Psychological well-being of informal caregivers of elderly people with dementia: Changes over time

1997 ◽  
Vol 1 (3) ◽  
pp. 261-268 ◽  
Author(s):  
A. M. POT ◽  
D. J. H. DEEG ◽  
R. VAN DYCK
2016 ◽  
Vol 21 (11) ◽  
pp. 1138-1146 ◽  
Author(s):  
Connie Lethin ◽  
Anna Renom-Guiteras ◽  
Sandra Zwakhalen ◽  
Maria Soto-Martin ◽  
Kai Saks ◽  
...  

2021 ◽  
Vol 7 ◽  
pp. 233372142110201
Author(s):  
M. Courtney Hughes ◽  
Yujun Liu ◽  
Abby Baumbach

Background: In December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or COVID-19, raised worldwide concern. Since then, the COVID-19 pandemic has negatively influenced health and wellness across the globe and caused nearly three million deaths. This study focuses on informal caregivers of people with dementia, a disease that affects about 50 million older adults worldwide and requires much caregiving support. Objective: Examine the current literature on the impact of COVID-19 on the health and well-being of informal caregivers for people with dementia. Method: This rapid review was conducted across five electronic databases for quantitative and qualitative articles published through March 15, 2021. Results: The 10 studies included in this review reported quantitative descriptive data from across the globe; however, no studies existed from the U.S. or East Asia countries. All of the studies examined the psychological rather than physical impact of COVID-19 and highlighted risk and protective factors in the areas of psychosocial (resilience, neuropsychiatric, and social isolation), sociodemographic (gender and education), and environmental (home confinement, living arrangement, and dementia stage). Conclusion: COVID-19 has had a considerable negative impact on the psychological well-being of informal caregivers of people with dementia, namely causing more depression and anxiety than pre-pandemic.


2021 ◽  
pp. 1-8
Author(s):  
Beatrix Lábadi ◽  
Nikolett Arató ◽  
Tímea Budai ◽  
Orsolya Inhóf ◽  
Diána T. Stecina ◽  
...  

1993 ◽  
Vol 13 (2_suppl) ◽  
pp. 544-549 ◽  
Author(s):  
Elias V. Balaskas ◽  
I. Rogers Melamed ◽  
Amit Gupta ◽  
Joanne Bargman ◽  
Dimitrios G. Oreopoulos

Seventeen patients -10 females, 7 males -mean age 52 years (range: 21–77 years), on CAPD for an average of 35 months (range 10–160 months) were studied. Mean initial dose of EPO was 114±45 U/kg/week subcutaneously (range: 59–209). The dose was adjusted to achieve and maintain a target Hb of 100 g/L and Hct 30%. Fifteen of the patients (88.2%) achieved this target within 6 months [baseline to month 6 changes: Hb 72±10 g/L to 107±12 g/L (p=0.0001); Hct 22±3% to 33±4% (p=0.0001)]. Serum total protein also increased significantly over the time of EPO use (p=0.0133); changes from baseline were significant by the fourth month [68±9 g/L to 72±9 g/L (p=0.0115)]. Serum albumin also increased significantly over time (p=0.0157). The change from the baseline result (37±4 g/L) was statistically significant by month 2 (p=0.0060) and was maintained over the following 4 months [month 6 result: 40±3 g/L (p=0.0180)]. The increase was greater for 8 patients with initial serum albumin <35 g/L (mean change 5.75 g/L) than for the 9 subjects with levels >35 g/L (mean change 0.11 g/L). In a comparison group of 17 patients (matched for age, sex, duration of CAPD, underlying disease and antihypertensive treatment), who did not receive EPO treatment, albumin and protein did not appear to increase over time. Mean body weight increased from 60.9± 14.0 kg at the start to 62.1± 13.9 kg at month 6 (p=0.281) and the absolute lymphocyte count from 1.6±0.8 x 109/L to 1.8±1.0 x 109/L (p=0.0472). Serum potassium, urea, creatinine, phosphorus, cholesterol, tri. glycerides, WBC and platelets did not show significant changes over time. Serum phosphorus increased at the end of the second and third months (from 1.6±0.5 mmol/L to 1.9±0.4 and 1.8±0.4 mmol/L and then decreased at the sixth month (1.7±0.5 mmol/L); this is probably due to an increase in phosphate binders in 9 of 17 patients. An improvement in appetite, sleep and well-being, by patients’ self-assessment, was noted during the treatment. We conclude that the treatment with EPO is associated with improvement of the nutritional status of patients on CAPD.


