Skip to main content
Erschienen in: Quality of Life Research 6/2015

01.06.2015

The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin

verfasst von: Kristin Litzelman, Halcyon G. Skinner, Ronald E. Gangnon, F. Javier Nieto, Kristen Malecki, Whitney P. Witt

Erschienen in: Quality of Life Research | Ausgabe 6/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

In order to better understand how family caregiving may contribute to poor health outcomes, this study sought to determine (1) if and to what extent caregiving characteristics were associated with caregiver strain and health-related quality of life (HRQoL), and (2) whether caregiver strain mediated this association.

Methods

Data were from the 2008–2010 Survey of the Health of Wisconsin, a representative sample of Wisconsin adults aged 21–74 years. Participants completed questionnaires about their caregiving, sociodemographics, and HRQoL; 264 caregivers were identified. Staged generalized additive models assessed the associations among caregiving characteristics, caregiver strain, and HRQoL; survey weights were applied to account for the complex sampling design.

Results

More hours per week of care and greater duration of caregiving were associated with higher levels of strain. Greater caregiver strain was in turn associated with worse mental HRQoL. However, most caregiving characteristics were not directly associated with mental or physical HRQoL.

Conclusions

The findings suggest a chains-of-risk model in which caregiving may increase strain, which may in turn adversely influence mental HRQoL. Using this perspective to refine interventions may improve our ability to support caregivers on practice and policy levels.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
2.
Zurück zum Zitat Field, M. J., Jette, A., & Committee on Disability in America. (2007). The future of disability in America. Washington: The National Academies Press. Field, M. J., Jette, A., & Committee on Disability in America. (2007). The future of disability in America. Washington: The National Academies Press.
4.
Zurück zum Zitat Cohen, C. A., Colantonio, A., & Vernich, L. (2002). Positive aspects of caregiving: Rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17(2), 184–188.PubMedCrossRef Cohen, C. A., Colantonio, A., & Vernich, L. (2002). Positive aspects of caregiving: Rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17(2), 184–188.PubMedCrossRef
6.
Zurück zum Zitat Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1(3), 141–169.CrossRef Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1(3), 141–169.CrossRef
7.
Zurück zum Zitat Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process—an overview of concepts and their measures. Gerontologist, 30(5), 583–594.PubMedCrossRef Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process—an overview of concepts and their measures. Gerontologist, 30(5), 583–594.PubMedCrossRef
11.
Zurück zum Zitat Beach, S. R., Schulz, R., Yee, J. L., & Jackson, S. (2000). Negative and positive health effects of caring for a disabled spouse: Longitudinal findings from the caregiver health effects study. Psychology and Aging, 15(2), 259–271.PubMedCrossRef Beach, S. R., Schulz, R., Yee, J. L., & Jackson, S. (2000). Negative and positive health effects of caring for a disabled spouse: Longitudinal findings from the caregiver health effects study. Psychology and Aging, 15(2), 259–271.PubMedCrossRef
12.
Zurück zum Zitat Roth, D. L., Perkins, M., Wadley, V. G., Temple, E. M., & Haley, W. E. (2009). Family caregiving and emotional strain: associations with quality of life in a large national sample of middle-aged and older adults. Quality of Life Research, 18(6), 679–688. doi:10.1007/s11136-009-9482-2.PubMedCentralPubMedCrossRef Roth, D. L., Perkins, M., Wadley, V. G., Temple, E. M., & Haley, W. E. (2009). Family caregiving and emotional strain: associations with quality of life in a large national sample of middle-aged and older adults. Quality of Life Research, 18(6), 679–688. doi:10.​1007/​s11136-009-9482-2.PubMedCentralPubMedCrossRef
