Longitudinal correlates of depressive symptoms and positive and negative affects in family caregivers of people with dementia
The American Journal of Geriatric Psychiatry Jun 27, 2021
Vara-Garcia C, Mausbach BT, Romero-Moreno R, et al. - Studies have described that the chronically stressful role of caring for a relative with dementia has negative impacts on psychological health such as higher levels of depression. However, there is complex subjective experience of depressive symptomatology because of its relation with two unique domains: positive affect (PA) and negative affect (NA). Researchers herein examined the correlations of caregivers’ cognitive (avoidance coping, personal mastery, and coping self-efficacy) and behavioral (frequency of pleasant events) coping strategies with depressive symptoms, PA, and NA through a longitudinal design. Participants were 111 caregivers of a spouse with dementia. Findings revealed correlation of different coping strategies (ie, cognitive vs behavioral) with different components of depressive symptomatology. While there was correlation of avoidant coping with NA and depressive symptoms but not PA at both within- and between-person levels, association of frequency of pleasant events was observed only with NA and depressive symptoms at the within-person level, displaying no effect at the between-person level. They identified personal mastery and coping self-efficacy as more transversal variables, being linked with most of the mood outcomes in both within and between-person effects. Based on these findings, they support the concept of depressive mood as a complex construct and emphasize the relevance of analyzing various coping strategies when attempting to comprehend the caregiving stress process.
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