Types of stroke-related deficits and their impact on family caregiver’s depressive symptoms,burden, and quality of life |
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Authors: | I Magaly Freytes Meagan Sullivan Magda Schmitzberger Jennifer LeLaurin Tatiana Orozco Nathaniel Eliazar-Macke Constance Uphold |
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Institution: | 1. Geriatric Research, Education, and Clinical Center, North, FL/South Georgia Veterans Health System, 1601 SW Archer Rd, Gainesville, FL, 32608, USA;2. Research Service, North, FL/South Georgia Veterans Health System, 1601 SW Archer Rd, Gainesville, FL, 32608, USA;3. Department of Behavioral Sciences and Community Health, College of Public Health & Health Professions, University of Florida, 1225 Center Drive, Gainesville, FL, 32610, USA;4. Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, PO Box 100177, Gainesville, FL, 32610, USA;5. Department of Aging and Geriatric Research, College of Medicine, University of Florida, 2004 Mowry Rd, Gainesville, FL, 32603, USA |
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Abstract: | BackgroundStroke caregiving has been associated with higher rates of caregiver burden, depression, and lower quality of life compared to non-caregivers. Little is known about relationships between stroke survivors’ Cognitive/Emotional and Motor/Functional deficits and caregivers’ outcomes.ObjectiveTo determine the relationship between stroke survivors’ Cognitive/Emotional deficits and Motor/Functional deficits and caregivers’ depression, burden, and quality of life.MethodThis is a retrospective secondary data analysis. The sample consisted of 109 caregivers of stroke survivors. Step-wise linear multiple regression analyses were conducted to determine if Cognitive/Emotional deficits and/or Motor/Functional deficits, were predictive of caregivers’ depressive symptoms, burden, physical quality of life, and mental quality of life.ResultsThe Cognitive/Emotional deficits category was a better predictor than the Motor/Functional deficit of caregivers’ depressive symptoms, burden, and mental quality of life. The Cognitive/Emotional deficit score positively predicted both depression (β = .49, p < .001) and burden (β = 0.39, p < .001) and negatively predicted mental quality of life (β = ?0.42, p < .001), though it did not significantly predict physical quality of life (β = ?0.01, p = .90). The motor/functional deficits failed to significantly predict any of the caregiver outcomes (all p-values >.05).ConclusionsThe Cognitive/Emotional deficits appear to impact caregiver well-being more than the Motor/Functional deficits. Understanding the impact of Cognitive/Emotional and Motor/Functional deficits on caregivers can help clinicians identify caregivers at the highest risk for negative outcomes. |
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Keywords: | Stroke caregiver Depression Burden Quality of life Stroke deficits |
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