The Caregivers of Stroke Patients: An Investigation of Factors Associated with Depression

Caregivers of the elderly and infirm are often under more stress and report lower life satisfaction than matched groups of noncaregivers. Forty caregivers of stroke patients (usually a spouse) were interviewed an average of 9 months poststroke to determine the factors associated with poorer caregiver adjustment. Four classes of variables were expected to be related to depression in caregivers: level of functioning of the patient, caregiver perceptions of increased work and burden due to the stroke, the quality of the patient-caregiver relationship, and caregivers' interpretations of their situation. Background characteristics were also measured. As predicted, variables in each class were significantly related to depression. Multiple regression analysis showed three significant independent predictors of caregiver depression. Caregivers are more depressed if the patient is more physically impaired, if caregivers report disharmony in the family, and if they have lesser perceptions of hope Ways to apply these findings to the development of interventions to ameliorate caregiver depression are discussed.     

Perceptions of Overprotection in III Adults1

Several studies have suggested that chronically ill adults who receive overprotective care are more depressed and less motivated in rehabilitation therapy. However, for this area of research to proceed, a standard definition and measurement of perceptions of overprotection are needed. In the present study, long and short forms of a scale (the OPSA) to assess perceptions of being overprotected in chronically ill adults were developed. The scale's psychometric properties were tested with a sample of 161 community-dwelling older adults. It was found to have good internal reliability, to correlate highly with an established retrospective measure of overprotection in adults, and to be distinct from ratings of quantity and quality of social support. As expected, overprotection was associated with poorer adjustment: Respondents who felt overprotected were more depressed.     

SEX-ROLE IDENTITY, GENDER IDENTITY, AND SELF-SCHEMATA

Forty females and 40 males were shown slides of masculine and feminine phrases controlled for social desirability, sex-linked content, syllable length, and negative semantic construction to evaluate schematic processing on the dimensions of masculinity and femininity. Their responses to the phrases were timed. The BSRI, PAQ, and SSR1Q administered subsequent to the slide presentation were used to categorize subjects into groups of masculine, feminine, androgynous, and undifferentiated. Comparisons between the groups evaluated by the different scales indicated that the PAQ was the best predictor of schematic processing and that the SSRIQ and gender were not predictors of schematic processing. Correlations between the SSRIQ and the masculine and feminine scales of the BSRI and PAQ provided evidence partially supportive of Storms's (1979) theory that sex-role identity influences the development of same-sex-typed attributes but does not influence opposite-sex-typed attributes.