13.
14.
Zurück zum Zitat Kim, Y., Spillers, R. L., & Hall, D. L. (2012). Quality of life of family caregivers 5 years after a relative’s cancer diagnosis: Follow-up of the national quality of life survey for caregivers. Psychooncology, 21(3), 273–281. doi:10.1002/pon.1888.PubMedCrossRef Kim, Y., Spillers, R. L., & Hall, D. L. (2012). Quality of life of family caregivers 5 years after a relative’s cancer diagnosis: Follow-up of the national quality of life survey for caregivers. Psychooncology, 21(3), 273–281. doi:10.​1002/​pon.​1888.PubMedCrossRef
15.
Zurück zum Zitat Fredman, L., Cauley, J. A., Hochberg, M., Ensrud, K. E., Doros, G., & Study of Osteoporotic, F. (2010). Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: Results of caregiver-study of osteoporotic fractures. Journal of the American Geriatrics Society, 58(5), 937–943. doi:10.1111/j.1532-5415.2010.02808.x.PubMedCentralPubMedCrossRef Fredman, L., Cauley, J. A., Hochberg, M., Ensrud, K. E., Doros, G., & Study of Osteoporotic, F. (2010). Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: Results of caregiver-study of osteoporotic fractures. Journal of the American Geriatrics Society, 58(5), 937–943. doi:10.​1111/​j.​1532-5415.​2010.​02808.​x.PubMedCentralPubMedCrossRef
16.
Zurück zum Zitat Litzelman, K., Skinner, H. G., Gangnon, R. E., Nieto, F. J., Malecki, K., & Witt, W. P. (2014). Role of global stress in the health-related quality of life of caregivers: Evidence from the survey of the health of wisconsin. Quality of Life Research, 23(5), 1569–1578. doi:10.1007/s11136-013-0598-z.PubMedCentralPubMedCrossRef Litzelman, K., Skinner, H. G., Gangnon, R. E., Nieto, F. J., Malecki, K., & Witt, W. P. (2014). Role of global stress in the health-related quality of life of caregivers: Evidence from the survey of the health of wisconsin. Quality of Life Research, 23(5), 1569–1578. doi:10.​1007/​s11136-013-0598-z.PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Litzelman, K., Witt, W. P., Gangnon, R. E., Nieto, F. J., Engelman, C. D., Mailick, M. R., et al. (2014). Association between informal caregiving and cellular aging in the survey of the health of Wisconsin: The role of caregiving characteristics, stress, and strain. American Journal of Epidemiology, 179(11), 1340–1352. doi:10.1093/aje/kwu066.PubMedCentralPubMedCrossRef Litzelman, K., Witt, W. P., Gangnon, R. E., Nieto, F. J., Engelman, C. D., Mailick, M. R., et al. (2014). Association between informal caregiving and cellular aging in the survey of the health of Wisconsin: The role of caregiving characteristics, stress, and strain. American Journal of Epidemiology, 179(11), 1340–1352. doi:10.​1093/​aje/​kwu066.PubMedCentralPubMedCrossRef
18.
Zurück zum Zitat Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., Collins, R. P., et al. (1996). Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with alzheimer’s disease. Journal of Consulting and Clinical Psychology, 64(1), 121–129. doi:10.1037/0022-006x.64.1.121.PubMedCrossRef Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., Collins, R. P., et al. (1996). Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with alzheimer’s disease. Journal of Consulting and Clinical Psychology, 64(1), 121–129. doi:10.​1037/​0022-006x.​64.​1.​121.PubMedCrossRef
19.
Zurück zum Zitat Lawton, M. P., Moss, M., Kleban, M. H., Glicksman, A., & Rovine, M. (1991). A two-factor model of caregiving appraisal and psychological well-being. J Gerontol, 46(4), p181–p189.PubMedCrossRef Lawton, M. P., Moss, M., Kleban, M. H., Glicksman, A., & Rovine, M. (1991). A two-factor model of caregiving appraisal and psychological well-being. J Gerontol, 46(4), p181–p189.PubMedCrossRef
