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Work Experience and Emotional State in Caregivers of Elderly Relatives

  • María Crespo (a1), Ana Isabel Guillén (a1) and Ana Teresa Piccini (a1)


This study aims to investigate the influence of work experience variables on the emotional state of worker-caregivers based on stress process model. The emotional state (depression, negative and positive affect and worry-strain), caregiver and care recipient features, caregiving stressors and appraisal, and role strains/work-related variables were assessed in 83 worker-caregivers of elderly dependent relatives. Hierarchical multiple linear regression analyses were performed for each of the four emotional outcome variables. Caregiving overload and positive job experience were the best predictors of depression and positive affect. The predictors of negative affect were reaction to memory and behavior problems, overload and role captivity. The predictors of worry and strain were daily hours of caregiving worries, reaction to memory and behavior problems, overload, role captivity and job-caregiving conflicts. The explained variances for the four models were 58.8%, 40.2%, 62.9% and 78.8%, respectively; the role strain contributions were 8.2%, 13.2%, 7.2% and 6%. The results indicate that the effect of perceived job experiences on caregivers’ emotional status is more relevant than objective job conflicts. In addition, caregivers’ emotional state is primarily related to the subjective indicators of caregiving stressors, with a lower contribution of work-related variables.


Corresponding author

*Correspondence concerning this article should be addressed to María Crespo. Universidad Complutense. Departamento de Personalidad, Evaluación y Piscología Clínica. Campus de Somosaguas, S/N. 28223 Madrid (Spain). E-mail:


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The authors would like to kindly thank the following Alzheimer’s Associations in Spain for their help and support with this study: the State Reference Care Centre for Alzheimer`s Disease and other Dementias - IMSERSO (Salamanca); the Alzheimer Association of Zamora; AFALcontigo; Los Girasoles; Leñeros; Pamplona; Fray Luis de León; Carmen Laforet and the Canal de Panamá Day-Care Centers (Madrid City Council).

How to cite this article:

Crespo, M., Guillén, A. I., & Piccini, A. T. (2019). Work experience and emotional state in caregivers of elderly relatives. The Spanish Journal of Psychology, 22. e34. Doi:10.1017/sjp.2019.34



