Predictors of depression, anxiety, grief and growth among Turkish offspring as caregivers of parents with alzheimer’s disease: a multi-method study

2017
Ar, Yağmur
The main purpose of the current study was to investigate the lived experiences of Turkish adult children as caregivers of parents with Alzheimer’s Disease (AD). A multi-method design was employed to achieve this aim, and a qualitative and quantitative study were performed respectively. In the qualitative strand, semi-structured interviews were conducted with 20 adult children, and data was analyzed through Interpretative Phenomenological Analysis (IPA). Six super-ordinate themes were emerged from the obtained data, which were (1) etiology of the disease, (2) changes and losses, (3) coping strategies, (4) factors helping/hindering caregiving process, (5) unique pathology of the disease, and (6) reluctance to nursing home placement (NHP). The quantitative strand aimed to explore the roles of various background/contextual variables, primary stressors/disease-related factors, secondary stressors, execarbating or mitigating factors in predicting negative (i.e. depression, anxiety, anticipatory grief) and positive (i.e. growth) caregiver outcomes. Data for this strand was collected from 190 informal adult children caregivers of AD. Hierarchical regression analyses revealed that different sets of variables were influential in predicting different caregiver outcomes. While burden, optimistic/seeking-social support, helplessness-coping and perceived social support were associated with caregiver depression and anxiety; only subjective burden and helplessness coping were associated with pre-death grief responses. Additionally, among all other variables, only optimistic/seeking social support was positively associated with growth scores of the caregivers. Moderation analysis revealed that perceived social support had moderated the relationship between caregiver burden and various caregiving outcomes. Besides, problem-solving coping buffered the negative impact of subjective burden on caregiver depression.  

Suggestions

Predicting depressive symptoms among the mothers of children with leukaemia: A caregiver stress model perspective
Demirtepe-Saygili, Dilek; Bozo Özen, Özlem (Informa UK Limited, 2011-01-01)
The aim of this study was to find out the predictors of depressive symptoms of mothers of children with leukaemia. The potential predictors were chosen in the light of the caregiver stress model [Pearlin, Mullan, Semple, and Skaff, 1990. Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583-594.], which examines the caregiver stress as composed of many factors such as the background variables, primary and secondary stressors, mediators and psychological...
The Effect of maternal parentification history, maternal attachment styles, socioeconomic status and children’s self-construals on parentification roles and perceived parental caregiving
Karagöbek, Ayşe Büşra; Şahin Acar, Başak; Department of Psychology (2014)
This thesis study aimed to explore how well the maternal history of parentification, adult attachment styles, self-construal of children and SES of the family contribute to explain the variability on parentification behaviors of children. The sample comprised 92 mother-child dyads. Mothers’ mean age was 40.11 (SD = 5.56), and mean education level of 2.45 (SD = 1.25). Children’s mean age was 12.56 (SD = .63). Mothers were given the Filial Responsibility Scale- Adult Version (Jurkovic, Thirkield, and Morrell,...
Parental acceptance-rejection, self-esteem and psychological adjustment : children with learning disabilities as compared to children with insulin dependent diabetes mellitus
İlden Koçkar, Zekavet Aylin; Gençöz, Tülin; Department of Psychology (2006)
This study aimed to investigate the psychological adjustment of children with learning disabilities (LD); to examine the group and gender differences of the psychological adjustment between children with LD and diabetes; and to investigate group differences in the way mothers experience having children with LD and diabetes in terms of their adjustment levels. In order to test the above aims, 2 (Gender) x 2 (Diagnosis) ANCOVA’s were conducted to evaluate the diagnosis and gender differences on the psychologi...
Negotiating parent care among siblings
Con, Gülçin; Kalaycıoğlu, Hediye Sibel; Department of Sociology (2013)
This study aims to examine the arrangements of parent care by adult children. To understand how adult children divide and negotiate parent care tasks and responsibilities among themselves, an analysis based on not only interactions among siblings but also on some structural factors such as gender, socioeconomic status (SES) and family composition is employed. The care arrangements are expected to vary in different sibling groups depending on SES and family composition differences. In line with this expectat...
The Predictive roles of perceived social support, early maladaptive schemas, parenting styles, and schema coping processes in well-being and burnout levels of primary caregivers of dementia patients
Ayrancı, Elçin; Bozo Özen, Özlem; Department of Psychology (2015)
The main purpose of the current study was to investigate the predictive roles of perceived social support, early maladaptive schemas, parenting styles, and schema coping processes in well-being and burnout levels of primary caregivers of dementia patients.Ninety-nine adult children as the primary caregivers of dementia patients completed the measures of Young Schema Questionnaires (YSQ), Young Parenting Inventory (YPI), Young Compensation Inventory (YCI), Young Rygh Avoidance Inventory (YRAI), Maslach Burno...
Citation Formats
Y. Ar, “Predictors of depression, anxiety, grief and growth among Turkish offspring as caregivers of parents with alzheimer’s disease: a multi-method study,” Ph.D. - Doctoral Program, Middle East Technical University, 2017.