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Attitudes to aging in older carers – do they have a role in their well-being?

  • Samantha M. Loi (a1) (a2) (a3), Briony Dow (a2), Kirsten Moore (a2), Keith Hill (a4), Melissa Russell (a5), Elizabeth Cyarto (a2), Sue Malta (a2) (a6), David Ames (a2) and Nicola T. Lautenschlager (a7) (a8)...



Attitudes to aging have been investigated in non-carer populations and found to have important relationships with physical and mental health. However, these have not been explored in an older carer sample, although it is becoming increasingly important to clarify variables which are linked with positive carer outcomes. This is one of the first studies to report on older carers, their attitudes to aging, and the relationship with carer-related factors.


A cross-sectional study of 202 carers with a mean age of 70.8 years was conducted in Victoria, Australia, using carer demographic data, carer factors such as depression (using the Geriatric Depression Scale), burden (using the Zarit Burden Inventory, ZBI), physical health, personality, and attitudes to aging (using the Attitudes to Aging Questionnaire, AAQ). Spearman rank correlation and hierarchical regression analyses were used.


This study showed that carers had overall positive attitudes to aging inspite of their caring role. It also identified that carer factors including depression and burden contributed a significant amount of the variance to attitudes to aging in terms of physical change and psychosocial loss. Personality traits, specifically neuroticism, and extraversion, were also important contributors to attitudes to aging.


Results from this study demonstrated that inspite of moderate levels of depression and spending significant time caring, carers reported positive attitudes to aging. Treating depression, decreasing burden, and investigating the benefits of caring may assist older carers maintain their well-being.


Corresponding author

Correspondence should be addressed to: Samantha M. Loi, Academic Unit for Psychiatry of Old Age, Department of Psychiatry, University of Melbourne, Normanby House, St George's Hospital, 283 Cotham Road, Kew, Victoria 3101, Australia. Phone: +61 3 9231 8485; Fax: +61 3 9231 8477. Email:


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Almeida, O.P. and Almeida, S. A. (1999). Short versions of the geriatric depression scale: a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. International Journal of Geriatric Psychiatry, 14, 858–65.
Andren, S. and Elmstahl, S. (2005). Family caregivers’ subjective experiences of satisfaction in dementia care: aspects of burden, subjective health and sense of coherence. Scandinavian Journal of Caring Sciences, 19, 157–68.
Australian Bureau of Statistics. (2012). Australian Social Trends - Older carers [Online]. Available at:; last accessed 2013 26/1/2013.
Baumgarten, M. , et al. (1992). The psychological and physical health of family members caring for an elderly person with dementia. Journal of Clinical Epidemiology, 45, 6170.
Bryant, C. , et al. (2012). The relationship between attitudes to aging and physical and mental health in older adults. International Psychogeriatrics, 24, 1674–83.
Bryant, C., et al. (2014). Antecedents of attitudes to aging: a study of the roles of personality and well-being. Gerontologist, doi: 10.1093/geront/gnu041.
Chachamovich, E., Fleck, M., Laidlaw, K. and Power, M. (2008). Impact of major depression and subsyndromal symptoms on quality of life and attitudes toward aging in an international sample of older adults. The Gerontologist, 48, 593602.
Clyburn, L. D., Stones, M. J., Hadjistavropoulos, T. and Tuokko, H. (2000). Predicting caregiver burden and depression in Alzheimer's disease. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55, S2–13.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–9.
Costa, P. T. and McCrae, R. R. (2010). Revised NEO Personality Inventory (NEO PI-R) and NEO Five-Factor Inventory (NEO-FFI): Professional Manual, Florida: Psychological Assessment Resources Inc.
Courts, N. F., Barba, R. E. and Tesh, A. (2001). Family caregivers’ attitudes toward aging, caregiving, and nursing home placement. Journal of Gerontological Nursing, 27, 4452.
Dahlberg, L., Demack, S. and Bambra, C. (2007). Age and gender of informal carers: a population-based study in the UK. Health and Social Care in the Community, 15, 439–45.
Dow, B., et al. (2013). Improving mood through physical activity for carers and care recipients (IMPACCT): protocol for a randomised trial. Journal of Physiotherapy, 59, 125.
Gallagher, D., et al. (2011). Self-efficacy for managing dementia may protect against burden and depression in Alzheimer's caregivers. Aging and Mental Health, 15, 663–70.
Hebert, M., Bravo, G. and Preville, M. (2000). Reliability, validity and reference values of the Zarit Burden inventory for assessing informal caregivers of community-dwelling older persons with dementia. Canadian Journal on Aging, 19, 494507.
Helmes, E., Green, B. and Almeida, O. (2005). Individual differences in the experience of burden in caring for relatives with dementia: role of personality and mastery. Australasian Journal of Ageing, 24, 202206.
Hinkle, D. E., Wiersma, W. and Jurs, S. G. (2003). Applied Statistics for the Behavioral Sciences, 5th edn, Boston: Houghton Mifflin.
Huy, C., Schneider, S. and Thiel, A. (2010). Perceptions of aging and health behaviour: determinants of a healthy diet in an older German population. The Journal of Nutrition, Health and Aging, 14, 381385.
Jang, Y., Kim, G. and Chiriboga, D. A. (2006). Health perception and depressive symptoms among older Korean Americans. Journal of Cross-Cultural Gerontology, 21, 91102.
Kunzmann, U., Little, T. D. and Smith, J. (2000). Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin aging study. Psychology and Aging, 15, 511–26.
Laidlaw, K. and Baikie, E. (2007a). Psychotherapy and demographic change. Why psychotherapists working with older adults need to be aware of changing demographics now. Nordic Psychology, 59, 4558.
Laidlaw, K., Power, M. J. and Schmidt, S. (2007b). The attitudes to ageing questionnaire (AAQ): development and psychometric properties. International Journal of Geriatric Psychiatry, 22, 367–79.
Law, J., Laidlaw, K. and Peck, D. (2010). Is depression viewed as an inevitable consequence of age? The “understandability phenomenon” in older people. Clinical Gerontologist, 33, 194209.
Levy, B. R. (2003). Mind matters: cognitive and physical effects of aging self-stereotypes. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 58, P203–11.
Levy, B. R., Hausdorff, J. M., Hencke, R. and Wei, J. Y. (2000). Reducing cardiovascular stress with positive self-stereotypes of aging. Journal of Gerontology. Series B, Psychological Sciences and Social Sciences, 55, P205–13.
Levy, B. R. and Myers, L. M. (2004). Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine, 39, 625–9.
Lucas-Carrasco, R., Laidlaw, K., Gomez-Benito, J. and Power, M. J. (2013). Reliability and validity of the attitudes to ageing questionnaire (AAQ) in older people in Spain. International Psychogeriatrics, 25, 490499.
Moor, C., Zimprich, D., Schmitt, M. and Kliegel, M. (2006). Personality, aging self-perceptions, and subjective health: a mediation model. International Journal Aging Human Development, 63, 241–57.
Neri, A. L., et al. (2012). Relationships between gender, age, family conditions, physical and mental health, and social isolation of elderly caregivers. International Psychogeriatrics, 24, 472–83.
Pinquart, M. and Sorensen, S. (2007). Correlates of physical health of informal caregivers: a meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62, P126–37.
Reis, M. F., Gold, D. P., Andres, D. and Markiewicz, D. (1994). Personality traits as determinants of burden and health complaints in caregiving. International Journal of Aging and Human Development, 39, 257271.
Shenkin, S. D., et al. (2014). Life course influences of physical and cognitive function and personality on attitudes to aging in the Lothian Birth Cohort 1936. International Psychogeriatrics, 13, 114.
Yesavage, J., et al. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 3749.
Zarit, S. H., Reever, K. E. and Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist, 20, 649–55.



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