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Aneshensel, C. S., Pearlin, L. I., Mullan, J. T., Zarit, S., & Whitlatch, C. J. (1995). Profiles in caregiving: The unexpected career. New York, NY: Academic Press.
Amstad, F. T., Meier, L. L., Fasel, U., Elfering, A., & Semmer, N. K. (2011). A meta-analysis of work–family conflict and various outcomes with a special emphasis on cross-domain versus matching-domain relations. Journal of Occupational Health Psychology, 16(2), 151169.
Bohlmann, C., & Zacher, H. (2019). Supporting employees with caregiving responsibilities. In Burke, R. J. & Richardsen, A. M. (Eds.), Creating Psychologically Healthy Workplaces (pp. 431451). Cheltenhan, UK: Edward Elgar Publishing.
Brown, M., & Pitt-Catsouphes, M. (2016). A mediational model of workplace flexibility, work–family conflict, and perceived stress among caregivers of older adults. Community, Work & Family, 19, 379395.
Cacabelos, R. (1990). Neurobiología y genética molecular de la enfermedad de Alzheimer: Marcadores diagnóticos y terapéutica [The neurobiology and molecular genetics of Alzheimer’s disease: The diagnostic markers and therapy]. Medicina Clínica, 95, 502516.
Clancy, R. L., Fisher, G. G., Daigle, K. L., Henle, C. A., McCarthy, J., & Fruhauf, C. A. (2019). Eldercare and work among informal caregivers: A multidisciplinary review and recommendations for future research. Journal of Business and Psychology , 119.
Crespo, M., & Fernández-Lansac, V. (2014). Factors associated with anger and anger expression in caregivers of elderly relatives. Aging & Mental Health, 18(4), 454462.
Crespo, M., & López, J. (2007). El apoyo a los cuidadores de familiares mayores dependientes en el hogar: Desarrollo del programa “Cómo mantener su bienestar.” [Support for caregivers of elderly relatives: Development of the program “How to maintain your wellbeing”]. Madrid, Spain: IMSERSO.
Crespo, M., & López, J. (2008). Cuidadoras y cuidadores: El efecto del género en el cuidado no profesional de los mayores [Female and male caregivers: Gende effect in non-professional care of elderly persons]. Boletín sobre el Envejecimiento, Perfiles y Tendencias No.35. Madrid, Spain: Instituto de Mayores y Servicios Sociales.
Cruz, A. (1991). El índice de Katz [The Katz Index]. Revista Española de Geriatría y Gerontología, 26, 338348.
Durbin, J., & Watson, G. S. (1951). Testing for serial correlation in least squares regression. II. Biometrika, 38(1/2), 159177.
Duxbury, L., Higgins, C., & Smart, R. (2011). Elder care and the impact of caregiver strain on the health of employed caregivers. Work, 40(1), 2940.
Edwards, A. B., Zarit, S. H., Stephens, M. A. P., & Townsend, A. (2002). Employed family caregivers of cognitively impaired elderly: An examination of role strain and depressive symptoms. Aging & Mental Health, 6, 5561.
Fredriksen-Goldsen, K. I., & Scharlach, A. E. (2006). An interactive model of informal adult care and employment. Community, Work & Family, 9(4), 441455.
Gillen, M. C., & Chung, E. D. (2005). An initial investigation of employee stress related to caring for elderly and dependent relatives at home. International Journal of Sociology and Social Policy, 25, 7893.
Goode, W. J. (1960). A theory of role strain. American Sociological Review, 25, 483496.
Halinski, M., Duxbury, L., & Higgins, C. (2018). Working while caring for mom, dad, and junior too: Exploring the impact of employees’ caregiving situation on demands, control, and perceived stress. Journal of Family Issues, 39(12), 32483275.
Hansen, T., & Slagsvold, B. (2015). Feeling the squeeze? The effects of combining work and informal caregiving on psychological well-being. European Journal of Ageing, 12(1), 5160.
Heitmueller, A. (2007). The chicken or the egg? Endogeneity in labour market participation of informal carers in England. Journal of Health Economics, 26, 536559.
Instituto de Mayores y Servicios Sociales (IMSERSO) (2005). Cuidados a las personas mayores en los hogares españoles. El entorno familiar [Care for elderly in Spanish homes. Familiar environment]. Madrid, Spain: IMSERSO.
Jenson, J., & Jacobzone, S. (2000). Care allowances for the frail elderly and their impact on women care-givers. OECD Labour Market and Social Policy Occasional Papers, 41.
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. JAMA, 185(12), 914919.
La Fontaine, J., Read, K., Brooker, D., Evans, S., & Jutlla, K. (2016). The experiences, needs and outcomes for carers of people with dementia: Literature review. London, UK: RSAS.
Longacre, M. L., Valdmanis, V. G., Handorf, E. A., & Fang, C. Y. (2017). Work impact and emotional stress among informal caregivers for older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 72(3), 522531.
