD: Mixed-methods study using semistructured interviews of adults at 10-year follow-up and quantitative data collected over 9 years from 280 systematically sampled participants from a longitudinal, multisite trial of quality-improvement interventions for depressed primary care patients; of 280, 110 reported noncustodial grandparenting experiences. RESULTS: Of 110 adults reporting grandparenting experiences, 90 (82%) reported any positive experience such as special joy; 57 (52%) reported any stressful experience such as separation; and 27 (34%) reported mixed experiences. Adults with chronic or recent depression were significantly more likely than their respective counterparts to report any stressful experience (P<0.05). There was no significant association between depression status and reporting a positive experience. CONCLUSION(S): Grandparenting was a highly salient and positive experience as reported by ethnically diverse adults 10 years after being identified as depressed in primary care. Depression status was associated with reporting stressful but not positive experiences. Specific themes underlying positive and stressful experiences may have implications for developing strategies to enhance quality of life for adults with a history of depression who are grandparents.
OBJECTIVE: Grandparenting is an important social role, but how adults with a history of depression experience grandparenting is unknown; we describe grandparenting experiences reported by an ethnically diverse sample of adults with a history of depression. METHOD: Mixed-methods study using semistructured interviews of adults at 10-year follow-up and quantitative data collected over 9 years from 280 systematically sampled participants from a longitudinal, multisite trial of quality-improvement interventions for depressed primary care patients; of 280, 110 reported noncustodial grandparenting experiences. RESULTS: Of 110 adults reporting grandparenting experiences, 90 (82%) reported any positive experience such as special joy; 57 (52%) reported any stressful experience such as separation; and 27 (34%) reported mixed experiences. Adults with chronic or recent depression were significantly more likely than their respective counterparts to report any stressful experience (P<0.05). There was no significant association between depression status and reporting a positive experience. CONCLUSION(S): Grandparenting was a highly salient and positive experience as reported by ethnically diverse adults 10 years after being identified as depressed in primary care. Depression status was associated with reporting stressful but not positive experiences. Specific themes underlying positive and stressful experiences may have implications for developing strategies to enhance quality of life for adults with a history of depression who are grandparents.
Authors: Carol M Musil; Sarah E Givens; Alexandra B Jeanblanc; Jaclene A Zauszniewski; Camille B Warner; Valerie B Toly Journal: Arch Psychiatr Nurs Date: 2016-11-23 Impact factor: 2.218