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

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.  


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...
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...
Testing the caregiver stress model with the caregivers of children with leukemia
Demirtepe, Dilek; Bozo Özen, Özlem; Department of Psychology (2008)
The aim of the present study was to investigate the relationship between the stressors of the caregiving process and the health related outcomes (depression, anxiety, and general psychological health) in caregivers of children with leukemia. Caregiver Stress Model was used as the conceptual framework for the study. In order to measure the stressors of the caregivers, caregiver well-being scale was adapted to Turkish culture as the study 1 by using the caregivers of family members with various chronic illnes...
Correlates of Depressive and Anxiety Symptoms Among the Caregivers of Leukemic Children
Demirtepe-Saygili, Dilek; Bozo Özen, Özlem (2011-03-01)
This study aims to reveal correlates of depressive and anxiety symptoms among the Turkish caregivers of leukemic children (n = 100). The effects of demographic variables, satisfaction of the basic needs, performance on daily activities, and coping strategies on outcome variables were investigated by hierarchical regression. Accordingly, older age, lower reported income, higher number of other children to be looked after, lower levels of satisfaction of basic needs, and more use of emotion focused coping wer...
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,...
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.