Influence of burden, stress and depressive symptoms on the health of older adult caregivers: a longitudinal study
Influencia de la carga, el estrés y los síntomas depresivos en la salud de los cuidadores de personas mayores: un estudio longitudinal
Influência da sobrecarga, estresse e sintomas depressivos na saúde de idosos cuidadores: estudo longitudinal
Marielli Terassi; Sirlei Ricarte Bento; Estefani Serafim Rossetti; Sofia Cristina Iost Pavarini; Priscilla Hortense
Abstract
Objective: to analyze the effect of burden, stress, and depressive symptoms on the health characteristics of older adult caregivers of older adults.
Method: A quantitative and longitudinal study was conducted with 127 older adult caregivers to analyze the effect of burden, stress, and depressive symptoms on their health characteristics. The variables assessed included health characterization, burden, depressive symptoms, and stress. A linear regression model and Poisson test were employed, with a significance level set at 5%.
Results: The findings revealed that an increase of one point in the burden scale score was associated with a 0.030 increase in the number of diseases (p=0.020) and an increased risk of chronic pain (p=0.005). Similarly, a one-point increase in the stress scale score was associated with a 0.058 increase in the number of diseases (p=0.001), as well as an increased risk of a poor subjective health assessment (p=<0.001) and chronic pain (p=<0.001). Furthermore, an increase in the score on the depressive symptoms scale was associated with an increase in the number of diseases (p=<0.001), risk of falls (p=0.009), poor subjective health assessment (p=<0.001), and chronic pain (p=<0.001).
Conclusions and implications for practice: The worsening estimate in the scores of psychological variables poses a risk to the deterioration of caregivers’ physical health characteristics. The findings underscore the need for the development of public policies aimed at improving the quality of life for older adult caregivers.
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Resumo
Objetivo: analisar o efeito da sobrecarga, do estresse e dos sintomas depressivos sobre as características de saúde de idosos cuidadores de idosos.
Métodos: estudo quantitativo e longitudinal com 127 idosos cuidadores. As variáveis utilizadas foram caracterização de saúde; sobrecarga; sintomas depressivos e estresse. Realizou-se modelo de regressão linear, teste de Poisson, com nível de significância de 5%.
Resultados: observou-se que um ponto a mais no escore na escala de sobrecarga aumenta em 0,030 o número de doenças (p=0,020) e risco de dor crônica (p=0,005); um ponto a mais no escore na escala de estresse aumenta em 0,058 o número de doenças (p=0,001) e risco para avaliação de saúde regular/ruim (p=<0,001) e dor crônica (p=<0,001); o aumento no escore na escala de sintomas depressivos aumenta o número de doenças (p=<0,001), risco de quedas (p=0,009), avaliação de saúde regular/ruim (p=<0,001) e dor crônica (p=<0,001).
Conclusões e implicações para a prática: estimativa de piora nos escores das variáveis psicológicas acarreta um risco para o agravamento de características de saúde física dos cuidadores. Com os resultados encontrados, observar-se a necessidade da criação de políticas públicas para os idosos cuidadores, a fim de propiciar uma melhor qualidade de vida.
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References
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Submitted date:
01/26/2023
Accepted date:
05/24/2023
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