Kyung Hee Yoon1,2, Yoo Sun Moon1,2, Yunhwan Lee3,4, Seong Hye Choi5, So Young Moon4,6, Sang Won Seo7,8,9, Kyung Won Park10, Bon D Ku11, Hyun Jeong Han12, Kee Hyung Park13, Seol-Heui Han14, Eun-Joo Kim15, Jae-Hong Lee16, Sun A Park17, Yong S Shim18, Jong Hun Kim19, Chang Hyung Hong4,20, Duk L Na7,8,9, Byoung Seok Ye21, Hee Jin Kim7,8,9, Yeonsil Moon14, Sang Soo Lee2, Do Hoon Kim1. 1. a Department of Psychiatry, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea. 2. b Institute for Skeletal Aging, Chuncheon Sacred Heart Hospital , Hallym University College of Medicine , Chuncheon , South Korea. 3. c Department of Preventive Medicine and Public Health , Ajou University School of Medicine , Suwon , South Korea. 4. d Institute on Aging , Ajou University Medical Center , Suwon , South Korea. 5. e Department of Neurology , Inha University School of Medicine , Incheon , South Korea. 6. f Department of Neurology , Ajou University School of Medicine , South Korea. 7. g Department of Neurology, Samsung Medical Center , Sungkyunkwan University School of Medicine , Seoul , South Korea. 8. h Neuroscience Center, Samsung Medical Center , Seoul , South Korea. 9. i Department of Clinical Research Design and Evaluation , SAIHST, Sungkyunkwan University , Seoul , South Korea. 10. j Department of Neurology , Dong-A University College of Medicine , Pusan , South Korea. 11. k Department of Neurology , Catholic Kwandong University College of Medicine , Gangneung , South Korea. 12. l Department of Neurology , Myongji Hospital , Goyang , South Korea. 13. m Department of Neurology , Gachon University Gil Medical Center , Incheon , South Korea. 14. n Department of Neurology , Konkuk University College of Medicine , Seoul , South Korea. 15. o Department of Neurology , Pusan National University School of Medicine , Pusan , South Korea. 16. p Department of Neurology , University of Ulsan College of Medicine, Asan Medical Center , Seoul , South Korea. 17. q Department of Neurology , Soonchunhyang University Bucheon Hospital, College of Medicine , Bucheon , South Korea. 18. r Department of Neurology , Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Bucheon , South Korea. 19. s Department of Neurology , Ilsan Hospital, National Health Insurance Service , Goyang , South Korea. 20. t Department of Psychiatry , Ajou University School of Medicine , Suwon , South Korea. 21. u Department of Neurology , Yonsei University College of Medicine , Seoul , South Korea.
Abstract
OBJECTIVES: This study explored whether religiosity/spirituality has a protective role against negative caregiving outcomes, in a large multicenter nationwide sample of caregivers of patients with dementia in South Korea. Additionally, this study was the first to examine whether religiosity/spirituality could affect caregiving outcomes according to the various religious affiliations of caregivers. METHODS: The study was conducted on a sample of 476 caregivers of patients with dementia participated in the Clinical Research Center for Dementia of South Korea (CREDOS). We examined the moderating effect of each of the three dimensions of religiosity/spirituality (organizational religious activity, ORA; non-organizational religious activity, NORA; intrinsic religiosity, IR) on the relationship between activities of daily living (ADL) of patients with dementia and caregiving burden and depressive symptoms of caregivers, using a series of hierarchical regression analyses. In addition, these analyses were conducted according to the religious affiliations of the caregivers. RESULTS: ORA, NORA, and IR of religiosity/spirituality alleviated the effect of ADL of patients on caregiving burden. ORA and IR moderated the relationship between ADL of patients and depressive symptoms of caregivers. These moderating effects of religiosity on caregiving outcomes were different according to various religious groups. CONCLUSION: We have identified religiosity/spirituality as a protective factor for caregivers of patients with dementia. The sub-dimensions of religiosity as moderators were different by religious affiliations of caregivers. Further studies are needed to investigate the specific religiosity-related factors which could positively impact the mental health of the caregivers of patients with dementia by religions.
OBJECTIVES: This study explored whether religiosity/spirituality has a protective role against negative caregiving outcomes, in a large multicenter nationwide sample of caregivers of patients with dementia in South Korea. Additionally, this study was the first to examine whether religiosity/spirituality could affect caregiving outcomes according to the various religious affiliations of caregivers. METHODS: The study was conducted on a sample of 476 caregivers of patients with dementia participated in the Clinical Research Center for Dementia of South Korea (CREDOS). We examined the moderating effect of each of the three dimensions of religiosity/spirituality (organizational religious activity, ORA; non-organizational religious activity, NORA; intrinsic religiosity, IR) on the relationship between activities of daily living (ADL) of patients with dementia and caregiving burden and depressive symptoms of caregivers, using a series of hierarchical regression analyses. In addition, these analyses were conducted according to the religious affiliations of the caregivers. RESULTS: ORA, NORA, and IR of religiosity/spirituality alleviated the effect of ADL of patients on caregiving burden. ORA and IR moderated the relationship between ADL of patients and depressive symptoms of caregivers. These moderating effects of religiosity on caregiving outcomes were different according to various religious groups. CONCLUSION: We have identified religiosity/spirituality as a protective factor for caregivers of patients with dementia. The sub-dimensions of religiosity as moderators were different by religious affiliations of caregivers. Further studies are needed to investigate the specific religiosity-related factors which could positively impact the mental health of the caregivers of patients with dementia by religions.
Entities:
Keywords:
Religiosity; activities of daily living; caregiver; dementia; religion