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- Title
Cortisol outcomes among caucasian and latina/hispanic women caring for a family member with dementia: a preliminary examination of psychosocial predictors and effects of a psychoeducational intervention.
- Authors
Holland, Jason M.; Thompson, Larry W.; Cucciare, Michael A.; Tsuda, Akira; Okamura, Hisayoshi; Spiegel, David; Rasgon, Natalie L.; Gallagher‐Thompson, Dolores
- Abstract
A host of interventions are now known to be helpful to alleviate subjective distress and improve well-being in dementia caregivers. However, few intervention studies have focused on measures of physical health, and none have examined cortisol as an outcome-despite the fact that cortisol is regarded as a crucial biological intermediary by which chronic stress leads to disease. In this study, we examined demographic and psychosocial factors as predictors of salivary cortisol at a baseline assessment, among a sample of 175 Latino/Hispanic and Caucasian women caring for a family member with dementia. We also examined the influence of a cognitive-behaviour-based psychoeducational intervention (Coping with Caregiving) on cortisol at a post-treatment assessment, compared with a minimal support condition. Results revealed that caregivers with high intensity caregiving situations, characterized by long hours of care and co-residence with the care recipient, tended to have less adaptive cortisol patterns. However, these 'at-risk' caregivers benefited most from the Coping with Caregiving intervention and had more normal cortisol patterns at post-treatment, compared with caregivers in the control condition. Copyright © 2011 John Wiley & Sons, Ltd.
- Subjects
PSYCHOLOGICAL adaptation; PSYCHOLOGY of caregivers; CHI-squared test; DEMENTIA; EDUCATIONAL psychology; EXPERIMENTAL design; PSYCHOLOGY of Hispanic Americans; HYDROCORTISONE; IMMUNOASSAY; RESEARCH funding; SALIVA; SELF-evaluation; T-test (Statistics); WHITE people; BURDEN of care; PRE-tests &; post-tests; EDUCATIONAL outcomes
- Publication
Stress & Health: Journal of the International Society for the Investigation of Stress, 2011, Vol 27, Issue 4, p334
- ISSN
1532-3005
- Publication type
Article
- DOI
10.1002/smi.1375