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Self-esteem, self-efficacy, and optimism as psychological resources among caregivers of people with dementia: findings from the IDEAL study

  • Ruth A. Lamont (a1), Catherine Quinn (a1) (a2), Sharon M. Nelis (a1), Anthony Martyr (a1), Jennifer M. Rusted (a3), John V. Hindle (a1), Bryony Longdon (a1), Linda Clare (a1) and on behalf of the IDEAL study team (a1) (a2) (a3)...

Abstract

Objectives:

Being a family caregiver, and in particular giving care to someone with dementia, impacts mental and physical health and potentially reduces the ability of caregivers to “live well.” This paper examines whether three key psychological resources—self-efficacy, optimism, and self-esteem—are associated with better outcomes for caregivers of people with dementia.

Design and Participants:

Caregivers of 1,283 people with mild-to-moderate dementia in the Improving the Experience of Dementia and Enhancing Active Life (IDEAL) project responded to measures of self-efficacy, optimism, and self-esteem, and “living well” (quality of life, life satisfaction, and well-being). Multivariate linear regression was used to examine the association between psychological resources and “living well”.

Results:

Self-efficacy, optimism, and self-esteem were all independently associated with better capability to “live well” for caregivers. This association persisted when accounting for a number of potential confounding variables (age group, sex, and hours of caregiving per day).

Conclusions:

Low self-efficacy, optimism, and self-esteem might present a risk of poor outcomes for caregivers of people with dementia. These findings encourage us to consider how new or established interventions might increase the psychological resilience of caregivers.

Copyright

Corresponding author

Correspondence should be addressed to: Ruth A. Lamont, The Centre for Research in Ageing and Cognitive Health (REACH), University of Exeter Medical School, St. Luke’s Campus, Exeter, EX1 2LU, UK. Phone/Fax: 01392 726865. Email: r.lamont@exeter.ac.uk.

