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ISSN 2992-779X (Electronic)
ISSN 2007-6452 (Print)

2017, Number 1

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Investigación en Discapacidad 2017; 6 (1)

Psychological and physical status related to coping styles in caregivers of stroke patients

Valadez-Roque G, Martín del Campo-Arias S, Hernández-Arenas C

Language: Spanish
References: 56
Page: 3-11
PDF size: 166.26 Kb.


ABSTRACT

Aim: To determine the prevalence of physical and psychological disorders in caregivers of patients with stroke sequelae and their relation with caregiver’s coping styles. Material and methods: Demographic data of 115 patient-caregiver dyads were collected as well as data about functional status (Barthel index) of patients and coping styles, psychological symptoms (stress, anxiety, burden and depression) and ANS modulation in caregivers (by means of heart rate variability). Results: The mean age of caregivers was 47 ± 13 years, 81 were women, and 46 were diagnosed with a disease. The direct reframing coping style toward life and toward the patient correlated negatively with depression (r = -.241 and r = -.237, respectively). The emotional negative coping style toward life and toward the patient correlated positively with stress (r = .462 and r = .402, respectively), anxiety (r = .405 and r = .485, respectively) and depression (r = .439 and r = .511, respectively). We also found a positive correlation between caregiver’s income and sympathetic activity (r = .254) and a negative correlation between the time as caregiver in months and sympathetic activity (r = -.259). Conclusion: Caregiving affects negatively over the caregivers health and coping styles are associated with the presence of psychopathology this population, these strategies can be taken into account when designing psychological interventions for this population and for the rehabilitation process in general terms.


REFERENCES

  1. Turner HA, Catania JA. Informal caregiving to persons with AIDS in the United States: caregiver burden among central cities residents eighteen to forty-nine years old. Am J Community Psychol. 1997; 25 (1): 35-59.

  2. Barrón-Ramírez BS, Alvarado-Aguilar S. Desgaste físico y emocional del cuidador primario en cáncer. Rev Inst Nal Cancerol Méx. 2009; 4: 39-46.

  3. Artaso-Irigoyen B, Goñi-Sarriés A, Biurrun-Unzué A. Estrategias de afrontamiento de las cuidadoras informales del paciente con demencia. Cuadernos de medicina psicosomática y psiquiatría de enlace. C Med Psicosom. 2002; 60-61: 38-45.

  4. Islas NL, Ramos del Río B, Aguilar-Estrada MG, García-Guillén MdL. Perfil psicosocial del cuidador primario informal del paciente con EPOC. Rev Inst Nal Enf Resp Mex. 2006; 19 (4): 266-271.

  5. Yee JL, Schulz R. Gender differences in psychiatric morbidity among family caregivers: a review and analysis. Gerontologist. 2000; 40 (2): 147-164.

  6. Armstrong P, Armstrong H. Thinking it through: women, work and caring in the new millennium. In: Grant KR, Amaratunga C, Armstrong P, Boscoe M, Pederson A, Willson K (eds). Caring for/caring about: women, home care and unpaid caregiving. Aurora, Ontario: Garamond Press; 2004: pp. 5-43.

  7. Cantor MH. Strain among caregivers: a study of experience in the United States. Gerontologist. 1983; 23 (6): 597-604.

  8. Flores-Lozano J, Adeva-Cárdenas J, García M, Gómez M. Psicopatología de los cuidadores habituales de ancianos. Jano. 1997; 1218 (3): 261-272.

  9. Phillips LR, Rempusheski VF. Caring for the frail elderly at home: toward a theoretical explanation of the dynamics of poor quality family caregiving. ANS Adv Nurs Sci. 1986; 8 (4): 62-84.

  10. Stone R, Cafferata GL, Sangl J. Caregivers of the frail elderly: a national profile. Gerontologist. 1987; 27 (5): 616-626.

  11. Bonita R, Beaglehole R, Asplund K. The worldwide problem of stroke. Curr Opin Neurol. 1994; 7 (1): 5-10.

  12. Falip R, Matías-Guiu J. Epidemiología de las enfermedades vasculares cerebrales. Enfermedades vasculares cerebrales Barcelona: JR Prous; 1995: pp. 33-40.

  13. González F, Graz A, Pitiot D, Podestá J. Sobrecarga del cuidador de personas con lesiones neurológicas. Revista del Hospital JM Ramos Mejía. 2004; 9 (4): 1-9.

