Hostname: page-component-77c89778f8-gvh9x Total loading time: 0 Render date: 2024-07-19T19:59:33.120Z Has data issue: false hasContentIssue false
  • English
  • Français

Family cohesion, burden, and health-related quality of life among Parkinson’s disease caregivers in Mexico

Published online by Cambridge University Press:  15 October 2018

Stephen K. Trapp ,
Melissa M. Ertl ,
Susana Gonzalez-Arredondo ,
Yaneth Rodriguez-Agudelo  and
Juan Carlos Arango-Lasprilla
Stephen K. Trapp
Affiliation:
Division of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, USA
Melissa M. Ertl
Affiliation:
Division of Educational and Counseling Psychology, University at Albany–State University of New York, Albany, NY, USA
Susana Gonzalez-Arredondo
Affiliation:
Department of Neuropsychology, National Institute of Neurology and Neurosurgery, Tlalpan, Distrito Federal, Mexico
Yaneth Rodriguez-Agudelo
Affiliation:
Department of Neuropsychology, National Institute of Neurology and Neurosurgery, Tlalpan, Distrito Federal, Mexico
Juan Carlos Arango-Lasprilla*
Affiliation:
IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
*
Correspondence should be addressed to: Juan Carlos Arango-Lasprilla, Ikerbasque Research Professor, University of Deusto, Ikerbasque, Basque Foundation for Science, Avda. de las Universidades 24, 48007 Bilbao, Spain. Phone: +34 94 413 90 03 (ext. 3261). Email: jcalasprilla@gmail.com.
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Informal caregivers of individuals with Parkinson’s disease face a range of responsibilities that increase as the disease progresses. As a result of these stressors, caregivers are vulnerable to decreased health-related quality of life (HRQOL). Guided by the stress process model of caregiving, the present study examined the relations between family cohesion, perceived burden, and mental and physical HRQOL among Parkinson’s disease caregivers in Mexico. It was hypothesized that perceived burden would mediate the relations of family cohesion and mental and physical HRQOL.

Methods:

Ninety-five family caregivers of individuals with Parkinson’s disease in Mexico City, Mexico, participated in the study. Multiple regression was utilized to conduct mediation analyses.

Results:

Results indicated that burden fully mediated the relation between family cohesion and mental HRQOL, and family cohesion was not associated with physical HRQOL.

Conclusions:

Findings extend the stress process model cross-culturally and lend support for the importance of family cohesion and perceived burden in determining caregiver mental HRQOL. Clinical health promotion interventions should target perceived burden and family cohesion together to improve mental HRQOL among familial caregivers in Mexico.

