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Quality of Life Research

Gepubliceerd in:

01-06-2014

Role of global stress in the health-related quality of life of caregivers: evidence from the Survey of the Health of Wisconsin

Auteurs: Kristin Litzelman, Halcyon G. Skinner, Ronald E. Gangnon, F. Javier Nieto, Kristen Malecki, Whitney P. Witt

Gepubliceerd in: Quality of Life Research | Uitgave 5/2014

Abstract

Purpose

Informal caregivers play a critical role in the care of individuals who are aging or have disabilities and are at increased risk for poor health outcomes. This study sought to determine whether and to what extent: (1) global stress and health-related quality of life (HRQoL) differed between caregivers and non-caregivers; (2) global stress mediated the relationship between caregiving status and HRQoL; and (3) caregiver strain (i.e., stress attributable to caregiving) was associated with worse HRQoL after accounting for global stress.

Methods

Cross-sectional data were from the 2008–2010 Survey of the Health of Wisconsin, a representative sample of adults aged 21–74 years. Participants (n = 1,364) completed questionnaires about caregiving status, sociodemographics, global stress, and HRQoL. Staged generalized additive models assessed the impact of caregiving on HRQoL and the role of caregiver strain and global stress in this relationship.

Results

In the last 12 months, 17.2 % of the sample reported caregiving. Caregivers reported worse mental HRQoL than non-caregivers (β −1.88, p = 0.02); global stress mediated this relationship (p < 0.01). Caregivers with the highest levels of strain reported worse mental and physical HRQoL (β −7.12, p < 0.01), and caregivers with the lowest levels of strain reported better mental HRQoL (β 2.06, p = 0.01) than non-caregivers; these associations were attenuated by global stress (p < 0.01).

Conclusion

Global stress, rather than caregiving per se, contributes to poor HRQoL among caregivers, above and beyond the effect of caregiving strain. Screening, monitoring, and reducing stress in multiple life domains presents an opportunity to improve HRQoL outcomes for caregivers.

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Difference in mean global stress between caregivers and non-caregivers; mean global stress in caregivers was 1.11 points higher than non-caregivers, controlling for covariates.

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Titel: Role of global stress in the health-related quality of life of caregivers: evidence from the Survey of the Health of Wisconsin
Auteurs: Kristin Litzelman
Halcyon G. Skinner
Ronald E. Gangnon
F. Javier Nieto
Kristen Malecki
Whitney P. Witt
Publicatiedatum: 01-06-2014
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 5/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-013-0598-z

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