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Acculturation and depressive symptoms in latino caregivers of cognitively impaired older adults

  • Oanh L. Meyer (a1), Sue Geller (a2), Emily He (a3), Hector M. González (a4) and Ladson Hinton (a5)...
Abstract
ABSTRACT Background:

Caregiving for older adults is a growing public health concern because of the negative psychological effects it has on caregivers. Despite the growing Latino caregiver population, little is known regarding how the effects of acculturation on caregiver depressive symptoms might vary by caregiver age. This study aimed to examine the relationship between language acculturation and depressive symptoms in Latino caregivers, and to test whether this relationship was moderated by age.

Methods:

Ninety-four Latino caregivers of cognitively impaired older adults with and without dementia were identified through an ongoing epidemiological cohort study. Caregivers were interviewed in their homes, in either Spanish or English. A Poisson regression was used to analyze the caregiver characteristics associated with caregiver depressive symptoms.

Results:

Language acculturation was positively associated with caregiver depressive symptoms, as was age, female gender, and being married or living with someone. Those with excellent or good health and who had spent more than one year caregiving had lower depressive symptoms. Finally, the positive relationship between language acculturation and depressive symptoms was increased in older caregivers.

Conclusions:

Language acculturation appears to be a risk factor for depressive symptoms in Latino caregivers of cognitively impaired older adults. The relationship between language acculturation and depressive symptoms is complex such that caregiver age and health status further nuance this relationship. Future research should explore the independent and interactive effects of these variables on depressive symptoms.

