Mental health of caregiving spouses: Coping as mediator, moderator, or main effect?

1989 ◽  
Vol 4 (4) ◽  
pp. 454-463 ◽  
Author(s):  
Rachel A. Pruchno ◽  
Nancy L. Resch
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Deepa K Damodaran ◽  
Jeny Rapheal ◽  
Varghese Paul.K

Mental health is clearly an integral part of health. It is part of an individual’s capacity to lead a happy and fulfilling life. As a form of child maltreatment psychological abuse can have a significant impact upon the mental health. The current study examined the influencing role of psychological abuse on mental health among 211 Keralite undergraduate youth between 18 to 24 years from data collected using Mental Health Inventory and Childhood Experiences of Care and Abuse Questionnaire-2. Results revealed average mental health of youth with no significant gender difference in mental health and in the prevalence of psychological abuse except in its severity from father. Psychological abuse significantly correlated with mental health variables. A 2 way ANOVA showed significant main effect of severe maternal psychological abuse on mental health. Severity of parental psychological abuse significantly predicted poor mental health (18.7% variability). The findings indicate the need for more effective measures to prevent psychological abuse of children.


2019 ◽  
Vol 33 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Sabina Vatter ◽  
Emma Stanmore ◽  
Linda Clare ◽  
Kathryn R. McDonald ◽  
Sheree A. McCormick ◽  
...  

Objectives:To explore and compare levels of mental health, care burden, and relationship satisfaction among caregiving spouses of people with mild cognitive impairment or dementia in Parkinson disease (PD-MCI or PDD) or dementia with Lewy bodies (DLB).Methods:Spouses (n = 136) completed measures of mood, stress, resilience, general health, quality of life, care burden, and relationship satisfaction, as well as sociodemographic factors. Additionally, data on motor and neuropsychiatric symptom severity of people with PD-MCI, PDD, or DLB were obtained in a subsample.Results:Most spouses were married women (>85%) who provided a median of 4 years of care and 84 hours of weekly care. Among these, relationship dissatisfaction, stress, anxiety, care burden, and feelings of resentment were common. Spouses of people with PDD and DLB had significantly higher rates of burden, resentment, and depression compared to spouses of people with PD-MCI. Furthermore, unique group differences emerged whereby spouses of people with PDD had significantly longer duration of care provision, higher stress, more relationship dissatisfaction, and fewer positive interactions, compared to PD-MCI group, whereas anxiety and lower levels of mental health were prominent in spouses of people with DLB, compared to PD-MCI group. Despite this, the majority of spouses reported good quality of life, resilience, and satisfaction with the caring role.Conclusion:Both PDD and DLB significantly contribute to poorer mental health and higher levels of care burden in spouses. Clinicians should actively screen the risk of burden, stress, depression, and anxiety among caregiving spouses of people with these conditions.


2019 ◽  
Vol 56 (4) ◽  
pp. 776-783
Author(s):  
Shinya Takeda ◽  
Shigeki Nakayama ◽  
Md. Sahab Uddin ◽  
Atsumi Hiramoto ◽  
Masahiko Inoue

AbstractThe purpose of this study was to investigate the correlations between nursing staff’s mental health, number of years worked, night shifts performed, and pleasant activities at the workplace. One hundred forty-three subjects who had no missing data were analyzed. Questions consisted of basic attributes, subjective happiness scale (SHS), and pleasant activities conducted at the workplace. Denouements of SHS indicated a significant trend for the main effect, with more pleasant activities in the high SHS group than the low SHS group. The interaction was significant, with fewer pleasant activities in participants in the low SHS group who worked the night shift compared with those who worked the night shift regardless of work experience. The outcomes of this study suggest that it is essential to expand the repertoire of pleasant activities at the workplace to increase the subjective happiness of nursing staff for older individuals.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S144-S144
Author(s):  
Abigail M Nehrkorn-Bailey ◽  
Julie Hicks Patrick ◽  
Madeline M Marello

