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Medical Comorbidities of Dementia: Links to Caregivers' Emotional Difficulties and Gains
Author(s) -
Polenick Courtney A.,
Min Lillian,
Kales Helen C.
Publication year - 2020
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.16244
Subject(s) - medicine , spouse , dementia , gerontology , family caregivers , depression (economics) , psychological intervention , disease , osteoporosis , diabetes mellitus , psychiatry , pathology , economics , macroeconomics , endocrinology , sociology , anthropology
OBJECTIVES To evaluate how eight major medical comorbidities of dementia (arthritis, cancer, diabetes, heart disease, hypertension, lung disease, osteoporosis, and stroke) are associated with caregivers' perceptions of emotional caregiving difficulties and caregiving gains (ie, benefits or rewards from the care role). DESIGN Nationally representative cross‐sectional surveys of community‐dwelling persons living with dementia (PLWDs) and their co‐resident family caregivers in the United States. SETTING The 2011 National Health and Aging Trends Study and National Study of Caregiving. PARTICIPANTS Total of 356 co‐resident family caregivers of community‐dwelling PLWDs. MEASUREMENTS Caregivers' sociodemographic and health characteristics, caregiving stressors, emotional caregiving difficulties, caregiving gains, and chronic health conditions of PLWDs. RESULTS Caregivers most commonly cared for a PLWD with arthritis (65.5%), followed by hypertension (64.9%), diabetes (30.1%), stroke (28.8%), osteoporosis (27.1%), heart disease (23.3%), cancer (21.5%), and lung disease (17.2%). Logistic regressions revealed that caregivers were 2.63 and 2.32 times more likely to report higher than median emotional caregiving difficulties when PLWDs had diagnoses of diabetes and osteoporosis, respectively, controlling for caregiver sex, relationship to the PLWD (spouse vs non‐spouse), educational attainment, self‐rated health, and assistance with activities of daily living and medical care activities. Caregivers were also 2.10 times more likely to report lower than median caregiving gains when PLWDs had a diagnosis of osteoporosis. CONCLUSION Comorbid health conditions among PLWDs have distinct implications for caregiving outcomes. Clinical care and interventions to improve the well‐being of both care dyad members should support caregivers in managing medical comorbidities of dementia. J Am Geriatr Soc 68:609–613, 2020