Copyright
Corresponding author
Correspondence should be addressed to: Dr. Oanh Meyer, PhD, Department of Neurology, University of California, Davis, School of Medicine, 4860 Y Street, Sacramento, CA 95817. Phone: +(916) 734-5218; Fax: +(916) 703-5290. Email: olmeyer@ucdavis.edu.
References
Hide All
Adams K. B. (2006). The transition to caregiving: the experience of family members embarking on the dementia caregiving career. Journal of Gerontological Social Work, 47, 329. doi:10.1300/J083v47n03_02.
Administration on Aging. (2013, May 8) Aging Statistics. Available at: http://www.aoa.gov/AoARoot/Aging_Statistics/index.aspx; last accessed 8 May 2013.
Alegria M. et al. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry, 165, 359369. doi:10.1176/appi.ajp.2007.07040704.
Alegria M., Canino G., Stinson F. S. and Grant B. F. (2006). Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino Whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 67, 5665. doi:10.4088/JCP.v67n0109.
Alegria M., Sribney W., Woo M., Torres M. and Guarnaccia P. (2007). Looking beyond nativity: the relation of age of immigration, length of residence, and birth cohorts to the risk of onset of psychiatric disorders for Latinos. Research in Human Development, 4, 1947. doi:10.1080/15427600701480980.
Aranda M. P. and Knight B. G. (1997). The influence of ethnicity and culture on the caregiver stress and coping process: a sociocultural review and analysis. The Gerontologist, 37, 342354. doi:10.1093/geront/37.3.342.
Arean P. A. et al. (2005). Improving depression care for older, minority patients in primary care. Medical Care, 43, 381390.
Alzheimer's Association. (2011). 2011 Alzheimer's Disease Facts and Figures. http://www.alz.org/downloads/facts_figures_2011.pdf; last accessed 8 May 2013.
Black S. A., Markides K. S. and Miller T. Q. (1998). Correlates of depressive symptomatology among older community-dwelling Mexican Americans: the Hispanic EPESE. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 53, S198208. doi:10.1093/geronb/53B.4.S198.
Centers for Disease Control and Prevention (2013, May 10). Self-reported increased confusion or memory loss and associated functional difficulties among adults aged ≥60 years — 21 states, 2011. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6218a1.htm; last accessed 10 May 2013.
Coon D. W. et al. (2004). Well-being, appraisal, and coping in Latina and Caucasian female dementia caregivers: findings from the REACH study. Aging & Mental Health, 8, 330345. doi:10.1080/13607860410001709683.
Covinsky K. E. et al. (2003). Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. Journal of General Internal Medicine, 18, 10061014. doi:10.1111/j.1525-1497.2003.30103.x.
Cox C. and Monk A. (1990). Minority caregivers of dementia victims: a comparison of Black and Hispanic families. Journal of Applied Gerontology, 9, 340354. doi:10.1177/073346489000900308.
Cuellar I., Arnold B. and Maldonado R. (1995). Acculturation Rating Scale for Mexican-Americans-II: a revision of the original ARSMA scale. Hispanic Journal of Behavioral Sciences, 17, 275304. doi: 10.1177/07399863950173001.
Cuellar I. and Roberts R. E. (1997). Relations of depression, acculturation, and socioeconomic status in a Latino sample. Hispanic Journal of Behavioral Sciences, 19, 230238. doi: 10.1177/07399863970192009.
Gallagher-Thompson D., Coon D. W., Solano N., Ambler C., Rabinowitz Y. and Thompson L. W. (2003). Change in indices of distress among Latino and Anglo female caregivers of elderly relatives with dementia: site-specific results from the REACH national collaborative study. The Gerontologist, 43, 580591. doi:10.1093/geront/43.4.580.
Gallicchio L., Siddiqi N., Langenberg P. and Baumgarten M. (2002). Gender differences in burden and depression among informal caregivers of demented elders in the community. International Journal of Geriatric Psychiatry, 17, 154163. doi: 10.1002/gps.538.
Garcia M. and Marks G. (1989). Depressive symptomatology among Mexican American adults: an examination with the CES-D scale. Psychiatry Research, 27, 137148. doi:10.1016/0165-1781(89)90129-7.
González H. M., Ceballos M., Tarraf W., West B. T., Bowen M. E. and Vega W. (2009). The health of older Mexican Americans in the long run. American Journal of Public Health, 10, 18791885. doi:10.2105/AJPH.2008.133744.
González H. M., Haan M. N. and Hinton L. (2001). Acculturation and the prevalence of depression in older Mexican Americans: baseline results of the Sacramento Area Latino Study on Aging. Journal of the American Geriatrics Society, 49, 948953. doi:10.1046/j.1532-5415.2001.49186.x.