Keywords

caregiverhealth-related quality of lifeParkinson’s diseaseMexicofamily cohesionburden
Type
Original Research Article
Information
International Psychogeriatrics , Volume 31 , Issue 7: Issue Theme: Diverse Approaches to Stemming Cognitive Decline , July 2019 , pp. 1039 - 1045
Copyright
© International Psychogeriatric Association 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, M. I., Simpson, G. K., Morey, P. J., Mok, M. M., Gosling, T. J. and Gillett, L. E. (2009). Differential pathways of psychological distress in spouses vs. parents of people with severe traumatic brain injury (TBI): multi-group analysis. Brain Injury, 23, 931–943. doi: 10.3109/02699050903302336.CrossRefGoogle ScholarPubMed
Ankri, J., Andrieu, S., Beaufils, B., Grand, A. and Henrard, J. C. (2005). Beyond the global score of the Zarit Burden Interview: useful dimensions for clinicians. International Journal of Geriatric Psychiatry, 20, 254–260.CrossRefGoogle ScholarPubMed
Arango-Lasprilla, J. C., Nicholls, E., Cabrera, T. V., Drew, A., Jimenez-Maldonado, M. and Martinez-Cortes, M. L. (2011). Health-related quality of life in caregivers of individuals with traumatic brain injury from Guadalajara, Mexico. Journal of Rehabilitation Medicine, 43, 983–986. doi: 10.2340/16501977-0883.CrossRefGoogle ScholarPubMed
Bachner, Y. and O’Rourke, N. (2007). Reliability generalization of responses by care providers to the Zarit Burden Interview. Aging & Mental Health, 11(6), 678–685. doi: 10.1080/13607860701529965.CrossRefGoogle ScholarPubMed
Bastawrous, M. (2013). Caregiver burden – a critical discussion. International Journal of Nursing Studies, 50, 431–441.CrossRefGoogle Scholar
Carod-Artal, F. J., Mesquita, H. M., Ziomkowski, S. and Martinez-Martin, P. (2013). Burden and health-related quality of life among caregivers of Brazilian Parkinson’s disease patients. Parkinsonism & Related Disorders, 19, 943–948. doi: 10.1016/j.parkreldis.2013.06.005.CrossRefGoogle ScholarPubMed
Domaradzki, J. (2015). The impact of Huntington disease on family carers: a literature overview. Psychiatria Polska, 49, 931–944.CrossRefGoogle ScholarPubMed
Doris, S., Cheng, S.-T. and Wang, J. (2018). Unravelling positive aspects of caregiving in dementia: an integrative review of research literature. International Journal of Nursing Studies, 79, 1–26.Google Scholar
Edwards, N. E. and Scheetz, P. S. (2002). Predictors of burden for caregivers of patients with Parkinson’s disease. Journal of Neuroscience Nursing, 34, 184–190. doi: 10.1097/01376517-200208000-00003.CrossRefGoogle ScholarPubMed
Fritz, M. S. and MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239.CrossRefGoogle ScholarPubMed
Gonzalez Burchard, E. et al. (2005). Latino populations: a unique opportunity for the study of race, genetics, and social environment in epidemiological research. American Journal of Public Health, 95, 2161–2168.CrossRefGoogle Scholar
Grün, D., Pieri, V., Vaillant, M. and Diederich, N. J. (2016). Contributory factors to caregiver burden in Parkinson disease. Journal of the American Medical Directors Association, 17, 626–632. doi: 10.1016/j.jamda.2016.03.004.CrossRefGoogle ScholarPubMed
Gulin, S. L. et al. (2014). Health-related quality of life and mental health outcomes in Mexican TBI caregivers. Families, Systems, & Health, 32, 53–66. doi: 10.1037/a0032623.CrossRefGoogle ScholarPubMed
Haley, W. E., Levine, E. G., Brown, S. L. and Bartolucci, A. A. (1987). Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. Psychology and Aging, 2, 323.CrossRefGoogle ScholarPubMed
Hayes, A. F. (2009). Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420.CrossRefGoogle Scholar
Ice, G. H., Sadruddin, A. F., Vagedes, A., Yogo, J. and Juma, E. (2012). Stress associated with caregiving: an examination of the stress process model among Kenyan Luo elders. Social Science & Medicine, 74, 2020–2027. doi: 10.1016/j.socscimed.2012.02.018.CrossRefGoogle ScholarPubMed
Kaplan, R. M. and Anderson, J. P. (1988). A general health policy model: update and applications. Health Services Research, 23, 203.Google ScholarPubMed
Kaplan, R. M. and Anderson, J. P. (1996). The general health policy model: an integrated approach. Quality of Life and Pharmacoeconomics in Clinical Trials, 2, 302–322.Google Scholar
Lazarus, R. S. and Folkman, S. (1984). Stress, Appraisal, and Coping. New York, NY: Springer Publishing Company.Google Scholar
