Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-23T11:08:55.556Z Has data issue: false hasContentIssue false

Latina/o and non-latina/o brain injury and dementia patients’ and caregivers’ health: An actor/partner interdependence model

Published online by Cambridge University Press:  05 March 2020

Kristen Faye Linton*
Affiliation:
Health Science Program, California State University Channel Islands, One University Drive, Camarillo, CA93012
*
Corresponding author. Email: Kristen.linton@csuci.edu
Get access

Abstract

Background:

The interdependence between patient and caregivers’ health, which is when the patients’ and informal caregivers’ emotion, cognition and/or behavior affects that of the other person is well documented among dyads experiencing cancer and heart disease, but scant research has assessed interdependence among those with brain injuries or dementia and Latina/o populations. This study aimed to assess the interdependence of patient and caregiver depression, patient functional independence and caregiver burden among non-Latina/o and Latina/o and patients with brain injuries and dementia and their caregivers.

Methods:

Patients and caregiver dyads (n = 96) were recruited from a trauma hospital. Participants completed measures on patient and caregiver depression, patient functional independence and caregiver burden. Participants provided written informed consent. Patient inclusion criteria included: (1) diagnosis with a brain injury or dementia, (2) minimum age of 12, (3) community dwelling and (4) ability to verbally communicate and complete study measures. Caregivers were only included if they were informal, unpaid, family or a friend. Nonparametric Spearman’s Rho correlations were conducted to test the study hypotheses.

Discussion:

There was consistently a statistically significant positive relationship between caregiver depression and caregiver burden for all groups. For non-Latina/o patient and caregiver dementia dyads, there were associations between patient depression and caregiver depression. For non-Latina/o dementia dyads, functional ability was only associated with patient depression. For Latina/o patient and caregiver brain injury and dementia dyads, the only statistically significant relationship was between caregiver depression and caregiver burden. Health services should embrace family-focused mental health and respite interventions.

