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The effect of spousal caregiving and bereavement on depressive symptoms.

Publication ,  Journal Article
Taylor, DH; Kuchibhatla, M; Ostbye, T; Plassman, BL; Clipp, EC
Published in: Aging Ment Health
January 2008

The objective of the study was to determine whether spousal caregiving and bereavement increases caregiver depressive symptoms. We followed 1,967 community-dwelling elderly couples from the 1993 Health and Retirement Study (HRS) until 2002 (five bi-annual surveys) or death. Depressive symptoms were measured by the Center for Epidemiological Studies-Depression (CESD) scale. Adjusted depressive symptoms were higher for females for three of the four caregiving arrangements tested (as were unadjusted baseline levels). Depressive symptoms were lowest when neither spouse received caregiving (adjusted CESD of 2.97 for males; 3.44 for females, p<0.001). They were highest when females provided care to their husband with assistance from another caregiver, (4.01) compared to (3.37; p<0.001) when males so cared for their wife. A gender by caregiving arrangements interaction was not significant (p=0.13), showing no differential effect of caregiving on CESD by gender. Depressive symptoms peaked for bereaved spouses within three months of spousal death (4.67; p<0.001) but declined steadily to 2.75 (p<0.001) more than 15 months after death. Depressive symptoms initially increased for the community spouse after institutionalization of the care recipient, but later declined. We conclude that caregiving increases depressive symptoms in the caregiver, but does not have a differential effect by gender. Increases in depressive symptoms following bereavement are short-term.

Duke Scholars

Published In

Aging Ment Health

DOI

ISSN

1360-7863

Publication Date

January 2008

Volume

12

Issue

1

Start / End Page

100 / 107

Location

England

Related Subject Headings

  • Sex Factors
  • Male
  • Longitudinal Studies
  • Interview, Psychological
  • Humans
  • Geriatrics
  • Female
  • Empirical Research
  • Depression
  • Caregivers
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Taylor, D. H., Kuchibhatla, M., Ostbye, T., Plassman, B. L., & Clipp, E. C. (2008). The effect of spousal caregiving and bereavement on depressive symptoms. Aging Ment Health, 12(1), 100–107. https://doi.org/10.1080/13607860801936631
Taylor, D. H., M. Kuchibhatla, T. Ostbye, B. L. Plassman, and E. C. Clipp. “The effect of spousal caregiving and bereavement on depressive symptoms.Aging Ment Health 12, no. 1 (January 2008): 100–107. https://doi.org/10.1080/13607860801936631.
Taylor DH, Kuchibhatla M, Ostbye T, Plassman BL, Clipp EC. The effect of spousal caregiving and bereavement on depressive symptoms. Aging Ment Health. 2008 Jan;12(1):100–7.
Taylor, D. H., et al. “The effect of spousal caregiving and bereavement on depressive symptoms.Aging Ment Health, vol. 12, no. 1, Jan. 2008, pp. 100–07. Pubmed, doi:10.1080/13607860801936631.
Taylor DH, Kuchibhatla M, Ostbye T, Plassman BL, Clipp EC. The effect of spousal caregiving and bereavement on depressive symptoms. Aging Ment Health. 2008 Jan;12(1):100–107.
Journal cover image

Published In

Aging Ment Health

DOI

ISSN

1360-7863

Publication Date

January 2008

Volume

12

Issue

1

Start / End Page

100 / 107

Location

England

Related Subject Headings

  • Sex Factors
  • Male
  • Longitudinal Studies
  • Interview, Psychological
  • Humans
  • Geriatrics
  • Female
  • Empirical Research
  • Depression
  • Caregivers