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Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease

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  • Drentea, Patricia
  • Clay, Olivio J.
  • Roth, David L.
  • Mittelman, Mary S.

Abstract

Those who provide care at home for a spouse with Alzheimer's disease (AD) endure considerable challenges, including social isolation and increasing caregiving responsibilities. We examine the extent to which an intervention that helps spouse-caregivers mobilize their social support network, helps them better adapt to the caregiving role. We used detailed social support information collected from 200 spouse-caregivers participating in a randomized, controlled trial of enhanced social support services in the USA. Using random effects regression models, we found that individuals in the intervention group reported higher levels of satisfaction with their social support network over the first 5 years of the intervention than those in the support group. Higher levels of emotional support, more visits, and having more network members to whom they felt close were all individually predictive of longitudinal changes in social support network satisfaction. We conclude with a discussion of the importance of having psychological respite when caregivers spend their days in the home and are isolated.

Suggested Citation

  • Drentea, Patricia & Clay, Olivio J. & Roth, David L. & Mittelman, Mary S., 2006. "Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease," Social Science & Medicine, Elsevier, vol. 63(4), pages 957-967, August.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:4:p:957-967
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    1. David F. Scott & William G. Jens & Raymond E. Spudeck, 1991. "Analysis," Challenge, Taylor & Francis Journals, vol. 34(6), pages 58-60, November.
    2. Mary S. Mittelman & David L. Roth & William E. Haley & Steven H. Zarit, 2004. "Effects of a Caregiver Intervention on Negative Caregiver Appraisals of Behavior Problems in Patients With Alzheimer's Disease: Results of a Randomized Trial," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 59(1), pages 27-34.
    3. Berkman, Lisa F. & Glass, Thomas & Brissette, Ian & Seeman, Teresa E., 2000. "From social integration to health: Durkheim in the new millennium," Social Science & Medicine, Elsevier, vol. 51(6), pages 843-857, September.
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    1. Doris Y. P. Leung & Helen Y. L. Chan & Patrick K. C. Chiu & Raymond S. K. Lo & Larry L. Y. Lee, 2020. "Source of Social Support and Caregiving Self-Efficacy on Caregiver Burden and Patient’s Quality of Life: A Path Analysis on Patients with Palliative Care Needs and Their Caregivers," IJERPH, MDPI, vol. 17(15), pages 1-12, July.

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