Literature DB >> 34165526

Care Recipient Controlling and Manipulative Behavior and Caregiver Depressive Symptoms: The Role of Race, Caregiver Resentment, and Mutual Communal Behavior.

Michelle R Johnson1, Charles E Lance2, Gail M Williamson3.   

Abstract

BACKGROUND AND OBJECTIVES: We explored whether relationship quality, as measured by mutual communal behavior, would serve as a buffer against caregiver resentment and, consequently, depressive symptoms when care recipients (CRs) engage in problem behavior (i.e., controlling and manipulative behavior [CMB]). Using the common core model of caregiver distress, we hypothesized that caregiver resentment would explain why caregivers were depressed when their CRs engage in CMB. We predicted that the indirect effect of CRCMB on depressive symptoms via resentment would depend on the strength of the communal bond between the caregiver and CR. Resentment was expected to play a significant role in explaining the association between CRCMB and depressive symptoms for caregivers in less communal relationships, but a small or nonexistent role for those in highly communal relationships. We also investigated whether these effects were different for Black and White caregivers. RESEARCH DESIGN AND METHODS: Data were obtained from 187 Black and 247 White caregivers from the second Family Relationships in Late Life Project. Before testing our model, we confirmed the measurement equivalence/invariance of the four scales used in this study.
RESULTS: Resentment mediated the association between CRCMB and depressive symptoms. However, the indirect effect was larger among highly communal caregivers. Caregiver race did not moderate the moderated mediation. DISCUSSION AND IMPLICATIONS: The communal bond between the caregiver and CR does not entirely protect the caregiver from depressive symptoms, particularly among highly communal caregivers. Interventions aimed at improving caregiver outcomes should acknowledge the unique vulnerabilities of caregivers in close relationships.
© The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  Depression; Measurement equivalence; Minority and diverse populations; Relationship quality

Mesh:

Year:  2022        PMID: 34165526      PMCID: PMC8827332          DOI: 10.1093/geront/gnab087

Source DB:  PubMed          Journal:  Gerontologist        ISSN: 0016-9013


  28 in total

1.  Caregiver attribution and resentment in dementia care.

Authors:  Kristin Martin-Cook; Barbara Remakel-Davis; Doris Svetlik; Linda S Hynan; Myron F Weiner
Journal:  Am J Alzheimers Dis Other Demen       Date:  2003 Nov-Dec       Impact factor: 2.035

2.  Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis.

Authors:  Martin Pinquart; Silvia Sörensen
Journal:  Gerontologist       Date:  2005-02

Review 3.  Physical and mental health effects of family caregiving.

Authors:  Richard Schulz; Paula R Sherwood
Journal:  Am J Nurs       Date:  2008-09       Impact factor: 2.220

4.  Depression and quality of informal care: a longitudinal investigation of caregiving stressors.

Authors:  G Rush Smith; Gail M Williamson; L Stephen Miller; Richard Schulz
Journal:  Psychol Aging       Date:  2011-09

5.  The Relation Between Multiple Informal Caregiving Roles and Subjective Physical and Mental Health Status Among Older Adults: Do Racial/Ethnic Differences Exist?

Authors:  Giyeon Kim; Rebecca S Allen; Sylvia Y Wang; Soohyun Park; Elizabeth A Perkins; Patricia Parmelee
Journal:  Gerontologist       Date:  2019-05-17

6.  Do State and Trait Measures Measure States and Traits? The Case of Community-Dwelling Caregivers of Older Adults.

Authors:  Charles E Lance; Juliette Christie; Gail M Williamson
Journal:  Assessment       Date:  2019-11-26

7.  Caregiver Reactions to Aggressive Behaviors in Persons With Dementia in a Diverse, Community-Dwelling Sample.

Authors:  Bryan R Hansen; Nancy A Hodgson; Chakra Budhathoki; Laura N Gitlin
Journal:  J Appl Gerontol       Date:  2018-02-19

8.  A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities.

Authors:  Jennifer L Wolff; Brenda C Spillman; Vicki A Freedman; Judith D Kasper
Journal:  JAMA Intern Med       Date:  2016-03       Impact factor: 21.873

9.  Quality of informal care is multidimensional.

Authors:  Juliette Christie; G Rush Smith; Gail M Williamson; Charles E Lance; Tamar E Shovali; Luciana C Silva
Journal:  Rehabil Psychol       Date:  2009-05

10.  Determinants of depression in primary caregivers of disabled older relatives: a path analysis.

Authors:  Rafael Del-Pino-Casado; Pedro A Palomino-Moral; Maria Del Mar Pastor-Bravo; Antonio Frías-Osuna
Journal:  BMC Geriatr       Date:  2017-11-23       Impact factor: 3.921

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