Mahoney, R., Regan, C., Katona, C., & Livingston, G. (2005). Anxiety and depression in family caregivers of people with Alzheimer’s disease: The LASER-AD study. The American Journal of Geriatric Psychiatry, 13, 795801.
Martín, M., Salvadó, I., Nadal, S., Mijí, L., Rico, J., Lanz, P., … Taussing, M. I. (1996). Adaptación a nuestro medio de la Escala de Sobrecarga del Cuidador de Zarit [Spanish adaptation of Caregiver Burden Interview]. Revista de Gerontología, 6, 338346.
Mosquera, I., Vergara, I., Larrañaga, I., Machón, M., del Rio, M., & Calderón, C. (2016). Measuring the impact of informal elderly caregiving: A systematic review of tools. Quality of Life Research, 25(5), 10591092.
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. The Gerontologist, 30, 583594.
Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18, 250267.
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.
Reid, R. C., Stajduhar, K. I., & Chappell, N. L. (2010). The impact of work interferences on family caregiver outcomes. Journal of Applied Gerontology, 29, 267289.
Reisberg, B., Ferris, S., De Leon, M., & Crook, T. (1982). The Global Deterioration Scale for assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 11361139.
Robertson, S. M., Zarit, S. H., Duncan, L. G., Rovine, M., & Femia, E. E. (2007). Family caregivers’ patterns of positive and negative affect. Family Relations, 56, 1223.
Rogero-García, J. (2010). Los tiempos del cuidado. El impacto de la dependencia de los mayores en la vida cotidiana de sus cuidadores [The times of care. The impact of dependence on the elderly in the daily lives of their caregivers]. Madrid, Spain: Instituto de Mayores y Servicios Sociales IMSERSO.
Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A. & Valiente, R. M. (1999). Escala PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural [PANAS Scale for positive and negative affect: Factorial validation and transcultural convergence]. Psicothema, 11, 3751.
Schulz, R., & Sherwood, P. R. (2008). Physical and mental health effects of family caregiving. American Journal of Nursing, 108, 2327.
Sieber, S. D. (1974). Toward a Theory of Role Accumulation. American Sociological Review, 39, 567578.
Soler, J., Pérez-Sola, V., Puigdemont, D., Pérez-Blanco, J., Figueres, M., & Alvarez, E. (1997). Estudio de validación del Center for Epidemiologic Studies-Depression (CES-D) en una población española de pacientes con trastornos afectivos [Validation study of the Center for Epidemiologic Studies-Depression (CES-D) in a Spanish population of patients with affective disorders]. Actas Españolas de Psiquiatría, 25(4), 243249.
Stephens, M. A. P., Townsend, A. L., Martire, L. M., & Druley, J. A. (2001). Balancing parent care with other roles: Interrole conflict of adult daughter caregivers. The Journals of Gerontology: Series B, 56, P24P34.
Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S., & Vitaliano, P. P. (1992). Assessment of behavioral problems in dementia. The revised memory and behavior problems checklist. Psychology and Aging, 7, 622631.
Trukeschitz, B., Schneider, U., Mühlmann, R., & Ponocny, I. (2013). Informal eldercare and work-related strain. The Journals of Gerontology - Series B, 68, 257267.
Vaingankar, J. A., Chong, S. A., Abdin, E., Picco, L., Shafie, S., Seow, E., ... Subramaniam, M. (2016). Psychiatric morbidity and its correlates among informal caregivers of older adults. Comprehensive Psychiatry, 68, 178185.
Wang, Y.-N., Shyu, Y.-I. L., Chen, M.-C., & Yang, P.-S. (2011). Reconciling work and family caregiving among adult-child family caregivers of older people with dementia: Effects on role strain and depressive symptoms. Journal of Advanced Nursing, 67, 829840.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 10631070.
Wilson, M. R., van Houtven, C. H., Stearns, S. C., & Clipp, E. C. (2007). Depression and missed work among informal caregivers or older individuals with dementia. Journal of Family and Economic Issues, 28(4), 684698.
Zacher, H., & Schulz, H. (2015). Employees’ eldercare demands, strain, and perceived support. Journal of Managerial Psychology, 30(2), 183198.
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20, 646655.
Zarit, S. H., Stephens, M. A. P., Townsend, A., & Greene, R. (1998). Stress reduction for family caregivers: Effects of adult day care use. The Journals of Gerontology Series B, 53B, S267S277.
Zuba, M., & Schneider, U. (2013). What helps working informal caregivers? The role of workplace characteristics in balancing work and adult-care responsibilities. Journal of Family and Economic Issues, 34(4), 460469.



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