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- Title
PSYCHOLOGICAL MEDICINE. Factors Related to the Depression among Family Caregivers of Older People with Disabilities Who Used Home Health Care Services in the Metropolitan City of Hokkaido, Northern Japan.
- Authors
Masakazu Washio; Yumiko Arai; Mitsuru Mori
- Abstract
Objectives: To investigate factors related to depression among family caregivers of older people with disabilities who used home health care services in the metropolitan city of Hokkaido, Northern Japan. Design: Cross sectional study. Method: The data includes 101 pairs of older people with disabilities and their family caregivers who used home care health services in Sapporo City, Hokkaido Prefecture, Japan. Caregivers answered a self-administered questionnaire about various factors that may affect their depression and also completed a Center for Epidemiologic Studies Depression Scale evaluation (CES- D). Caregivers were divided into two groups according to their CES-D score (i.e., the cut-off point of the CES-D being 16 as defined above): (i) depressed (n = 46), and (ii) non-depressed (n = 55). This study was approved by the Ethical Committees of Sapporo Medical University. Results: Depressed caregivers were older than non-depressed caregivers. Compared to their counterparts, depressed family caregivers were more likely to be a spouse, and more likely to consult with physicians for their own diseases. The rate of caregivers who cared for their charges 4 hours/day or more was greater among depressed caregivers than non-depressed caregivers while the rate of caregivers who could go out without accompanying their charges was smaller among depressed caregivers than non-depressed caregivers. Conclusion: The result of the present study suggests that spousal caregivers, caregivers who are older persons, and those taking care of their charges for a long time each day may be positively associated with the risk of the depression among caregivers whereas having free time from caring for their charges may reduce the risk of depression among caregivers. Home care nurses should care for not only older people with disabilities but also for their family caregivers especially when caregivers are older persons or the spouses of those receiving care.
- Subjects
JAPAN; MENTAL depression risk factors; CAREGIVERS; PSYCHOLOGY of caregivers; CHI-squared test; CONFIDENCE intervals; HEALTH status indicators; HOME care services; PSYCHOLOGY of People with disabilities; PSYCHOLOGICAL tests; RESEARCH funding; SPOUSES; U-statistics; ACTIVITIES of daily living; FAMILY relations; SOCIAL support; BURDEN of care; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; PSYCHOLOGICAL factors; OLD age
- Publication
International Medical Journal, 2014, Vol 21, Issue 3, p263
- ISSN
1341-2051
- Publication type
Article