Type
Brief Report
Copyright
© Australasian Society for the Study of Brain Impairment 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arévalo-Flechas, C. L., Acton, G., Escamilla, M.I., Bonner, P.N., & Lewis, S.L. (2014). Latino Alzheimer’s caregivers: What is important to them? Journal of Managerial Psychology, 29(6), 661684.CrossRefGoogle Scholar
Barskova, T., & Wilz, G. (2007). Interdependence of stroke survivors’ recovery and their relatives’ attitudes and health: A contribution to investigating the causal effects. Disability and Rehabilitation, 29(19), 14811491.CrossRefGoogle ScholarPubMed
Bowling, A. (2005). Just one question: If one question works, why ask several? Journal of Epidemiology & Community Health, 59, 342–245.CrossRefGoogle Scholar
Boyer, L., Baumstarck, K., Alessandrini, M., Hamidou, Z., Testart, J., Serres, M., … Zendjidjian, X. (2017). Emotional intelligence and coping strategies as determinants of quality of life in depressed patient–caregiver dyads: An actor–partner interdependence analysis. Comprehensive Psychiatry, 74, 7079.CrossRefGoogle ScholarPubMed
Buck, H. G., Mogle, J., Riegel, B., McMillan, S., & Bakitas, M. A. (2015). Exploring the Relationship of Patient and Informal Caregiver Characteristics with Heart Failure Self-Care Using the Actor-Partner Interdependence Model: Implications for Outpatient Palliative Care. Journal of Palliative Medicine, 18 (12), 10261032.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. (2017). Stroke facts. Received from: https://www.cdc.gov/stroke/facts.htm Google Scholar
Centers for Disease Control and Prevention. (2018). Alzheimer’s disease and related dementias. Received from: https://www.cdc.gov/features/alzheimers-disease-dementia/index.html Google Scholar
Clark, M. S., Bond, M. J., Prior, K. N., & Cotton, A. C. (2004). Measuring disability with parsimony: Evidence for the utility of a single item. Disability and rehabilitation, 26(5), 272279.CrossRefGoogle ScholarPubMed
Crist, J. D., Pasvogel, A., Szalacha, L. A., & Finley, B. A. (2017). Depression in family caregivers of Mexican descent: Exacerbated by stress and mitigated by mutuality. Research in Gerontological Nursing, 10(3), 106113.CrossRefGoogle ScholarPubMed
Cook, W. L., & Kenny, D. A. (2005). The actor–partner interdependence model: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29(2), 101109.CrossRefGoogle Scholar
Coyne, J. C., Kessler, R. C., Tal, M., Turnbull, J., Wortman, C. B., & Greden, J. F. (1987). Living with a depressed person. Journal of Consulting and Clinical Psychology, 55(3), 347.CrossRefGoogle ScholarPubMed
Dong, L., Freedman, V., & Mendes de Leon, C. (2018). The influence of depression and anxiety on onset of disability among older adults. Innovation in Aging, 2(suppl_1), 401402.CrossRefGoogle Scholar
Ellis, K. R., Janevic, M. R., Kershaw, T., Caldwell, C. H., Janz, N. K., & Northouse, L. (2017). Engagement in health-promoting behaviors and patient–caregiver interdependence in dyads facing advanced cancer: An exploratory study. Journal of Behavioral Medicine, 40(3), 506519.CrossRefGoogle ScholarPubMed
Frediksen-Goldsen, K. I. (2014). Caregiving with Pride. New York: Routledge, Haworth Press, Inc.CrossRefGoogle Scholar
Godwin, K. M., Swank, P. R., Vaeth, P., & Ostwald, S. K. (2013). The longitudinal and dyadic effects of mutuality on perceived stress for stroke survivors and their spousal caregivers. Aging & Mental Health, 17(4), 423431.CrossRefGoogle ScholarPubMed
Hellström, I., Nolan, M., & Lundh, U. (2005). ‘We do things together’ A case study of ‘couplehood’in dementia. Dementia, 4(1), 722.CrossRefGoogle Scholar
Hoffman, G. J., Burgard, S., Mendez-Luck, C. A., & Gaugler, J. E. (2019). Interdependence in Health and Functioning Among Older Spousal Caregivers and Care Recipients. Western Journal of Nursing Research, 41(5), 685703.CrossRefGoogle ScholarPubMed
Ivziku, D., Clari, M., Piredda, M., De Marinis, M. G., & Matarese, M. (2019). Anxiety, depression and quality of life in chronic obstructive pulmonary disease patients and caregivers: An actor–partner interdependence model analysis. Quality of Life Research, 28(2), 461472.CrossRefGoogle ScholarPubMed
Jacobs, J. M., Shaffer, K. M., Nipp, R. D., Fishbein, J. N., MacDonald, J., El-Jawahri, A., … Greer, J. A. (2017). Distress is interdependent in patients and caregivers with newly diagnosed incurable cancers. Annals of Behavioral Medicine, 51(4), 519531.CrossRefGoogle ScholarPubMed
Kelley, D. E., Kent, E. E., Litzelman, K., Mollica, M. A., & Rowland, J. H. (2019). Dyadic associations between perceived social support and cancer patient and caregiver health: An actor-partner interdependence modeling approach. Psycho-Oncology. doi:10.1002/pon.5096 CrossRefGoogle ScholarPubMed