  14. van Heugten C, Visser-Meily A, Post M, Lindeman E. Care for carers of stroke patients: evidence-based clinical practice guidelines. J Rehabil Med. 2006; 38 (3): 153-158.

  15. Bakas T, Austin JK, Okonkwo KF, Lewis RR, Chadwick L. Needs, concerns, strategies, and advice of stroke caregivers the first 6 months after discharge. J Neurosci Nurs. 2002; 34 (5): 242-251.

  16. Lai SM, Studenski S, Duncan PW, Perera S. Persisting consequences of stroke measured by the Stroke Impact Scale. Stroke. 2002; 33 (7): 1840-1844.

  17. Navaie-Waliser M, Feldman PH, Gould DA, Levine C, Kuerbis AN, Donelan K. When the caregiver needs care: the plight of vulnerable caregivers. Am J Public Health. 2002; 92 (3): 409-413.

  18. Alfaro-Ramírez del Castillo OI, Morales-Vigil T, Vázquez-Pineda F, Sánchez-Román S, Ramos-del Río B, Guevara-López U. Sobrecarga, ansiedad y depresión en cuidadores primarios de pacientes con dolor crónico y terminales. Rev Med Inst Mex Seguro Soc. 2008; 46 (5): 485-494.

  19. De la Huerta R, Corona J, Méndez J. Evaluación de los estilos de afrontamiento en cuidadores primarios de niños con cáncer. Neurol Neurocir Psiquiat. 2006; 39 (1): 46-51.

  20. Imran N, Bhatt MR, Haider II, Azhar L, Omar A, Sattar A. Caring for the caregivers: mental health, family burden and quality of life of caregivers of patients with mental illness. Journal of Pakistan Psychiatric Society. 2010; 7 (1): 23-28.

  21. Ozge A, Ince B, Somay G, Erol-Çakmak S, Uludüz D, Bulkan M et al. The caregiver burden and stroke prognosis. J Neurol Sci [Turk]. 2009; 26 (2): 139-152.

  22. Seira-Lledós M, Aller-Blanco A, Calvo-Gascón A. Morbilidad sentida y diagnosticada en cuidadores de pacientes inmovilizados de una zona de salud rural. Rev Esp Salud Pública. 2002; 76 (6): 713-721.

  23. Zarit M. Evaluación del medio y del cuidador del paciente con demencia. Barcelona: Proas; 1982.

  24. Lazarus RS, Miyar MV, Folkman S. Estrés y procesos cognitivos. España: Ediciones Martínez Roca; 1986.

  25. Cooper C, Katona C, Orrell M, Livingston G. Coping strategies and anxiety in caregivers of people with Alzheimer’s disease: the LASER-AD study. J Affect Disord. 2006; 90 (1): 15-20.

  26. Mausbach BT, Aschbacher K, Patterson TL, Ancoli-Israel S, von Känel R, Mills PJ et al. Avoidant coping partially mediates the relationship between patient problem behaviors and depressive symptoms in spousal Alzheimer caregivers. Am J Geriatr Psychiatry. 2006; 14 (4): 299-306.

  27. Cooper C, Katona C, Orrell M, Livingston G. Coping strategies, anxiety and depression in caregivers of people with Alzheimer’s disease. Int J Geriatr Psychiatry. 2008; 23 (9): 929-936.

  28. Morano CL. Appraisal and coping: moderators or mediators of stress in Alzheimer’s disease caregivers? Social Work Research. 2003; 27 (2): 116-128.

  29. Qiu Y, Li S. Stroke: coping strategies and depression among Chinese caregivers of survivors during hospitalisation. J Clin Nurs. 2008; 17 (12): 1563-1573.

  30. Pinquart M, Sorensen S. Correlates of physical health of informal caregivers: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2007; 62 (2): P126-137.

  31. Flórez-Torres IE, Montalvo-Prieto A, Herrera-Lián A. Calidad de vida de cuidadores de adultos con accidente cerebrovascular. Av Enferm. 2010; 28: 52-60.

  32. Jofré A, Mendoza P. Toma de decisiones en salud en mujeres cuidadoras informales. Cienc Enferm. 2005; 11 (1): 37-49.

  33. Shaw WS, Patterson TL, Semple SJ, Ho S, Irwin MR, Hauger RL et al. Longitudinal analysis of multiple indicators of health decline among spousal caregivers. Ann Behav Med. 1997; 19 (2): 101-109.

  34. Butman J, Sarasola D, Lon L, Serrano C. Impacto económico de la enfermedad de Alzheimer. Revista Neurológica Argentina. 2003; 28 (1): 16-23.

