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Leisure activities,caregiving demands and catecholamine levels in dementia caregivers
Authors:Elizabeth A. Chattillion  Susan K. Roepke  Roland von Känel  Paul J. Mills  Joel E. Dimsdale
Affiliation:1. Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California , San Diego , CA , USA;2. Department of Psychiatry , University of California , San Diego , CA , USA;3. Department of Psychiatry , University of California , San Diego , CA , USA;4. Department of General Internal Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland;5. Department of Psychiatry , University of California , San Diego , CA , USA
Abstract:This study examined whether satisfaction from leisure activities moderates the relationship between caregiving demands (i.e., hours per day spent caring for a spouse with dementia) and resting levels of the catecholamines norepinephrine (NE) and epinephrine (EPI). Spousal caregivers (n?=?107; mean age?=?73.95?±?8.12 years) were assessed in home for plasma levels of NE and EPI, amount of care provided, and leisure satisfaction. Regression was used to determine whether leisure satisfaction moderated the relationship between hours providing care per day and catecholamine levels. A significant interaction was found between hours caregiving and leisure satisfaction for NE, but not for EPI. Post hoc regressions were conducted for both NE and EPI. At low leisure satisfaction, time spent caring for a spouse was positively associated with plasma NE (β?=?0.41; p?=?0.005) and EPI (β?=?0.44; p?=?0.003). In contrast, at high levels of satisfaction, time caregiving was not significantly associated with plasma NE (β?=?–0.08; p?=?0.57) or EPI (β?=?0.23; p?=?0.12). These findings suggest that leisure satisfaction may protect caregivers from increases in catecholamines, which have been implicated in cardiovascular risk. Further support for these findings may impact psychological treatments for distressed caregivers.
Keywords:leisure satisfaction  leisure activities  catecholamine  dementia caregiving  cardiovascular disease
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