Skip to main content
Log in

Positive and negative evaluation of caregiving among three different types of informal care relationships

  • Original Investigation
  • Published:
European Journal of Ageing Aims and scope Submit manuscript

Abstract

Based on the caregiver stress model, we examined how care demands, caregiver motivation, coping style and external support are associated with positive evaluation and caregiver burden among spousal, adult child and other types of care relations. Data from a sample of Dutch informal caregivers of 1,685 older persons (55 and older) were analyzed employing multivariate linear regression analyses for each of the care relationship types. Spouses (N = 206) report high positive evaluation and high burden, adult children (N = 1,093) report low positive evaluation, and other caregivers (N = 386) report high positive evaluation and a low burden. Multivariate linear regression analyses showed that motives and external support were important for positive evaluation but the impact varied among types of caregivers, whereas care demands and not asking for help were associated with burden for all types. Only among ‘other’ caregiver relationships, positive evaluation was negatively associated with burden. It is concluded that results confirm the dual nature of caregiving among spouses and children. The care context and motivation of the different types of caregivers explain their differences in care evaluation. Various interventions for types of caregivers are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bacon E, Milne DL, Sheikh AI, Freeston MH (2009) Positive experiences in caregivers: an explanatory case series. Behav Cogn Psychother 37:95–114

    Article  Google Scholar 

  • Balducci C, Mnich E, McKee KJ, Lamura G, Beckmann A, Krevers B, Oberg B (2008) Negative impact and positive value in caregiving: validation of the COPE index in a six-country sample of carers. Gerontology 48:276–286

    Google Scholar 

  • Barker JC (2002) Neighbors, friends, and other nonkin caregivers of community-living dependent elders. J Gerontol B Soc Sci 57:S158–S167

    Article  Google Scholar 

  • Baronet A (2003) The impact of family relations on caregivers’ positive and negative appraisal of their caretaking activities. Fam Relat 52:137–142

    Article  Google Scholar 

  • Chapell NL, Reid RC (2002) Burden and well-being among caregivers: examining the distinction. Gerontologist 42:772–780

    Article  Google Scholar 

  • Cohen CA, Colantonio A, Vernich L (2002) Positive aspects of caregiving: rounding out the caregiver experience. Int J Geriatr Psychiatry 17:184–188

    Article  Google Scholar 

  • De Boer A, Broese van Groenou M, Timmermans J (2009) (red.) Mantelzorg; een overzicht van de steun van en aan mantelzorgers in 2007. [Informal care; an overview of the support to and from informal caregivers in 2007]. Netherlands Institute for Social Research, The Hague

  • De Boer A, Oudijk D, Broese van Groenou M, Timmermans J (2012a). Positieve ervaringen door mantelzorg; constructie van een schaal. [Positive evaluation of informal care: contruction of a scale] Tijdschr Gerontol Geriatr 43:243–55

  • De Boer A, Oudijk D, Timmermans J, Pot AM (2012b) Ervaren belasting door mantelzorg - constructie van de EDIZ-plus. [Caregiver burden in informal care—construction of the EDIZ-plus scale]. Tijdschr Gerontol Geriatr 43:77–89

    Article  Google Scholar 

  • Egging S, De Boer AH, Stevens NL (2011) Zorgzame vrienden en buren als mantelzorgers van oudere volwassenen: een vergelijking met kinderen. [Caring friends and neighbors as caregivers of older adults: a comparison with children]. Tijdschr Gerontol Geriatr 42:243–255

    Article  Google Scholar 

  • Goodman CR, Zarit SH, Steiner VL (1997) Personal orientation as a predictor of caregiver strain. Aging Ment Health 1:149–157

    Article  Google Scholar 

  • Hilgeman M, Durkin DW, Sun F, DeCoster J, Allen RS, Gallagher-Thompson D, Burgio LD (2009) Testing a theoretical model of the stress process in Alzheimer’s caregivers with race as moderator. Gerontology 49:248–261

    Article  Google Scholar 

  • Himes CL, Reidy EB (2000) The role of friends in caregiving. Res Aging 22:315–335

    Article  Google Scholar 

  • Iecovich E (2011) Quality of relationships between care recipients and their primary caregivers and its effects on caregivers’ burden and satisfaction in Israel. J Gerontol Soc Work 54:570–591

    Article  Google Scholar 

  • Katz S, Downs TD, Cash HR, Grotz RC (1970) Progress in development of the index of ADL. Gerontology 10:20–30

    Article  Google Scholar 

  • Kramer BJ (1993) Marital history and the prior relationship as predictors of positive and negative outcomes among wife caregivers. Fam Relat 42:367–375

    Article  Google Scholar 

  • Kramer BJ (1997a) Differential predictors of strain and gain among husbands caring for wives with dementia. Gerontology 37:239–249

    Article  Google Scholar 

  • Kramer BJ (1997b) Gain in the caregiving experience: where are we, what next? Gerontology 37:218–232