2010 ◽  
Vol 7 (3) ◽  
pp. 299-307 ◽  
Author(s):  
Amy L. Morgan ◽  
David A. Tobar ◽  
Lauren Snyder

Purpose:To determine whether individuals participating in a program designed to accumulate 10,000 steps/ day demonstrate health, fitness and psychological benefits.Methods:Sedentary individuals (22 F, 7 M; age 59.8 ± 5.78 yr) were randomly assigned into a walking (W, n = 14) or control (C, n = 15) group. Following baseline assessment, the W group was given a daily plan to reach 10,000 steps/day within 3 weeks and asked to maintain this level for 12 weeks; the C group was asked to maintain their current activity. Participants were evaluated for cardiovascular endurance, resting and postexercise HR, functional ability, cholesterol, psychological well-being, and exercise self-efficacy before and following the 15-week program.Results:Significant changes over time were noted between groups (G×T; P < .05) with the W group demonstrating improvements in postexercise HR (−6.51%), total cholesterol (TC: −7.74%), and personal growth (2.53%). While not statistically significant, the W group also demonstrated improvements in 6 min walk distance (2.32%), total/HDL ratio (−10.09%), 8 foot up-and-go time (−3.35%), chair stands (6.17%), flexibility (128%), and environmental mastery (4.54%).Conclusion:A 15-week program aimed at accumulating 10,000 steps/day improves cardiovascular performance and personal growth and also positively influences many variables that are indicators of health, fitness and psychological well-being.


2009 ◽  
Vol 24 (3) ◽  
pp. 397-429 ◽  
Author(s):  
Chin-Chun Yi ◽  
Chyi-In Wu ◽  
Ying-Hwa Chang ◽  
Ming-Yi Chang

This study examines the growth trajectory of the psychological well-being of Taiwanese adolescents from early to late adolescence. Under the competitive educational system in Taiwan, family and school context are two major loci accounting for the developmental outcome. Data are taken from the Taiwan Youth Project, which is a longitudinal panel study of 2696 students since the year 2000. The study uses individual depressive symptoms as the dependent variable. Family cohesion, family educational strategy as well as classroom effects at school are chosen to indicate the potential contextual influence. Using the latent growth curve method, the analysis confirms that family and school factors do produce different effects over time. Family context is salient at the initial status, but not for subsequent development. Class cohesion as well as adolescents' perceptions of unfairness by teachers determine the depressive level, the linear slope and the non-linear quadratic growth curve. In other words, once the adolescent gets used to junior high school, the school context tends to exert more pronounced effects. Further analysis on gender comparisons indicates that selective family and school effects are more pronounced among females, with a greater degree of depressive symptoms over time. The article concludes that while family and school have different impacts on the growth curve of individual depressive symptoms, the school context exerts salient effects over an adolescent's life course.


2021 ◽  
Author(s):  
Jörg Matthes ◽  
Kevin Koban ◽  
Ariadne Neureiter ◽  
Anja Stevic

BACKGROUND Given that governmental prevention measures restricted most face-to-face communications, online self-disclosure via smartphones emerged as an alternative coping strategy that aimed at reducing the impact of the COVID-19 pandemic on people’s psychological health. Prepandemic research demonstrated that online self-disclosure benefits people’s psychological health by establishing meaningful relationships, obtaining social support, and achieving self-acceptance, particularly in times of crisis. However, it is unclear whether these dynamics transition well to lockdown conditions where online self-disclosure must stand almost entirely on its own. Longitudinal investigations are needed to gain insights into the psychological functionalities of online self-disclosure during the COVID-19 pandemic. OBJECTIVE This study aimed to determine the temporal associations between smartphone online self-disclosure (as a communicative behavior) and critical indicators of psychological health (including psychopathological, as well as hedonic and eudaimonic states) during the first COVID-19 lockdown in Austria. METHODS We conducted a representative 2-wave panel survey between late March/April 2020 and May 2020. A total of 416 participants completed both waves (43.1% attrition rate, given n=731 participants who completed the first wave). A partially metric measurement invariant overtime structural equation model was used to determine the temporal associations among online self-disclosure, fear of COVID-19, happiness, and psychological well-being. RESULTS The analysis revealed that fear of COVID-19 significantly predicted online self-disclosure over time (<i>b</i>=0.24, <i>P</i>=.003) and happiness over time (<i>b</i>=−0.14, <i>P</i>=.04), but not psychological well-being (<i>b</i>=0.03, <i>P</i>=.48), that is, stronger COVID-19 fears at T1 prompted more online self-disclosure and less happiness at T2. Online self-disclosure, on the other hand, significantly predicted happiness (<i>b</i>=0.09, <i>P</i>=.02), but neither fear of COVID-19 (<i>b</i>=−0.01, <i>P</i>=.57) nor psychological well-being (<i>b</i>=−0.01, <i>P</i>=.57) over time. Participants who engaged more strongly in online self-disclosure at T1 felt happier at T2, but they did not differ from less-disclosing participants concerning COVID-19 fears and psychological well-being at T2. Importantly, happiness and psychological well-being were significantly related over time (happiness T1 → psychological well-being T2: <i>b</i>=0.11, <i>P</i>&lt;.001; psychological well-being T1 → happiness T2: <i>b</i>=0.42, <i>P</i>&lt;.001). CONCLUSIONS Our findings suggest that online self-disclosure might play a pivotal role in coping with pandemic stressors. With restrictions on their options, individuals increasingly turn to their smartphones and social media to disclose their feelings, problems, and concerns during lockdown. While online self-disclosure might not alleviate fears or improve psychological well-being, our results demonstrate that it made people experience more happiness during this crisis. This psychological resource may help them withstand the severe psychological consequences of the COVID-19 crisis over longer timeframes.


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