178343 Demographic and situational predictors of typologies of caregiver stress

Sunday, October 26, 2008

Christine Unson, PhD , Department of Public Health, Southern Connecticut State University, New Haven, CT
Elayne Haymes, PhD , Department of Social Work, Southern Connecticut State University, New Haven, CT
Mary Ann Glendon, PhD , Department of Nursing, Southern Connecticut State University, New Haven, CT
Michael Ben-Avie, PhD , Assessment and Planning, Southern Connecticut State University, New Haven, CT
Diane Fisher, MSW , The Strong House Adult Care Center, Madison, CT
Gerard J. Kerins, MD FACP , Geriatric Center of Excellence, Hospital of St Raphael, New Haven, CT
Purpose: This study identifies types of caregiver stress and the demographic and situational predictors of three types of stress.

Method: The sample of caregivers (169) was recruited from community events and via direct mail. They completed the Zarit Caregiver Burden Scale (ZCBS) and provided information about their demographic characteristics and care giving situations with a self-administered questionnaire.

Results: The average age of the caregiver was 60.1 years (SD=12); 69.2% were white; 61.3% were employed, 80% were female, and 34.3% were sole caregivers; 63.1% provided care six or more days a week. The average ZCBS score was 59.28 (SD=15.3); 42% had scores indicating moderate to severe burden and 46.2% had scores indicating severe burden.

The average age of the relative being cared for (RBCFs) was 83.2 years (SD=8); 67.9% were women; 54.2% live with their caregiver, 30.7% live independently, and 15.1% live in a nursing home, assisted-living facility, or elsewhere.

Exploratory factor analysis resulted in three types of stress: Personal Stress, Feelings of Inadequacy, and Financial Concerns. All Cronbach alphas were .81 or higher. Increased personal stress was associated with sole care giving (p<.01) and more days of care (p<.05) (R2=.17, p<.001). Feelings of inadequacy were stronger when the caregiver did not live with the RBCFs (R2= .09, p<.001). Financial concerns were associated with younger RBCFs (p.<.01), more days of care (p<.01), and sole care giving (p>.01) (R2=.22, p<.001).

Conclusion: Caregivers tend to feel moderate to severe stress. Specific situational factors influence the three types of stress that caregivers experience.

Learning Objectives:
Participants will be able to identify typologies of caregiver stress. Participants will be able to identify demographic characteristics and situation factors that predict different types of caregiver stress.

Keywords: Stress, Caregivers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I wrote the abstract, conducted the data analysis and interpreted the results.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.