González H. M., Tarraf W., Whitfield K. E. and Vega W. A. (2010). The epidemiology of major depression and ethnicity in the United States. Journal of Psychiatric Research, 44, 10431051. doi:10.1016/j.jpsychires.2010.03.017.
Grant B. F., Stinson F. S., Dawson D. A., Chou S. P., Ruan W. J. and Pickering R. P. (2004a). Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 361368. doi:10.1001/archpsyc.61.4.361.
Grant B. F., Stinson F. S., Hasin D. S., Dawson D. A., Chou S. P. and Anderson K. (2004b). Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 12261233. doi:10.1001/archpsyc.61.12.1226.
Guarnaccia P. J., Angel R. and Worobey J. L. (1989). The factor structure of the CES-D in the Hispanic Health and Nutrition Examination Survey: the influences of ethnicity, gender and language. Social Science and Medicine, 29, 8594. doi:10.1016/0277-9536(89)90131-7.
Haan M. N., Mungas D. M., González H. M., Ortiz T. A., Acharya A. and Jagust W. J. (2003). Prevalence of dementia in older Latinos: the influence of type 2 diabetes mellitus, stroke and genetic factors. Journal of the American Geriatrics Society, 51, 169177. doi:10.1046/j.1532-5415.2003.51054.x.
Hahn E. A., Kim G. and Chiriboga D. A. (2011). Acculturation and depressive symptoms among Mexican American elders new to the caregiving role: results from the Hispanic-EPESE. Journal of Aging and Health, 23, 417432. doi:10.1177/0898264310380454.
Harwood D. G., Barker W. W., Cantillon M., Loewenstein D. A., Ownby R. and Duara R. (1998). Depressive symptomatology in first-degree family caregivers of Alzheimer disease patients: a cross-ethnic comparison. Alzheimer Disease & Associated Disorders, 12, 340346.
Harwood D. G., Barker W. W., Ownby R. L., Bravo M., Aguero H. and Duara R. (2000). Predictors of positive and negative appraisal among Cuban American caregivers of Alzheimer's disease patients. International Journal of Geriatric Psychiatry, 15, 481487. doi:10.1002/1099-1166(200006)15:6<481::AID-GPS984>3.0.CO;2-J.
Hazuda H. P., Haffner S. and Stern M. (1988). Acculturation and assimilation among Mexican Americans: scales and population-based data. Social Science Quarterly, 69, 687705.
Hinton L., Haan M., Geller S. and Mungas D. (2003). Neuropsychiatric symptoms in Latino Elders with dementia or cognitive impairment without dementia and factors that modify their association with caregiver depression. The Gerontologist, 43, 669677. doi:10.1093/geront/43.5.669.
Kessler R. C. et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 819. doi:10.1001/archpsyc.1994.03950010008002.
Kikman-Liff B. and Mondragón D. (1991). Language of interview: relevance for research of Southwest Hispanics. American Journal of Public Health, 81, 13991404.
Knight B. G. and Sayegh P. (2010). Cultural values and caregiving: the updated sociocultural stress and coping model. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65B, 513. doi:10.1093/geronb/gbp096.
Lee S., Nguyen H. A. and Tsui J. (2011). Interview language as a proxy measure for acculturation among Asian Americans in a population-based survey. Journal of Immigrant and Minority Health, 13, 244252. doi:10.1007/s10903-009-9278-z.
Liang K. Y. and Zeger S. L. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrika, 73, 1222. doi:10.1093/biomet/73.1.13.
Mahoney R., Regan C., Katona C. and Livingston G. (2005). Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD study. The American Journal of Geriatric Psychiatry, 13, 795801. doi:10.1097/00019442-200509000-00008.
Marín G. and Gamba R. J. (1996). A new measurement of acculturation for Hispanics: the Bidimensional Acculturation Scale for Hispanics (BAS). Hispanic Journal of Behavioral Sciences, 18, 297316. doi:10.1177/07399863960183002.
Markides K. S. and Farrell J. (1985). Marital status and depression among Mexican Americans. Social psychiatry, 20, 8691. doi: 10.1007/BF00594985.
McConaghy R. and Caltabiano M. L. (2005). Caring for a person with dementia: Exploring relationships between perceived burden, depression, coping and well being. Nursing and Health Sciences, 7, 8191. doi:10.1111/j.1442-2018.2005.00213.x.
Miranda P. Y. and González H. M. (2011) Pathways between acculturation and health: does the measure matter? Hispanic Journal of Behavioral Science, 33, 524537. doi:10.1177/0739986311423901.
Moscicki E., Locke B. Z., Rae D. and Boyd J. (1989). Depressive symptoms among Mexican Americans: the Hispanic Health and Nutrition Examination Survey. American Journal of Epidemiology, 130, 348360.
Napoles A. M., Chadiha L., Eversley R. and Moreno-John G. (2010). Reviews: developing culturally sensitive dementia caregiver interventions: are we there yet? American Journal of Alzheimer's Disease and Other Dementias, 25, 389406. doi:10.1177/1533317510370957.