References

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All-Party Parliamentary Group on Dementia. (2014). Building on the National Dementia Strategy: change, progress and priorities. Available at: https://dementiapartnerships.com/resource/building-on-the-national-dementia-strategy-change-progress-and-priorities/
Alzheimer’s Society. (2014). Dementia UK: Update. London: Alzheimer’s Society. Available at: https://www.alzheimers.org.uk/downloads/file/2323/dementia_uk_update
Aspinwall, L. G. and Taylor, S. E. (1992). Modeling cognitive adaptation: a longitudinal investigation of the impact of individual differences and coping on college adjustment and performance. Journal of Personality and Social Psychology, 63, 9891003. doi: 10.1037/0022-3514.63.6.989
Atienza, A. A., Stephens, M. A. P. and Townsend, A. L. (2002). Dispositional optimism, role-specific stress, and the well-being of adult daughter caregivers. Research on Aging, 24, 193217. doi: 10.1177/0164027502242002
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioural change. Psychological Review, 84, 191215. doi: 10.1037/0033-295X.84.2.191
Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: W.H. Freeman and Company.
Bech, P. (2004). Measuring the dimension of psychological general well-being by the WHO-5. Quality of Life Newsletter, 32, 1516. Available at: http://www.pro-newsletter.com/images/PDF/qoln32.pdf
Blascovich, J. and Tomaka, J. (1991). Measures of self-esteem. In: Robinson, J. P. and Shaver, P. R. (Eds.), Measures of Personality and Social Psychological Attitudes (pp. 115160). San Diego, CA: Academic Press.
Carver, C. S. and Scheier, M. F. (2014). Dispositional optimism. Trends in Cognitive Sciences, 18, 293299. doi: 10.1016/j.tics.2014.02.003
Chappell, N. L. and Reid, R. C. (2002). Burden and well-being among caregivers: examining the distinction. The Gerontologist, 42, 772780. doi: 10.1093/geront/42.6.772
Clare, L. et al. (2014). Improving the experience of dementia and enhancing active life-living well with dementia: study protocol for the IDEAL study. Health and Quality of Life Outcomes, 12, 164. doi: 10.1186/s12955-014-0164-6
Clare, L. et al. (2019). A comprehensive model of factors associated with capability to “live well” for family caregivers of people living with mild-to-moderate dementia: findings from the IDEAL study. Alzheimer Disease and Associated Disorders, 33, 2935. doi: 10.1097/WAD.0000000000000285
Coon, D. W., Thompson, L., Steffen, A., Sorocco, K. and Gallagher-Thompson, D. (2003). Anger and depression management: psychoeducational skill training interventions for women caregivers of a relative with dementia. The Gerontologist, 43, 678689. doi: 10.1093/geront/43.5.678
Crellin, N. E., Orrell, M., McDermott, O. and Charlesworth, G. (2014). Self-efficacy and health-related quality of life in family carers of people with dementia: a systematic review. Aging and Mental Health, 18, 954969. doi: 10.1080/13607863.2014.915921
Diener, E., Emmons, R. A., Larsen, R. J. and Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 7175. doi: 10.1207/s15327752jpa4901_13
Eaton, W. W., Smith, C., Ybarra, M., Muntaner, C. and Tien, A. (2004 ). Center for epidemiologic studies depression scale: review and revision (CESD and CESD-R). In: Maruish, M. E. (Ed.), The Use of Psychological Testing for Treatment Planning and Outcomes Assessment (3rd ed., Volume 3: Instruments for Adults; pp. 363377). Mahwah, NJ: Lawrence Erlbaum.
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198. doi: 10.1016/0022-3956(75)90026-6
Gignac, M. A. and Gottlieb, B. H. (1996). Caregivers’ appraisals of efficacy in coping with dementia. Psychology and Aging, 11, 214225. doi: 10.1037/0882-7974.11.2.214
Haley, W. E. 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, 121. doi: 10.1037/0022-006X.64.1.121
Hooker, K., Monahan, D. J., Bowman, S. R., Frazier, L. D. and Shifren, K. (1998). Personality counts for a lot: predictors of mental and physical health of spouse caregivers in two disease groups. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53, P73P85. doi: 10.1093/geronb/53B.2.P73
Hsieh, S., Schubert, S., Hoon, C., Mioshi, E. and Hodges, J.R. (2013). Validation of the Addenbrooke’s Cognitive Examination III in frontotemporal dementia and Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 36, 242250. doi: 10.1159/000351671
Kobau, R., Sniezek, J., Zack, M. M., Lucas, R. E. and Burns, A. (2010). Well-being assessment: an evaluation of well-being scales for public health and population estimates of well-being among US adults. Applied Psychology: Health and Well-Being, 2, 272297. doi: 10.1111/j.1758-0854.2010.01035.x
Lakey, L., Chandaria, K., Quince, C., Kane, M. and Saunders, T. (2012) Dementia 2012: a national challenge. London: Alzheimer’s Society. Available at: https://www.alzheimers.org.uk/download/downloads/id/1389/alzheimers_society_dementia_2012-_full_report.pdf
Mallya, S. and Fiocco, A. J. (2018). Impact of informal caregiving on cognitive function and well-being in Canada. International Psychogeriatrics, 30, 10491055. doi: 10.1017/S1041610217002605
Martyr, A. et al. (2012). Verbal fluency and awareness of functional deficits in early-stage dementia. The Clinical Neuropsychologist, 26, 501519. doi: 10.1080/13854046.2012.665482
National Institute for Health and Care Excellence. (2018). Dementia: assessment, management and support for people living with dementia and their carers. Available at: https://www.nice.org.uk/guidance/ng97/resources/dementia-assessment-management-and-support-for-people-living-with-dementia-and-their-carers-pdf-1837760199109
Pinquart, M. and Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychology and Aging, 18, 250267. doi: 10.1037/0882-7974.18.2.250
Rector, N. A. and Roger, D. (1996). Cognitive style and well-being: a prospective examination. Personality and Individual Differences, 21, 663674. doi: 10.1016/0191-8869(96)00124-9
Rini, C. K., Dunkel-Schetter, C., Wadhwa, P. D. and Sandman, C. A. (1999). Psychological adaptation and birth outcomes: the role of personal resources, stress, and sociocultural context in pregnancy. Health Psychology, 18, 333345. doi: 10.1037/0278-6133.18.4.333
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Scheier, M. F., Carver, C. S. and Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67, 10631078. doi: 10.1037/0022-3514.67.6.1063
Schulz, R. and Martire, L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American Journal of Geriatric Psychiatry, 12, 240249. doi: 10.1097/00019442-200405000-00002
Schwarzer, R. and Jerusalem, M. (1995). Generalized self-efficacy scale. In: Weinman, J., Wright, S. and Johnston, M. (Eds.), Measures in health psychology: a user’s portfolio. Causal and control beliefs (pp. 3537). Windsor, UK: NFER Nelson.
Shifren, K. and Hooker, K. (1995). Stability and change in optimism: a study among spouse caregivers. Experimental Aging Research, 21, 5976. doi: 10.1080/03610739508254268
Skevington, S. M., Lotfy, M. and O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13, 299310. doi: 10.1023/B:QURE.0000018486.91360.00
Tay, K. C. P., Seow, C. C. D., Xiao, C., Lee, H. M. J., Chiu, H. F. and Chan, S. W. C. (2016). Structured interviews examining the burden, coping, self-efficacy, and quality of life among family caregivers of persons with dementia in Singapore. Dementia, 15, 204220. doi: 10.1177/1471301214522047
Taylor, S. E. (1983). Adjustment to threatening events: a theory of cognitive adaptation. American Psychologist, 38, 11611172. doi: 10.1037/0003-066X.38.11.1161
Taylor, S. E. and Brown, J. D. (1988). Illusion and well-being: a social psychological perspective on mental health. Psychological Bulletin, 103, 193210. doi: 10.1037/0033-2909.103.2.193
Teoh, V., Sims, J. and Milgrom, J. (2009). Psychosocial predictors of quality of life in a sample of community-dwelling stroke survivors: a longitudinal study. Topics in Stroke Rehabilitation, 16, 157166. doi: 10.1310/tsr1602-157
Topp, C. W., Østergaard, S. D., Søndergaard, S. and Bech, P. (2015). The WHO-5 well-being index: a systematic review of the literature. Psychotherapy and Psychosomatics, 84, 167176. doi: 10.1159/000376585
Trapp, S. K. et al. (2015). Personal strengths and health related quality of life in dementia caregivers from Latin America. Behavioural Neurology, 18. doi: 10.1155/2015/507196
Vedhara, K., Shanks, N., Anderson, S. and Lightman, S. (2000). The role of stressors and psychosocial variables in the stress process: a study of chronic caregiver stress. Psychosomatic Medicine, 62, 374385. doi: 10.1097/00006842-200005000-00011

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Self-esteem, self-efficacy, and optimism as psychological resources among caregivers of people with dementia: findings from the IDEAL study

  • Ruth A. Lamont (a1), Catherine Quinn (a1) (a2), Sharon M. Nelis (a1), Anthony Martyr (a1), Jennifer M. Rusted (a3), John V. Hindle (a1), Bryony Longdon (a1), Linda Clare (a1) and on behalf of the IDEAL study team (a1) (a2) (a3)...

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