  35. Cooper C, Robertson MM, Livingston G. Psychological morbidity and caregiver burden in parents of children with Tourette’s disorder and psychiatric comorbidity. J Am Acad Child Adolesc Psychiatry. 2003; 42 (11): 1370-1375.

  36. Fuentelsaz-Gallego C, Úbeda-Bonet I, Roca-Roger M, Faura-Vendrell T, Salas-Pérez AM, Buisac-González D et al. Características y calidad de vida de los cuidadores informales de enfermos de sida. Enferm Clin. 2006; 16 (3): 137-143.

  37. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation. 1996; 93 (5): 1043-1065.

  38. Carney RM, Blumenthal JA, Stein PK, Watkins L, Catellier D, Berkman LF et al. Depression, heart rate variability, and acute myocardial infarction. Circulation. 2001; 104 (17): 2024-2028.

  39. de Jonge P, Mangano D, Whooley MA. Differential association of cognitive and somatic depressive symptoms with heart rate variability in patients with stable coronary heart disease: findings from the Heart and Soul Study. Psychosom Med. 2007; 69 (8): 735-739.

  40. Friedman BH. An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone. Biol Psychol. 2007; 74 (2): 185-199.

  41. Thayer JF, Lane RD. Claude Bernard and the heart-brain connection: further elaboration of a model of neurovisceral integration. Neurosci Biobehav Rev. 2009; 33 (2): 81-88.

  42. McCraty R, Atkinson M, Tomasino D, Bradley RT. The coherent heart: heart-brain interactions, psychophysiological coherence, and the emergence of system-wide order. Integral Review. 2009; 5 (2): 10-115.

  43. Carney RM, Saunders RD, Freedland KE, Stein P, Rich MW, Jaffe AS. Association of depression with reduced heart rate variability in coronary artery disease. Am J Cardiol. 1995; 76 (8): 562-564.

  44. Stein PK, Carney RM, Freedland KE, Skala JA, Jaffe AS, Kleiger RE et al. Severe depression is associated with markedly reduced heart rate variability in patients with stable coronary heart disease. J Psychosom Res. 2000; 48 (4-5): 493-500.

  45. Melzig CA, Weike AI, Hamm AO, Thayer JF. Individual differences in fear-potentiated startle as a function of resting heart rate variability: implications for panic disorder. Int J Psychophysiol. 2009; 71 (2): 109-117.

  46. Ruiz-Padial E, Sollers JJ 3rd, Vila J, Thayer JF. The rhythm of the heart in the blink of an eye: emotion-modulated startle magnitude covaries with heart rate variability. Psychophysiology. 2003; 40 (2): 306-313.

  47. Thayer JF, Brosschot JF. Psychosomatics and psychopathology: looking up and down from the brain. Psychoneuroendocrinology. 2005; 30 (10): 1050-1058.

  48. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965; 14: 61-65.

  49. Rojas M. Inventario para medir el estrés basado en la percepción de control. Memorias del I Congreso Latinoamericano de Psicología de la Salud. Veracruz, Ver, México; 2001.

  50. Robles R, Varela R, Jurado S, Páez F. Versión mexicana del inventario de ansiedad de Beck: propiedades psicométricas. Revista Mexicana de Psicología. 2001; 18 (2): 211-218.

  51. Alpuche V, Ramos B, Rojas M, Figueroa C. Validez de la entrevista de carga de Zarit en una muestra de cuidadores primarios informales. Psicología y Salud. 2008; 18 (2): 237-245.

  52. Reyes-Lagunes I, Góngora E. Escala multidimensional y multisituacional de estilos de enfrentamiento a los problemas (EEP). 2000.

  53. Jurado S, Villegas ME, Méndez L, Rodríguez F, Loperena V, Varela R. La estandarización del inventario de depresión de Beck para los residentes de la Ciudad de México. Salud Ment. 1998; 21 (3): 26-31.

  54. Goldstein LB, Bushnell CD, Adams RJ, Appel LJ, Braun LT, Chaturvedi S et al. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011; 42 (2): 517-584.

  55. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M et al. Heart disease and stroke statistics-2015 update: a report from the American Heart Association. Circulation. 2015; 131 (4): e29-e322.

  56. McCullagh E, Brigstocke G, Donaldson N, Kalra L. Determinants of caregiving burden and quality of life in caregivers of stroke patients. Stroke. 2005; 36 (10): 2181-2186.




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