Lucke, K. T., Martinez, H., Mendez, T. B. and Arévalo-Flechas, L. C. (2013). Resolving to go forward the experience of Latino/Hispanic family caregivers. Qualitative Health Research, 23, 218–230. doi: 10.1177/1049732312468062.CrossRefGoogle ScholarPubMed
Martin-Carrasco, M. et al. (2010). EDUCA study: psychometric properties of the Spanish version of the Zarit caregiver burden scale. Aging & Mental Health, 14, 705–711.CrossRefGoogle ScholarPubMed
Martínez-Martín, P. et al. (2005). Quality of life of caregivers in Parkinson’s disease. Quality of Life Research, 14, 463–472.CrossRefGoogle ScholarPubMed
Martínez-Martín, P. et al. (2007). Caregiver burden in Parkinson’s disease. Movement Disorders, 22, 924–931.CrossRefGoogle ScholarPubMed
McRae, C., Sherry, P. and Roper, K. (1999). Stress and family functioning among caregivers of persons with Parkinson’s disease. Parkinsonism & Related Disorders, 5, 69–75. doi: 10.1016/S1353-8020(99)00012-7.CrossRefGoogle ScholarPubMed
Mendez-Luck, C. A., Applewhite, S. R., Lara, V. E. and Toyokawa, N. (2016). The concept of familism in the lived experiences of Mexican-origin caregivers. Journal of Marriage and Family, 78, 813–829.CrossRefGoogle ScholarPubMed
Mittelman, M. S., Haley, W. E., Clay, O. J. and Roth, D. L. (2006). Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology, 67, 1592–1599. doi: 10.1212/01.wnl.0000242727.81172.91.CrossRefGoogle ScholarPubMed
Pearlin, L. I., Mullan, J. T., Semple, S. J. and Skaff, M. M. (1990). Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist, 30, 583–594.CrossRefGoogle ScholarPubMed
Perrin, P. B. et al. (2013). Exploring the connections between traumatic brain injury caregiver mental health and family dynamics in Mexico City, Mexico. PM&R, 5, 839–849. doi: 10.1016/j.pmrj.2013.05.018.Google ScholarPubMed
Rivero, N., Martínez-Pampliega, A. and Olson, D. H. (2010). Spanish adaptation of the FACES IV questionnaire: psychometric characteristics. The Family Journal, 18, 288–296. doi: 10.1177/1066480710372084.CrossRefGoogle Scholar
Sarmento, V. P., Gysels, M., Higginson, I. J. and Gomes, B. (2017). Home palliative care works: but how? A meta-ethnography of the experiences of patients and family caregivers. BMJ Supportive & Palliative Care, 7, 390–403. doi: 10.1136/bmjspcare-2016-001141.CrossRefGoogle ScholarPubMed
Sutter, M., Perrin, P. B., Chang, Y.-P., Hoyos, G. R., Buraye, J. A. and Arango-Lasprilla, J. C. (2014). Linking family dynamics and the mental health of Colombian dementia caregivers. American Journal of Alzheimer’s Disease & Other Dementias, 29(1), 67–75. doi: 10.1177/1533317513505128.CrossRefGoogle ScholarPubMed
Tan, S. B., Williams, A. F. and Morris, M. E. (2012). Experiences of caregivers of people with Parkinson’s disease in Singapore: a qualitative analysis. Journal of Clinical Nursing, 21, 2235–2246.CrossRefGoogle ScholarPubMed
Torossian, C. L. and Ruffins, S. (1999). Relationship between family dynamics of caregivers, depression, and the likelihood of institutionalization of Alzheimer’s patients. Journal of Contemporary Psychotherapy, 29(2), 127–142. doi: 10.1023/A:1021956715387.CrossRefGoogle Scholar
Tramonti, F. et al. (2015). Family functioning in severe brain injuries: correlations with caregivers’ burden, perceived social support and quality of life. Psychology, Health & Medicine, 20, 933–939.CrossRefGoogle ScholarPubMed
Trapp, S. K. et al. (2015). Personal strengths and health related quality of life in dementia caregivers from Latin America. Behavioural Neurology, 2015, 1–8. doi: 10.1155/2015/507196.CrossRefGoogle ScholarPubMed
Vroman, K. and Morency, J. (2011). “I do the best I can”: caregivers’ perceptions of informal caregiving for older adults in Belize. International Journal of Aging and Human Development, 72(1), 1–25. doi: 10.2190/AG.72.1.a.CrossRefGoogle Scholar
Ware, J. E., Kosinski, M., Dewey, J. E. and Gandek, B. (2000). SF-36 Health Survey: Manual and Interpretation Guide. Lincoln, Rhode Island: Quality Metric Inc.Google Scholar
Ware, J. E. Jr., Kosinski, M., Bayliss, M. S., McHorney, C. A., Rogers, W. H. and Raczek, A. (1995). Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Medical Care, 33, AS264–AS279. doi: 10.1097/00005650-199501001-00005.Google ScholarPubMed
Zarit, S. H., Reever, K. E. and Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist, 20, 649–655. doi: 10.1093/geront/20.6.649.CrossRefGoogle ScholarPubMed