A 3-site longitudinal study is proposed in which the impact of caregiver mental health on the quality of care providers to elderly family members will be examined. Existing research indicated that substantial percentages of caregivers are emotionally distressed by the caregiving experience in terms of depressive symptomatology, Categories of data to be collected include predisposing factors (e.g., care recipient impairment, caregiver physical health and personal resources, exogenous life events), caregiver mental health status (depression, anger, anxiety, and cogntive impairment), and quality of care outcomes (operationalized as physical and psychological abuse and neglect and/or financial exploitation). The applicants hypothesize that caregiver mental health factors will mediate associations between predisposing factors and quality of care. It is also predicted that caregiver cognitive impairment will have both direct and moderating effects (through espects of caregiver mental health) on quality of care. Multisample analysis of covariance structures will assess measurement equivalency between caregivers and care recipients. Structural equations modeling (SEM) will be employed: a) at each measurement point for testing, refinement, and cross-validation of the proposed model, and b) to assess predictive relationships between the model's components. SEM-based Hierarchical Linear Modeling (HLM) and latent growth modeling will be used to assess changes in those relationships over time.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG015321-03
Application #
6043101
Study Section
Mental Disorders of Aging Review Committee (MDA)
Project Start
1997-09-30
Project End
2002-07-31
Budget Start
1999-09-15
Budget End
2000-07-31
Support Year
3
Fiscal Year
1999
Total Cost
Indirect Cost
Name
University of Georgia
Department
Type
Other Domestic Higher Education
DUNS #
City
Athens
State
GA
Country
United States
Zip Code
30602
Monin, Joan K; Schulz, Richard; Feeney, Brooke C (2015) Compassionate Love in Individuals With Alzheimer's Disease and Their Spousal Caregivers: Associations With Caregivers' Psychological Health. Gerontologist 55:981-9
Miller, L Stephen; Brown, Courtney L; Mitchell, Meghan B et al. (2013) Activities of daily living are associated with older adult cognitive status: caregiver versus self-reports. J Appl Gerontol 32:3-30
Monin, Joan K; Schulz, Richard; Kershaw, Trace S (2013) Caregiving spouses' attachment orientations and the physical and psychological health of individuals with Alzheimer's disease. Aging Ment Health 17:508-16
Schulz, Richard; Beach, Scott R; Cook, Thomas B et al. (2012) Predictors and consequences of perceived lack of choice in becoming an informal caregiver. Aging Ment Health 16:712-21
Morse, Jennifer Q; Shaffer, David R; Williamson, Gail M et al. (2012) Models of self and others and their relation to positive and negative caregiving responses. Psychol Aging 27:211-8
Smith, G Rush; Williamson, Gail M; Miller, L Stephen et al. (2011) Depression and quality of informal care: a longitudinal investigation of caregiving stressors. Psychol Aging 26:584-91
Macneil, Gordon; Kosberg, Jordan I; Durkin, Daniel W et al. (2010) Caregiver mental health and potentially harmful caregiving behavior: the central role of caregiver anger. Gerontologist 50:76-86
Heckhausen, Jutta; Wrosch, Carsten; Schulz, Richard (2010) A motivational theory of life-span development. Psychol Rev 117:32-60
Van Pelt, David C; Schulz, Richard; Chelluri, Lakshmipathi et al. (2010) Patient-specific, time-varying predictors of post-ICU informal caregiver burden: the caregiver outcomes after ICU discharge project. Chest 137:88-94
Schulz, Richard; Monin, Joan K; Czaja, Sara J et al. (2010) Measuring the experience and perception of suffering. Gerontologist 50:774-84

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