20.
Zurück zum Zitat Goode, K. T., Haley, W. E., Roth, D. L., & Ford, G. R. (1998). Predicting longitudinal changes in caregiver physical and mental health: A stress process model. Health Psychology, 17(2), 190–198.PubMedCrossRef Goode, K. T., Haley, W. E., Roth, D. L., & Ford, G. R. (1998). Predicting longitudinal changes in caregiver physical and mental health: A stress process model. Health Psychology, 17(2), 190–198.PubMedCrossRef
21.
Zurück zum Zitat Pot, A. M., Deeg, D. J., van Dyck, R., & Jonker, C. (1998). Psychological distress of caregivers: The mediator effect of caregiving appraisal. Patient Education and Counseling, 34(1), 43–51.PubMedCrossRef Pot, A. M., Deeg, D. J., van Dyck, R., & Jonker, C. (1998). Psychological distress of caregivers: The mediator effect of caregiving appraisal. Patient Education and Counseling, 34(1), 43–51.PubMedCrossRef
22.
Zurück zum Zitat Cameron, J. I., Franche, R. L., Cheung, A. M., & Stewart, D. E. (2002). Lifestyle interference and emotional distress in family caregivers of advanced cancer patients. Cancer, 94(2), 521–527. doi:10.1002/cncr.10212.PubMedCrossRef Cameron, J. I., Franche, R. L., Cheung, A. M., & Stewart, D. E. (2002). Lifestyle interference and emotional distress in family caregivers of advanced cancer patients. Cancer, 94(2), 521–527. doi:10.​1002/​cncr.​10212.PubMedCrossRef
23.
Zurück zum Zitat Hooker, K., Bowman, S. R., Coehlo, D. P., Lim, S. R., Kaye, J., Guariglia, R., et al. (2002). Behavioral change in persons with dementia: Relationships with mental and physical health of caregivers. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57(5), P453–P460.CrossRef Hooker, K., Bowman, S. R., Coehlo, D. P., Lim, S. R., Kaye, J., Guariglia, R., et al. (2002). Behavioral change in persons with dementia: Relationships with mental and physical health of caregivers. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57(5), P453–P460.CrossRef
26.
Zurück zum Zitat Holtzman, S., Abbey, S., Singer, L., Ross, H., & Stewart, D. (2011). Both patient and caregiver gender impact depressive symptoms among organ transplant caregivers: Who is at risk and why? Journal of health psychology, 16(5), 843–856.PubMedCrossRef Holtzman, S., Abbey, S., Singer, L., Ross, H., & Stewart, D. (2011). Both patient and caregiver gender impact depressive symptoms among organ transplant caregivers: Who is at risk and why? Journal of health psychology, 16(5), 843–856.PubMedCrossRef
27.
Zurück zum Zitat Kurtz, M. E., Kurtz, J. C., Given, C. W., & Given, B. A. (2004). Depression and physical health among family caregivers of geriatric patients with cancer—A longitudinal view. Medical Science Monitor, 10(8), Cr447–Cr456.PubMed Kurtz, M. E., Kurtz, J. C., Given, C. W., & Given, B. A. (2004). Depression and physical health among family caregivers of geriatric patients with cancer—A longitudinal view. Medical Science Monitor, 10(8), Cr447–Cr456.PubMed
29.
Zurück zum Zitat Goldsworthy, B., & Knowles, S. (2008). Caregiving for Parkinson’s disease patients: an exploration of a stress-appraisal model for quality of life and burden. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 63(6), P372–P376.CrossRef Goldsworthy, B., & Knowles, S. (2008). Caregiving for Parkinson’s disease patients: an exploration of a stress-appraisal model for quality of life and burden. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 63(6), P372–P376.CrossRef
30.
