Depression among Recipients of Informal Care: The Effects of Reciprocity, Respect, and Adequacy of Support

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Abstract

Objectives. The objective of this work was to examine the relationship of perceived quality of care to depression among recipients of informal long-term care. Methods. Generalized estimating equations were used to generate population-average logistic regression models of prevalent depression, using a sample of 420 disabled community-dwelling women aged 65 or older receiving informal care obtained from the Women's Health and Aging Study Caregiving Survey. Results. Findings confirm a substantial prevalence of depression among older women with disabilities and support the hypothesis that perceived reciprocity and respect afforded by one's primary caregiver as well as adequacy of instrumental support all were associated with a lower likelihood of being categorized as depressed, even after controlling for sociodemographic, health, and psychosocial characteristics that are known to be related to depression. Discussion. Perceived quality of informal care arrangements has a bearing on the psychological health of care recipients. Individuals in more reciprocal relationships and in relationships where they felt respected and valued were less likely to be depressed than their counterparts.

Original languageEnglish (US)
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume59
Issue number3
StatePublished - May 2004

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Quality of Health Care
reciprocity
respect
Patient Care
recipient
Logistic Models
Independent Living
Long-Term Care
Women's Health
Caregivers
Psychology
Delivery of Health Care
health
Health
Population
caregiving
caregiver
disability
logistics
regression

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Aging
  • Psychology(all)

Cite this

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abstract = "Objectives. The objective of this work was to examine the relationship of perceived quality of care to depression among recipients of informal long-term care. Methods. Generalized estimating equations were used to generate population-average logistic regression models of prevalent depression, using a sample of 420 disabled community-dwelling women aged 65 or older receiving informal care obtained from the Women's Health and Aging Study Caregiving Survey. Results. Findings confirm a substantial prevalence of depression among older women with disabilities and support the hypothesis that perceived reciprocity and respect afforded by one's primary caregiver as well as adequacy of instrumental support all were associated with a lower likelihood of being categorized as depressed, even after controlling for sociodemographic, health, and psychosocial characteristics that are known to be related to depression. Discussion. Perceived quality of informal care arrangements has a bearing on the psychological health of care recipients. Individuals in more reciprocal relationships and in relationships where they felt respected and valued were less likely to be depressed than their counterparts.",
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