    Article  Google Scholar 

  • Lawton MP, Moss M, Kleban MH, Glicksman A, Rovine M (1991) A two-factor model of caregiving appraisal and psychological well-being. J Gerontol B Psychol Sci 46:P181–P189

    Google Scholar 

  • Lopez J, Lopez-Arrieta J, Crespo M (2005) Factors associated with the positive impact of caring for elderly and dependent relatives. Arch Gerontol Geriatr 41:81–94

    Article  Google Scholar 

  • Lyonette C, Yardley L (2003) The influence on carer wellbeing of motivations to care for older people and the relationship with the care recipient. Ageing Soc 23:487–506

    Article  Google Scholar 

  • Marks NF, Lambert JD, Choi H (2002) Transitions to caregiving, gender and psychological well-being: a prospective U.S national study. J Marriage Fam 64:657–667

    Article  Google Scholar 

  • Mokken RJ (1971) A theory and procedure of scale analysis. Mouton, The Hague; De Gruyter, Berlin

  • Pearlin LI, Mullan JT, Semple SJ, Skaff MM (1990) Caregiving and the stress process: an overview of concepts and their measures. Gerontology 30:583–594

    Article  Google Scholar 

  • Pinquart M, Sörensen S (2003) Associations with stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta-analysis. J Gerontol B Psychol Sci 58:P112–P128

    Article  Google Scholar 

  • Pinquart M, Sörensen S (2011) Spouse, adult children and children-in-law as caregivers of older adults: a meta-analytic comparison. Psychol Aging 26:1–14

    Article  Google Scholar 

  • Rapp SR, Chao D (2000) Appraisals of strain and gain: effects on psychological wellbeing of caregivers of dementia patients. Aging Ment Health 4:142–147

    Article  Google Scholar 

  • Raschick M, Ingersoll-Dayton B (2004) The costs and rewards of caregiving among aging spouses and adult children. Fam Relat 53:317–325

    Article  Google Scholar 

  • Robertson SM, Zarit SH, Duncan LG, Rovine MJ, Femia EE (2007) Family caregivers’ patterns of positive and negative affect. Fam Relat 56:12–23

    Article  Google Scholar 

  • Savundranayagam MY, Montgomery RJV, Kosloski K (2011) A dimensional analysis of caregiver burden among spouses and adult children. Gerontologist 51:321–331

    Article  Google Scholar 

  • Schulz R, Beach SR, Cook TB, Martire LM, Tomlinson JM, Monin JK (2012) Predictors and consequences of perceived lack of choice in becoming an informal caregiver. Aging Ment Health 16:712–721

    Article  Google Scholar 

  • Shirai Y, Silverberg Koerner S, Kenyon DYB (2009) Reaping caregiver feelings of gain: the roles of socio-emotional support and mastery. Aging Ment Health 13:106–117

    Article  Google Scholar 

  • Molenaar IW, Sijtsma, K (2000) User’s manual Msp5 for Windows: a program for mokken scale analysis for polytomous items, version 5.0. Iec ProGAMMA, Groningen

  • Szinovacz ME, Davey A (2008) The division of parent care between spouses. Ageing Soc 28:571–597

    Article  Google Scholar 

  • Tarlow BJ, Wisniewski SR, Belle SH, Rubert M, Ory MG, Gallagher-Thompson D (2004) Positive aspects of caregiving: contributions of the REACH Project to the development of new measures for Alzheimer’s caregiving. Res Aging 26:429–453

    Article  Google Scholar 

  • Tolkacheva N, Broese van Groenou MI, De Boer A, Van Tilburg TG (2011) The impact of the informal caregiving network on adult child’s caregiver burden. Ageing Soc 31:34–51

  • Weesie J (1999) Seemingly unrelated estimation and the cluster-adjusted sandwich estimator. Stata Tech Bull 52:34–47 (reprinted in Stata Tech Bull Reprints 9:231–248. Stata Press, College Station)

  • Winslow BW (2003) Family caregivers’ experiences with community services: a qualitative analysis. Public Health Nurs 20:341–348

    Article  Google Scholar 

  • Yates ME, Tennstedt S, Chang BH (1999) Contributors to and mediators of psychological well-being for informal caregivers. J Gerontol B Psychol Sci 54:P12–P22

    Article  Google Scholar 

  • Zarit SH (2012) Positive aspects of caregiving: more than looking at the bright side. Aging Ment Health 16:673–674

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marjolein I. Broese van Groenou.

Additional information

Responsible Editor: H. Litwin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Broese van Groenou, M.I., de Boer, A. & Iedema, J. Positive and negative evaluation of caregiving among three different types of informal care relationships. Eur J Ageing 10, 301–311 (2013). https://doi.org/10.1007/s10433-013-0276-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10433-013-0276-6

Keywords

Navigation