Kenny, D. A. (1996). Models of nonindependence in dyadic research. Journal of Social and Personal Relationships, 13, 279294.CrossRefGoogle Scholar
Kershaw, T., Ellis, K. R., Yoon, H., Schafenacker, A., Katapodi, M., & Northouse, L. (2015). The interdependence of advanced cancer patients’ and their family caregivers’ mental health, physical health, and self-efficacy over time. Annals of Behavioral Medicine, 49(6), 901911.CrossRefGoogle ScholarPubMed
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509515.CrossRefGoogle Scholar
Linton, K. F., & Kim, B. J. (2018). A pilot study of Trabajadora de salud, a lay health worker intervention for Latinas/os with traumatic brain injuries and their caregivers. Disability and Health Journal, 11(1), 161164.CrossRefGoogle Scholar
Lo, C., Hales, S., Braun, M., Rydall, A. C., Zimmermann, C., & Rodin, G. (2013). Couples facing advanced cancer: Examination of an interdependent relational system. Psycho-Oncology, 22(10), 22832290.CrossRefGoogle ScholarPubMed
Locke, K. D., & Sadler, P. (2007). Self-efficacy, values, and complementarity in dyadic interactions: Integrating interpersonal and social-cognitive theory. Personality and Social Psychology Bulletin, 33(1), 94109.CrossRefGoogle ScholarPubMed
Nalder, E., Fleming, J., Cornwell, P., & Foster, M. (2012). Linked lives: The experiences of family caregivers during the transition from hospital to home following traumatic brain injury. Brain Impairment, 13(1), 108122.CrossRefGoogle Scholar
Nimmon, L., Bates, J., Kimel, G., & Lingard, L. (2018). Patients with heart failure and their partners with chronic illness: Interdependence in multiple dimensions of time. Journal of Multidisciplinary Healthcare, 11, 175.CrossRefGoogle ScholarPubMed
Perrin, P. B., Johnston, A., Vogel, B., Heesacker, M., Vega-Trujillo, M., Anderson, J., & Rittman, M. (2010). A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation. Journal of Rehabilitation Research and Development, 47(7), 605617.CrossRefGoogle ScholarPubMed
Pucciarelli, G., Vellone, E., Savini, S., Simeone, S., Ausili, D., Alvaro, R., Lee, C., & Lyons, K. S. (2017). Roles of changing physical function and caregiver burden on quality of life in stroke: A longitudinal dyadic analysis. Stroke, 48(3), 733739.CrossRefGoogle ScholarPubMed
Roppolo, M., Mulasso, A., Gobbens, R. J., Mosso, C. O., & Rabaglietti, E. (2015). A comparison between uni-and multidimensional frailty measures: Prevalence, functional status, and relationships with disability. Clinical Interventions in Aging, 10, 1669.Google ScholarPubMed
Rusbult, C. E., & Van Lange, P. A. (2008). Why we need interdependence theory. Social and Personality Psychology Compass, 2(5), 20492070.CrossRefGoogle Scholar
Segrin, C., & Badger, T. A. (2013). Interdependent psychological distress between Latinas with breast cancer and their supportive partners. Journal of Latina/o Psychology, 1(1), 21.CrossRefGoogle Scholar
Shaffer, K. M., Kim, Y., & Carver, C. S. (2016). Physical and mental health trajectories of cancer patients and caregivers across the year post-diagnosis: A dyadic investigation. Psychology & Health, 31(6), 655674.CrossRefGoogle ScholarPubMed
Tashiro, T., & Frazier, P. (2007). The causal effects of emotion on couples’ cognition and behavior. Journal of Counseling Psychology, 54(4), 409422.CrossRefGoogle Scholar
Vandepitte, S., Van Den Noortgate, N., Putman, K., Verhaeghe, S., Verdonck, C., & Annemans, L. (2016). Effectiveness of respite care in supporting informal caregivers of persons with dementia: A systematic review. International Journal of Geriatric Psychiatry, 31(12), 12771288.CrossRefGoogle ScholarPubMed
Van Lange, P.A., & Rusbult, C.E. (2012). Interdependence theory. In Van Lange, P. A., Kruglanski, A. W., Higgins, T. E. (Eds.), Handbook of Theories of Social Psychology (vol. 2, pp. 251272). Thousand Oaks, CA: SAGE Publications.CrossRefGoogle Scholar
Vellone, E., Chung, M. L., Cocchieri, A., Rocco, G., Alvaro, R., & Riegel, B. (2014). Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: Testing dyadic dynamics using the actor–partner interdependence model. Journal of Family Nursing, 20(1), 120141.CrossRefGoogle ScholarPubMed
Wan-Fei, K., Hassan, S. T. S., Sann, L. M., Ismail, S. I. F., Raman, R. A., & Ibrahim, F. (2017). Depression, anxiety and quality of life in stroke survivors and their family caregivers: A pilot study using an actor/partner interdependence model. Electronic Physician, 9(8), 4924.CrossRefGoogle ScholarPubMed