Padilla A. M. and Perez W. (2003). Acculturation, social identity, and social cognition: a new perspective. Hispanic Journal of Behavioral Sciences, 25, 3555. doi:10.1177/0739986303251694.
Pearlin L. L., Mullan J. T., Semple S. J. and Skaff M. M. (1990). Caregiving and the stress process – an overview of concepts and their measures. The Gerontologist, 30, 583594.
Pinquart M. and Sörensen S. (2007). Correlates of physical health of informal caregivers: a meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62, P126137.
Polich T. and Gallagher-Thompson D. (1997). Preliminary study investigating psychological distress among female Latino caregivers. Journal of Clinical Geropsychology, 3, 115.
R Core Team (2013). R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing. Available at: http://www.R-project.org/; last accessed 7 January 2013.
Rabins P. V., Fitting M. D., Eastham J. and Zabora J. (1990). Emotional adaptation over time in caregivers for chronically ill elderly people. Age Ageing, 19, 185190.
Radloff L. S. (1977). The CES-D scale: a self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401. doi:10.1177/014662167700100306.
Rivera F. I. (2007). Contextualizing the experience of young Latino adults: acculturation, social support, and depression. Journal of Immigrant and Minority Health, 9, 237244. doi:10.1007/s10903-006-9034-6.
Roberts R. E. (1980). Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Research, 2, 125134. doi: 10.1016/0165-1781(80)90069-4.
Schulz R. and Beach S. R. (1999). Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. The Journal of the American Medical Association, 282, 22152219. doi:10.1001/jama.282.23.2215.
Schulz R. and Martire L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 12, 240249. doi:10.1097/00019442-200405000-00002.
Schulz R. et al. (2008). Dementia patient suffering and caregiver depression. Alzheimer Disease and Associated Disorders, 22, 170176. doi:10.1097/WAD.0b013e31816653cc.
Schulz R., O'Brien A. T., Bookwala J. and Fleissner K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. The Gerontologist, 35, 771791. doi: 10.1093/geront/35.6.771.
Sentell T., Shumway M. and Snowden L. (2007). Access to mental health treatment by English language proficiency and race/ethnicity. Journal of General Internal Medicine, 22 (Suppl 2), 289293. doi:10.1007/s11606-007-0345-7.
Shurgot G. R. and Knight B. G. (2005). Preliminary study investigating acculturation, cultural values, and psychological distress in Latino caregivers of dementia patients. Journal of Mental Health and Aging, 3, 3744.
Sörensen S. and Pinquart M. (2005). Racial and ethnic differences in the relationship of caregiving stressors, resources, and sociodemographic variables to caregiver depression and perceived physical health. Aging & Mental Health, 9, 482495. doi:10.1080/13607860500142796.
STATA Corp. (2011). Stata Statistical Software: Release 12.1. 2011. College Station, Texas: Stata Corporation.
Tang M. X. et al. (1998). The APOE-epsilon4 allele and the risk of Alzheimer disease among African Americans, Whites, and Hispanics. JAMA: The Journal of the American Medical Association, 279, 751755.
Tennstedt S., Cafferata G. L. and Sullivan L. (1992). Depression among caregivers of impaired elders. Journal of Aging and Health, 4, 5876. doi: 10.1177/089826439200400104.
Vega W. A., Kolody B., Aguilar-Gaxiola S., Alderete E., Catalano R. and Caraveo-Anduaga J. (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry, 55, 771778. doi:10.1001/archpsyc.55.9.771.
Vega W. A., Kolody B. and Warheit G. (1985). Psychoneuroses among Mexican Americans and other Whites: prevalence and caseness. American Journal of Public Health, 75, 523527.
Vega W. A., Sribney W. M. and Achara-Abrahams I. (2003). Co-occurring alcohol, drug, and other psychiatric disorders among Mexican-origin people in the United States. American Journal of Public Health, 93, 10571064.
Vitaliano P. P., Zhang J., Young H. M., Caswell L. W., Scanlan J. M. and Echeverria D. (2009). Depressed mood mediates decline in cognitive processing speed in caregivers. The Gerontologist, 49, 1222. doi:10.1093/geront/gnp004.
Yu S. M., Nyman R. M., Kogan M. D., Huang Z. J. and Schwalberg R. H. (2004). Parent's language of interview and access to care for children with special health care needs. Ambulatory Pediatrics, 4, 181187. doi:10.1367/A03-094R.1.
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International Psychogeriatrics
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