Zurück zum Zitat Kershaw, T. S., Mood, D. W., Newth, G., Ronis, D. L., Sanda, M. G., Vaishampayan, U., et al. (2008). Longitudinal analysis of a model to predict quality of life in prostate cancer patients and their spouses. Annals of Behavioral Medicine, 36(2), 117–128. doi:10.1007/s12160-008-9058-3.PubMedCentralPubMedCrossRef Kershaw, T. S., Mood, D. W., Newth, G., Ronis, D. L., Sanda, M. G., Vaishampayan, U., et al. (2008). Longitudinal analysis of a model to predict quality of life in prostate cancer patients and their spouses. Annals of Behavioral Medicine, 36(2), 117–128. doi:10.​1007/​s12160-008-9058-3.PubMedCentralPubMedCrossRef
31.
Zurück zum Zitat Pinquart, M., & Sorensen, S. (2007). Correlates of physical health of informal caregivers: A meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62(2), p126–p137.CrossRef Pinquart, M., & Sorensen, S. (2007). Correlates of physical health of informal caregivers: A meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62(2), p126–p137.CrossRef
32.
Zurück zum Zitat Ben-Shlomo, Y., & Kuh, D. (2002). A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31(2), 285–293. doi:10.1093/ije/31.2.285.PubMedCrossRef Ben-Shlomo, Y., & Kuh, D. (2002). A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31(2), 285–293. doi:10.​1093/​ije/​31.​2.​285.PubMedCrossRef
33.
Zurück zum Zitat Nieto, F. J., Peppard, P. E., Engelman, C. D., McElroy, J. A., Galvao, L. W., Friedman, E. M., et al. (2010). The Survey of the Health of Wisconsin (SHOW), a novel infrastructure for population health research: Rationale and methods. Bmc Public Health, 10, 785. doi:10.1186/1471-2458-10-785.PubMedCentralPubMedCrossRef Nieto, F. J., Peppard, P. E., Engelman, C. D., McElroy, J. A., Galvao, L. W., Friedman, E. M., et al. (2010). The Survey of the Health of Wisconsin (SHOW), a novel infrastructure for population health research: Rationale and methods. Bmc Public Health, 10, 785. doi:10.​1186/​1471-2458-10-785.PubMedCentralPubMedCrossRef
34.
Zurück zum Zitat National alliance for caregiving & AARP (2009). Caregiving in the U.S. Washington. National alliance for caregiving & AARP (2009). Caregiving in the U.S. Washington.
36.
Zurück zum Zitat Ware, J. E, Jr, Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef Ware, J. E, Jr, Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef
37.
Zurück zum Zitat Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2000). SF-36 health survey: Manual and interpretation guide. Lincoln: Quality Metric Inc. Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2000). SF-36 health survey: Manual and interpretation guide. Lincoln: Quality Metric Inc.
38.
Zurück zum Zitat Ware, J. E., Kosinski, M., Turner-Bowker, D. M., Gandek, B., Incorporated, Q., & Lab, N. E. M. C. H. H. A. (2002). How to score version 2 of the SF-12 health survey (with a supplement documenting version 1). Lincoln: QualityMetric Incorporated. Ware, J. E., Kosinski, M., Turner-Bowker, D. M., Gandek, B., Incorporated, Q., & Lab, N. E. M. C. H. H. A. (2002). How to score version 2 of the SF-12 health survey (with a supplement documenting version 1). Lincoln: QualityMetric Incorporated.
39.
Zurück zum Zitat Parker, R. N., & Fenwick, R. (1983). The pareto curve and its utility for open-ended income distributions in survey-research. Social Forces, 61(3), 872–885. doi:10.2307/2578140.CrossRef Parker, R. N., & Fenwick, R. (1983). The pareto curve and its utility for open-ended income distributions in survey-research. Social Forces, 61(3), 872–885. doi:10.​2307/​2578140.CrossRef
40.
Zurück zum Zitat Harrell Jr., F. E., & with contributions from many other users (2012). Hmisc: Harrell miscellaneous. Harrell Jr., F. E., & with contributions from many other users (2012). Hmisc: Harrell miscellaneous.
41.
42.
Zurück zum Zitat Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys (Vol. 17). New York: John Wiley & Sons.CrossRef Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys (Vol. 17). New York: John Wiley & Sons.CrossRef