Abstract As some health components may change across adulthood (CDC, 2019), social support for aging adults may be one way to optimize physical and mental health (U.S. Department of Health and Human Services, 2018). When social encounters are negative, however, physical and mental health may be negatively affected (Chen & Feeley, 2013; Hawkley & Cacioppo, 2010). Negative social exchanges (NSE) have been linked to an increase in negative affect and a decrease in positive affect (Newsom et al., 2003), along with an increase in physical symptoms (Edwards et al., 2001). In order to examine the relations between age, NSE, and two components of health (chronic health conditions and mental health) two moderated regression analyses were conducted using data from 848 adults (Mage = 32.5 years). Studying chronic health conditions, the overall model was significant, [F(3, 838) = 40.31, p < .001; R2 = .36]. Significant main effects emerged for NSE and age, along with a significant interaction between age and NSE (b = 0.010, p < 0.05). As NSE increased, the number of chronic health conditions increased, especially for older adults. For mental health, the overall model was significant [F(3, 845) = 52.96, p < .001; R2 = 0.16]. A significant main effect emerged for NSE, but neither the main effect for age nor the interaction were significant. Thus, although NSE can have deleterious effects on both mental and physical health, special attention needs to focus on the physical health of older adults who experience a higher number of NSE.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Chaurasia, K

Mental Health plays a very significant role to decide the quality of life. In the present competitive scenario students feel stress and face mental illness which is becoming very severe with time. In present investigation effort has been made to ascertain the effect of Social Support and Socioeconomic Status on Mental health in College Students. A 2×3 factorial design was employed. The two factors studied were: Social Support (varied at two level high and low) and socioeconomic status (varied at three level high, middle & low). There were six cells with 30 subjects in each cell (total sample consisted of 180 subjects and age range 18-22 years). Measurement of Mental Health was furnished through Mental Health Battery developed by Arun Kumar Singh & Alpnana Sen Gupta. Social Support and Socioeconomic status was also collected by a self-made questionnaire. Result: Result of ANOVA show the main effect of Social support and Socioeconomic Status were found significant (p<.01) on total mental health scores.


2017 ◽  
Vol 24 (05) ◽  
pp. 757-766
Author(s):  
Wahida Anjum

Introduction: Persistently dealing with chronic mental illness makes the caregiverssuffer from burden and mental health problems which are intensified if the caregiver is female.Therefore, there is need to improve the mental health of caregivers by using relaxation trainingin such a way that would reduce the burden of care in caregivers. Objectives: It is assumedthat female caregivers would be differing significantly in mental health problems as comparedto man. Relaxation training would improve mental health as compared to controlling the actualcondition. High burden would have inverse relationship with GHQ’s differential scores. Therewould be significant interaction between gender and burden, gender and training, burden andtraining, gender, burden and training. Study Design: A 2(Gender) X 2(Burden) X 2(Training)mixed factorial between subject design was used. Setting & Period: This study was conductedwithin 6 months of duration at the department of Psychiatry, Sir Ganga Ram Hospital Lahore.Material & methods: Purposive Sample technique was used. Sample consisted of 40 womenand 40 men out door patient’s caregivers of schizophrenia and epilepsy at Sir Ganga RamHospital, Lahore. Their age ranged from 20 to 60 years (M = 35.05, SD = 0.89). We assessedcaregiver’s burden by using Urdu version of Burden of Assessment (BAS) along with BAS, wealso recorded demographic information about the caregivers and assessed patients whomthey served on ICD-10 and clinical diagnoses for schizophrenia and epilepsy. Inherent to thestudy was a General Health Questionnaire (GHQ) which measured health of all caregivers fromdifferent dimensions. It included somatic, anxiety & insomnia, social dysfunction, depressionand psychological health of all caregivers. Compliant with a number of researchers, we designa training program to alleviate caregivers burden of health coping strategies, safeguard fromunfounded options about the patients and the disease and maximize the efficiency in dealingwith the patient and his/her disease. Results: Results found significant main effects on genderas women suffered from high burden and mental health problems as compared to men. Asame significant main effect was also found for burden which increased health-related issues.Another significant main effect was found on training. The experimental group whom researcherprovided relaxation training was significantly low on GHQ differential score as compared tocontrolled condition. Since we divided caregivers into high and low burden groups we foundthat general health of high burden group are more porn to degradation than low burden group.However, low health indicated on GHQ subscales is improved after training for both highand low burden group. Conclusions: We concluded that caregivers need to get substantialunderstanding of the patients disease and they need to get first-hand knowledge and trainingof what they are getting into when they are looking after diseased patients.


