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Depression, Anxiety and Stress on Caregivers of Persons with Dementia (CGPWD) in Hong Kong amid COVID-19 Pandemic

Author

Listed:
  • Tommy Kwan-Hin Fong

    (Department of Psychiatry, The University of Hong Kong, Hong Kong, China)

  • Teris Cheung

    (School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China)

  • Wai-Chi Chan

    (Department of Psychiatry, The University of Hong Kong, Hong Kong, China)

  • Calvin Pak-Wing Cheng

    (Department of Psychiatry, The University of Hong Kong, Hong Kong, China)

Abstract

Background: Coronavirus disease 2019 (COVID-19) contributed to increasing prevalence of depressive symptoms and other psychological repercussions, particularly in the disease population in Hong Kong. Nonetheless, the caregiver burden of caregivers of persons with dementia (CGPWD), has been under-investigated. Aims: This study examined the psychological impact and its correlates on the CGPWD in Hong Kong amid the COVID-19 outbreak. Methods: CGPWD referred from rehabilitation clinics and online seminar were used to recruit participants to complete an online questionnaire by the end of the second-wave of the COVID-19 outbreak (June 2021). To be eligible, either full-time or part-time CGPWD, aged 18 or above, can understand Cantonese, currently reside in Hong Kong and offering care to PWD for at least one year, were recruited. Those CGPWD diagnosed with any type of psychiatric disorder were excluded from this study. The Chinese Center for Epidemiologic Studies Depression Scale (CES-D), Perceived Stress Scale (PSS-10), Generalized Anxiety Disorder (GAD-7), Zarit Burden Interview (ZBI-22), and Nonattachment Scale (NAS-7) were used to measure participants’ depression, perceived stress, anxiety symptoms, caregiver burden and wisdom in subjective feelings of internal stress. The modified Medical Outcomes Study Social Support Survey (mMOS-SS) and the SARS Appraisal Inventory (SAI) were also administered to measure participants’ perceived support and coping efficacy. Follow-up responses were gathered by the end of third-wave outbreak (October 2021). Results: A total of 51 CGPWD participated, of which, 33 (64.7%) suffered from probable depression (CES-D score ≥ 16). Participants also showed a significant increase in depression symptom scores at the three-month follow-up period (t = 2.25, p = 0.03). CGPWD with probable depression had less non-attachment awareness and higher scores in anxiety, stress, caregiving burden, and coronavirus impact (all p < 0.05) than those without. Conclusions: High prevalence of depressive symptoms was noted among our CGPWD sample and these symptoms seemed to worsen substantially. Contingent online mental health support should be prioritized to those CGPWD to reduce psychiatric morbidity and the global disease burden.

Suggested Citation

  • Tommy Kwan-Hin Fong & Teris Cheung & Wai-Chi Chan & Calvin Pak-Wing Cheng, 2021. "Depression, Anxiety and Stress on Caregivers of Persons with Dementia (CGPWD) in Hong Kong amid COVID-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:184-:d:710786
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    References listed on IDEAS

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    1. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
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    1. Vivian Weiqun Lou & Clio Yuen Man Cheng & Doris Sau Fung Yu & Daniel Fu Keung Wong & Daniel W. L. Lai & Alice Ming Lin Chong & Shuangzhou Chen & Kee Lee Chou, 2022. "Meaning Making as a Lifebuoy in Dementia Caregiving: Predicting Depression from a Generation Perspective Using a Fuzzy-Set Qualitative Comparative Analysis," IJERPH, MDPI, vol. 19(23), pages 1-17, November.
    2. Sean G. Young, 2023. "Hidden Costs of the COVID-19 Pandemic Response," IJERPH, MDPI, vol. 20(8), pages 1-7, April.
    3. Khai Pin Tan & Jin Kiat Ang & Eugene Boon Yau Koh & Nicholas Tze Ping Pang & Zanariah Mat Saher, 2023. "Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia," IJERPH, MDPI, vol. 20(5), pages 1-30, February.

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