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Depressive symptoms in caregivers immediately after stroke
Eeeseung Byun1, Lois Evans2, Marilyn Sommers2
1a Department of Biobehavioral Nursing and Health Informatics, School of Nursing , University of Washington , Seattle , WA , USA.
Topics in Stroke Rehabilitation
|April 2, 2019
Summary
Caregiver depressive symptoms are common after stroke. Identifying factors like stress, social support, and survivor functional status can help target early interventions for better caregiver well-being.
Area of Science:
- Neuroscience
- Psychiatry
- Gerontology
Background:
- Depressive symptoms in caregivers of stroke survivors negatively impact their health.
- Early identification of caregiver distress is crucial for timely intervention and improved well-being.
Purpose of the Study:
- To investigate factors associated with depressive symptoms in caregivers during the early poststroke period.
- To identify caregiver and stroke survivor characteristics that predict early-onset depressive symptoms.
Main Methods:
- Prospective, longitudinal observational study of 63 caregivers of older adult stroke survivors.
- Depressive symptoms assessed using Patient Health Questionnaire-9 at 2 and 6 weeks poststroke.
- Linear mixed models used to analyze associations between caregiver/survivor characteristics and depressive symptoms.
Main Results:
- Caregivers reported mild depressive symptoms early poststroke.
- Caregiver uncertainty, perceived stress, coping, social support, race, income, and time spent on care were associated with depressive symptoms.
- Stroke survivor's race and functional status also correlated with caregiver depressive symptoms; evening cortisol levels at 6 weeks were significant.
Conclusions:
- Specific caregiver and stroke survivor characteristics can identify individuals at high risk for early depressive symptoms.
- Findings can inform the development of targeted interventions to alleviate caregiver distress and improve outcomes.
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