10.2196/10454 ◽  
2018 ◽  
Vol 5 (3) ◽  
pp. e10454 ◽  
Author(s):  
Shinichiro Suganuma ◽  
Daisuke Sakamoto ◽  
Haruhiko Shimoyama

Background Recent years have seen an increase in the use of internet-based cognitive behavioral therapy in the area of mental health. Although lower effectiveness and higher dropout rates of unguided than those of guided internet-based cognitive behavioral therapy remain critical issues, not incurring ongoing human clinical resources makes it highly advantageous. Objective Current research in psychotherapy, which acknowledges the importance of therapeutic alliance, aims to evaluate the feasibility and acceptability, in terms of mental health, of an application that is embodied with a conversational agent. This application was enabled for use as an internet-based cognitive behavioral therapy preventative mental health measure. Methods Analysis of the data from the 191 participants of the experimental group with a mean age of 38.07 (SD 10.75) years and the 263 participants of the control group with a mean age of 38.05 (SD 13.45) years using a 2-way factorial analysis of variance (group × time) was performed. Results There was a significant main effect (P=.02) and interaction for time on the variable of positive mental health (P=.02), and for the treatment group, a significant simple main effect was also found (P=.002). In addition, there was a significant main effect (P=.02) and interaction for time on the variable of negative mental health (P=.005), and for the treatment group, a significant simple main effect was also found (P=.001). Conclusions This research can be seen to represent a certain level of evidence for the mental health application developed herein, indicating empirically that internet-based cognitive behavioral therapy with the embodied conversational agent can be used in mental health care. In the pilot trial, given the issues related to feasibility and acceptability, it is necessary to pursue higher quality evidence while continuing to further improve the application, based on the findings of the current research.


2021 ◽  
pp. 009862832199463
Author(s):  
Regan A. R. Gurung ◽  
Noelle R. Galardi

Background: Mental health issues are increasing in higher education and finding ways for students to get help when needed is important. Objective: We tested if the tone of a short syllabus and the presence of a special statement addressing mental health would increase intentions to approach instructors for help. Method: We used a 2 (Tone: warm vs. cold) × 2(Statement: present vs. absent) experimental design. Participants (N = 257) read one of four, two-page syllabi, and rated intentions to reach out for help and the instructor. Results: We found a main effect for tone on three Reach Out statements and ratings of the instructor. Presence of the statement influenced likelihood to reach out for help with personal problems. Conclusions: Both the tone of a short syllabus and the presence of statements normalizing reaching out for help can influence student intentions to contact instructors for help. Teaching Implications: Writing a warm toned syllabus and addressing stress and mental health with a university statement may increase student’s intentions to ask for help.


2021 ◽  
Author(s):  
Zhen Yang ◽  
Chenghua Jiang

Abstract Background: China has about 240 million internal migrants(IMs), and they face lots of mental health risks. The government is actively promoting mental health education for IMs. Previous studies have focused more on the relation between social capital and mental health, but ignored the impact of social capital on the accessibility to mental health services.Methods: Data from the China Migrant Dynamic Survey of 2017, involving 138939 IMs in 31 provinces were used to explore the interaction of social capital, life stress index and gender on acceptance of mental health education(AMHE). Social capital was divided into cognitive(CSC) and structural social capital (SSC). Multiple line charts and multi-level logistic regression were conducted to analyze their impacts on AMHE, and whether such impacts were moderated by gender and life stress index(LSI). Results: The results suggest: (1) The SSC ranking of IMs with different LSI levels was "moderate (3.62 ± 1.736), mild(3.53 ± 1.755), severe(3.53 ± 1.755)", SSC was positively correlated with AMHE(OR=1.320, 95%CI 1.305 to 1.336), but the correlation would decrease with the increase of LSI(OR=0.969, 95%CI 0.953 to 0.985; OR=0.949, 95%CI 0.934 to 0.964); (2) Males’ SSC(3.67 ± 1.780) was significantly higher than that of females(3.36 ± 1.614), but its influence on AMHE of females was higher(OR=1.050, 95%CI 1.036 to 1.064); (3) The CSC ranking of IMs with different LSI levels was "mild(3.71 ± 2.096), moderate(3.71 ± 2.076), severe(3.42 ± 2.024)", there was no significant gender difference in CSC, and CSC was positively correlated with AMHE(OR=1.087, 95%CI 1.076 to 1.098), but gender and LSI had no significant moderating effect on it.Conclution: Gender and LSI were associated with social capital, but only the relationship between SSC and AMHE was moderated by them. SSC had both a main effect and a buffering effect, while CSC only showed a main effect. The government should pay attention to enhancing their positive identity to the city and at the same time improve their civic participation and social participation.


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