Self-esteem in carers of frail older people: Resentment predicts anxiety and depression
DOI: 10.1080/13607863.2011.562176
Title: Self-esteem in carers of frail older people: Resentment predicts anxiety and depression
Journal Title: Aging & Mental Health
Volume: Volume 15
Issue: Issue 6
Publication Date: August 2011
Start Page: 671
End Page: 678
Published online: 3 May 2011
ISSN: 1360-7863
Author: Christina Aggara*, Susan Ronaldsona & Ian D. Cameronb
Affiliations:
a Sydney Nursing School, The University of Sydney , Camperdown, NSW, Australia
b Rehabilitation Studies Unit, Sydney Medical School, The University of Sydney , Sydney, NSW, Australia
Abstract: Objectives: Anxiety and depression are major health problems for carers of frail older people. Positive reactions to caregiving have been shown to protect people against anxiety and depression. The aims of this study are to explore specific aspects of Self-esteem, termed positive caregiving reactions, and examine its relationship with caregiving anxiety and depressive symptoms. Method: A cross-sectional study of a cohort of carers (n?=?119) of community-living people (≥70 years) identified empirically as frail completed postal questionnaires. Positive caregiver reactions were evaluated using the Self-esteem subscale (seven items) of the Caregiver Reaction Assessment (CRA). Anxiety and depressive symptoms were measured using the Hospital Anxiety and Depression Scale. Results: Anxiety and depressive symptoms were related significantly (p?<?0.05) to six of the seven CRA Self-esteem items. Caregiving resentment scores were relatively low, mean score (SD) 1.79 (0.91) on a 1–5 scale with higher scores indicating more resentment: yet regression analysis revealed that this factor was the only independent predictor of anxiety and depressive symptoms (r 2?=?0.093, p?=?0.044 for anxiety, and r 2?=?0.121, p?=?0.041 for depression). Conclusion: The results of this study indicate that those carers who resent having to care for their frail older relative are susceptible to anxiety and depressive symptoms. This study supports the notion that there is a need for assessment of caregiving reactions in carers of frail older people.
Accepted: 5 Feb 2011

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