43.
Zurück zum Zitat Wood, S. N. (2006). Generalized additive models: An introduction with R. Boca Raton: CRC Press. Wood, S. N. (2006). Generalized additive models: An introduction with R. Boca Raton: CRC Press.
44.
Zurück zum Zitat Imai, K., Keele, L., Tingley, D., & Yamamoto, T. (2010). Causal mediation analysis using R. In H. D. Vinod (Ed.), Advances in social science research using R (Vol. 196, pp. 129–154). New York: Springer.CrossRef Imai, K., Keele, L., Tingley, D., & Yamamoto, T. (2010). Causal mediation analysis using R. In H. D. Vinod (Ed.), Advances in social science research using R (Vol. 196, pp. 129–154). New York: Springer.CrossRef
46.
Zurück zum Zitat Pinquart, M., & Sorensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(2), p112–p128.CrossRef Pinquart, M., & Sorensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(2), p112–p128.CrossRef
47.
Zurück zum Zitat Clyburn, L. D., Stones, M. J., Hadjistavropoulos, T., & Tuokko, H. (2000). Predicting caregiver burden and depression in alzheimer’s disease. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(1), S2–13.CrossRef Clyburn, L. D., Stones, M. J., Hadjistavropoulos, T., & Tuokko, H. (2000). Predicting caregiver burden and depression in alzheimer’s disease. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(1), S2–13.CrossRef
48.
Zurück zum Zitat Conde-Sala, J. L., Garre-Olmo, J., Turro-Garriga, O., Vilalta-Franch, J., & Lopez-Pousa, S. (2010). Differential features of burden between spouse and adult-child caregivers of patients with alzheimer’s disease: An exploratory comparative design. International Journal of Nursing Studies, 47(10), 1262–1273. doi:10.1016/j.ijnurstu.2010.03.001.PubMedCrossRef Conde-Sala, J. L., Garre-Olmo, J., Turro-Garriga, O., Vilalta-Franch, J., & Lopez-Pousa, S. (2010). Differential features of burden between spouse and adult-child caregivers of patients with alzheimer’s disease: An exploratory comparative design. International Journal of Nursing Studies, 47(10), 1262–1273. doi:10.​1016/​j.​ijnurstu.​2010.​03.​001.PubMedCrossRef
51.
Zurück zum Zitat Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20(6), 649–655.PubMedCrossRef Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20(6), 649–655.PubMedCrossRef
52.
Zurück zum Zitat Roscoe, L. A., Corsentino, E., Watkins, S., McCall, M., & Sanchez-Ramos, J. (2009). Well-being of family caregivers of persons with late-stage huntington’s disease: Lessons in stress and coping. Health Communication, 24(3), 239–248. doi:10.1080/10410230902804133.PubMedCrossRef Roscoe, L. A., Corsentino, E., Watkins, S., McCall, M., & Sanchez-Ramos, J. (2009). Well-being of family caregivers of persons with late-stage huntington’s disease: Lessons in stress and coping. Health Communication, 24(3), 239–248. doi:10.​1080/​1041023090280413​3.PubMedCrossRef
53.
Zurück zum Zitat Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health? A Meta-analysis. Psychological Bulletin, 129(6), 946–972.PubMedCrossRef Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health? A Meta-analysis. Psychological Bulletin, 129(6), 946–972.PubMedCrossRef
54.
Zurück zum Zitat Neugaard, B., Andresen, E., McKune, S. L., & Jamoom, E. W. (2008). Health-related quality of life in a National sample of caregivers: Findings from the behavioral risk factor surveillance system. Journal of Happiness Studies, 9(4), 559–575. doi:10.1007/s10902-008-9089-2.CrossRef Neugaard, B., Andresen, E., McKune, S. L., & Jamoom, E. W. (2008). Health-related quality of life in a National sample of caregivers: Findings from the behavioral risk factor surveillance system. Journal of Happiness Studies, 9(4), 559–575. doi:10.​1007/​s10902-008-9089-2.CrossRef
55.
