TY - JOUR
T1 - The effects of adult day services on family caregivers' daily stress, affect, and health
T2 - Outcomes from the daily stress and health (DaSH) study
AU - Zarit, Steven H.
AU - Kim, Kyungmin
AU - Femia, Elia E.
AU - Almeida, David M.
AU - Klein, Laura C.
N1 - Funding Information:
This research was supported by National Institute of Aging (R01 AG031758, “Daily Stress and Health Study”).
PY - 2014/8
Y1 - 2014/8
N2 - Purpose: We examine the effects of use of adult day service (ADS) by caregivers of individuals with dementia (IWD) on daily stressors, affect, and health symptoms. Participants were interviewed for 8 consecutive days. On some days, the IWD attended an ADS program and on the other days caregivers provide most or all of the care at home. Methods: Participants were 173 family caregivers of IWDs using an ADS program. Daily telephone interviews assessed care-related stressors, noncare stressors, positive events, affect, and health symptoms. Multilevel models with data nested within persons were used to examine effects of ADS use on daily stressor exposure, affect, and health symptoms. Results: Caregivers had lower exposure to care-related stressors on ADS days, more positive experiences, and more noncare stressors. ADS use lowered anger and reduced the impact of noncare stressors on depressive symptoms. Implications: The findings demonstrate that stressors on caregivers are partly lowered, and affect is improved on ADS days, which may provide protection against the effects of chronic stress associated with caregiving.
AB - Purpose: We examine the effects of use of adult day service (ADS) by caregivers of individuals with dementia (IWD) on daily stressors, affect, and health symptoms. Participants were interviewed for 8 consecutive days. On some days, the IWD attended an ADS program and on the other days caregivers provide most or all of the care at home. Methods: Participants were 173 family caregivers of IWDs using an ADS program. Daily telephone interviews assessed care-related stressors, noncare stressors, positive events, affect, and health symptoms. Multilevel models with data nested within persons were used to examine effects of ADS use on daily stressor exposure, affect, and health symptoms. Results: Caregivers had lower exposure to care-related stressors on ADS days, more positive experiences, and more noncare stressors. ADS use lowered anger and reduced the impact of noncare stressors on depressive symptoms. Implications: The findings demonstrate that stressors on caregivers are partly lowered, and affect is improved on ADS days, which may provide protection against the effects of chronic stress associated with caregiving.
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U2 - 10.1093/geront/gnt045
DO - 10.1093/geront/gnt045
M3 - Article
C2 - 23690056
AN - SCOPUS:84905058931
SN - 0016-9013
VL - 54
SP - 570
EP - 579
JO - Gerontologist
JF - Gerontologist
IS - 4
ER -