+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Caregiving to Older Adults: Determinants of Informal Caregivers' Subjective Well-being and Formal and Informal Support as Alleviating Conditions



Caregiving to Older Adults: Determinants of Informal Caregivers' Subjective Well-being and Formal and Informal Support as Alleviating Conditions



Journals of Gerontology. Series B Psychological Sciences and Social Sciences 73(6): 1099-1111



In response to concerns about the sustainability of health care systems that increasingly rely on informal care, we first investigate explanations of informal caregivers' subjective well-being: primary stressors (care-receivers' cognitive impairment, functional disability, and problem behavior), primary appraisal (hours of informal caregiving), and secondary appraisal (burden). Second, we investigate the extent that formal (professional home care) and informal support (from other caregivers/volunteers and from family/friends) alleviate well-being losses due to informal care provision. We modified the stress-appraisal model to explicitly include buffering effects of support. We analyzed 4,717 dyads of Dutch informal caregivers and their older care-receivers from the Older Persons and Informal Caregivers Survey Minimum DataSet with multilevel techniques. Caregivers' subjective well-being was directly correlated with burden, hours of informal caregiving, and problem behavior of care-receivers. It was indirectly correlated with care-receivers' cognitive impairment and functional disability. Formal and informal support weakened the positive relationship between primary stressors and caregiving hours. Modification of the stress-appraisal model appears useful as it identifies which sources of support buffer at which stages of the stress process. Findings suggest that cutbacks in formal/professional care may aggravate negative well-being outcomes of informal caregiving and compromise informal caregivers' labor market participation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057360001

Download citation: RISBibTeXText

PMID: 27130169

DOI: 10.1093/geronb/gbw047


Related references

Depressive symptoms among informal caregivers of older adults: insights from the Singapore Survey on Informal Caregiving. International Psychogeriatrics 24(8): 1335-1346, 2012

Subjective burden and cultural motives for caregiving in informal caregivers of older people. Journal of Nursing Scholarship 43(3): 282-291, 2011

"I do the best I can": caregivers' perceptions of informal caregiving for older adults in Belize. International Journal of Aging and Human Development 72(1): 1-25, 2011

(Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care: design of a randomized controlled trial [ISCRTN83135728. Bmc Public Health 5: 133, 2005

Comparative study between formal and informal caregivers of older adults. Ciencia and Saude Coletiva 23(11): 3789-3798, 2018

Discussion between informal and formal caregivers of community-dwelling older adults. Tijdschrift Voor Gerontologie en Geriatrie 45(2): 69-81, 2014

The Impact of Informal Caregiving for Older Adults on the Health of Various Types of Caregivers: A Systematic Review. Gerontologist 2018:, 2018

Connecting Informal And Formal Caregivers To Older Adults With Alzheimer'S And Related Dementias. The Gerontologist 45(1): 135-139, 2005

Informal Caregiving and Subjective Well-Being: Evidence of a Population-Based Longitudinal Study of Older Adults in Germany. Journal of the American Medical Directors Association 17(4): 300-305, 2016

Does support from foreign domestic workers decrease the negative impact of informal caregiving? Results from Singapore survey on informal caregiving. Journals of Gerontology. Series B Psychological Sciences and Social Sciences 68(4): 609-621, 2013

Poster Review of Subjective Caregiver Impact Experience and Needs of Informal Caregivers of Adults/older Adults With Cancer. European Journal of Cancer 47: S311-S312, 2011

Formal support for informal caregivers to older persons with dementia through the course of the disease: an exploratory, cross-sectional study. Bmc Geriatrics 16: 32, 2016

The impact of informal caregivers on depressive symptoms among older adults receiving formal home health care. Geriatric Nursing 32(1): 18-28, 2011

Differences in impact of long term caregiving for mentally ill older adults on the daily life of informal caregivers: a qualitative study. Bmc Psychiatry 13: 103, 2013

Formal and informal support for older adults with severe mental illness. Aging and Mental Health 13(4): 619-627, 2009