Zurück zum Zitat Ho, S. C., Chan, A., Woo, J., Chong, P., & Sham, A. (2009). Impact of caregiving on health and quality of life: A comparative population-based study of caregivers for elderly persons and noncaregivers. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 64(8), 873–879. doi:10.1093/gerona/glp034.CrossRef Ho, S. C., Chan, A., Woo, J., Chong, P., & Sham, A. (2009). Impact of caregiving on health and quality of life: A comparative population-based study of caregivers for elderly persons and noncaregivers. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 64(8), 873–879. doi:10.​1093/​gerona/​glp034.CrossRef
57.
Zurück zum Zitat Marks, N. F., Lambert, J. D., & Choi, H. (2002). Transitions to caregiving, gender, and psychological well-being: A prospective US national study. Journal of Marriage and Family, 64(3), 657–667.CrossRef Marks, N. F., Lambert, J. D., & Choi, H. (2002). Transitions to caregiving, gender, and psychological well-being: A prospective US national study. Journal of Marriage and Family, 64(3), 657–667.CrossRef
58.
Zurück zum Zitat Hoyert, D. L., & Seltzer, M. M. (1992). Factors related to the well-being and life activities of family caregivers. Family Relations, 41(1), 74–81. doi:10.2307/585397.CrossRef Hoyert, D. L., & Seltzer, M. M. (1992). Factors related to the well-being and life activities of family caregivers. Family Relations, 41(1), 74–81. doi:10.​2307/​585397.CrossRef
59.
Zurück zum Zitat Seltzer, M. M., Floyd, F., Song, J., Greenberg, J., & Hong, J. (2011). Midlife and aging parents of adults with intellectual and developmental disabilities: Impacts of lifelong parenting. American Journal on Intellectual and Developmental Disabilities, 116(6), 479–499. doi:10.1352/1944-7558-116.6.479.PubMedCentralPubMedCrossRef Seltzer, M. M., Floyd, F., Song, J., Greenberg, J., & Hong, J. (2011). Midlife and aging parents of adults with intellectual and developmental disabilities: Impacts of lifelong parenting. American Journal on Intellectual and Developmental Disabilities, 116(6), 479–499. doi:10.​1352/​1944-7558-116.​6.​479.PubMedCentralPubMedCrossRef
61.
Zurück zum Zitat Ory, M. G., Hoffman, R. R, 3rd, Yee, J. L., Tennstedt, S., & Schulz, R. (1999). Prevalence and impact of caregiving: a detailed comparison between dementia and nondementia caregivers. Gerontologist, 39(2), 177–185.PubMedCrossRef Ory, M. G., Hoffman, R. R, 3rd, Yee, J. L., Tennstedt, S., & Schulz, R. (1999). Prevalence and impact of caregiving: a detailed comparison between dementia and nondementia caregivers. Gerontologist, 39(2), 177–185.PubMedCrossRef
64.
Zurück zum Zitat Feinberg, L. F., Alliance, F. C., & National Conference of State Legislatures (2004). The state of the states in family caregiver support: A 50-state study: Family Caregiver Alliance. Feinberg, L. F., Alliance, F. C., & National Conference of State Legislatures (2004). The state of the states in family caregiver support: A 50-state study: Family Caregiver Alliance.
65.
66.
Zurück zum Zitat Schulz, R., O’Brien, A., Czaja, S., Ory, M., Norris, R., Martire, L. M., et al. (2002). Dementia caregiver intervention research: In search of clinical significance. Gerontologist, 42(5), 589–602.PubMedCentralPubMedCrossRef Schulz, R., O’Brien, A., Czaja, S., Ory, M., Norris, R., Martire, L. M., et al. (2002). Dementia caregiver intervention research: In search of clinical significance. Gerontologist, 42(5), 589–602.PubMedCentralPubMedCrossRef
Metadaten
Titel
The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin
verfasst von
Kristin Litzelman
Halcyon G. Skinner
Ronald E. Gangnon
F. Javier Nieto
Kristen Malecki
Whitney P. Witt
Publikationsdatum
01.06.2015
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 6/2015
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0874-6

Weitere Artikel der Ausgabe 6/2015

Quality of Life Research 6/2015 Zur Ausgabe