Longitudinal patterns of risk for depression in dementia caregivers: Objective and subjective primary stress as predictors.

The present study examined how patterns of risk for depression over 1 year in 188 dementia caregivers (consistently asymptomatic, n ?=?88; consistently symptomatic, n ?=?40; changing risk, n ?=?60) could be predicted by objective (behavior problems of the relative) and subjective (role captivity and overload) primary stress. Results reveal that all primary stressors differentiated caregivers who remained at low levels of symptomatology over the course of 1 year from those who were at risk for experiencing a depressive disorder. In addition, caregivers' subjective experience of role captivity predicted the chronicity of risk. Findings extend prior caregiving research on patterns of depressive symptomatology by highlighting the relationship between subjective primary stressors and stability and change in caregivers' mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and quality of informal care: A longitudinal investigation of caregiving stressors.

This research examined longitudinal associations between caregiving stressors, caregiver depression, and quality of care. Informal caregivers of elderly care recipients were interviewed at baseline (N = 310) and again one year later (N = 213). Hierarchical regression analyses indicated that increases in caregiving stressors (i.e., caregiver physical health symptoms, caregiver activity restriction, and care recipient controlling and manipulative behavior) were related to increased caregiver depression. In turn, increased caregiver depression and decreased caregiver respectful behavior predicted increases in potentially harmful behavior. These results extend previous cross-sectional findings and indicate that changes in caregiving stressors, caregiver depression, and caregiver respect over time may signal that intervention is warranted in order to forestall or prevent poor quality of care. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Relationships of role stressors with organizational citizenship behavior: A meta-analysis.

Several quantitative reviews have documented the negative relationships that role stressors have with task performance. Surprisingly, much less attention has been directed at the impact of role stressors on other aspects of job performance, such as organizational citizenship behavior (OCB). The goal of this study was to therefore estimate the overall relationships of role stressors (i.e., role ambiguity, conflict, and overload) with OCB. A meta-analysis of 42 existing studies indicated that role ambiguity and role conflict were negatively related to OCB and that these relationships were moderated by the target of OCB, type of organization, OCB rating source, and publication status. As expected, role conflict had a stronger negative relationship with OCB than it did with task performance. Finally, we found support for a path model in which job satisfaction mediated relationships of role stressors with OCB and for a positive direct relationship between role overload and OCB. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Quality of the caregiver–care recipient relationship: Does it offset negative consequences of caregiving for family caregivers?

This study examined whether relationship quality mediates, moderates, or both mediates and moderates the associations between caregiving stressors (e.g., disability and behavioral problems) and negative consequences associated with caregiver well-being (overload, role captivity, and depression). Data on family (spouses and children) caregivers (n?=?118) came from a longitudinal study of a representative sample of disabled older people and their primary caregivers. Relationship quality mediated the linkages between the presence of problem behaviors and the outcomes of role captivity and depression. That is, when problem behaviors were present, they related to higher levels of captivity and depression because quality of the relationship suffered. Relationship quality moderated the linkage between disability and overload. Specifically, for those with a higher quality of relationship, increased disability was related to higher levels of perceived overload. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neural plasticity and emotional memory

Posttraumatic stress disorder is the pathological replay of emotional memory formed in response to painful, life-threatening, or horrifying events. In contrast, depression is often precipitated by more social context-related stressors. New data suggest that different types of life experiences can differentially impact biochemistry, physiology, anatomy, and behavior at the level of changes in gene expression. Repeated separation of neonatal rat pups from their mother results in many long-lasting alterations in biology and behavior paralleling that in depression, including hypercortisolism. The role of the amygdala in modulating emotional memory is highlighted, as well as some of its unique properties such as metaplasticity (i.e., the differential direction of long-term adaptation, either potentiation or depression) in response to the same input as a function of the prior history of stimulation. The implications of these emerging data on the physiological and molecular mechanisms underlying emotional memory emphasize the particular importance of prevention and early intervention.     

Fluid cognitive ability is associated with greater exposure and smaller reactions to daily stressors.

The authors of this study investigated whether fluid cognitive ability predicts exposure and emotional reactivity to daily stressors. A national sample of adults from the Midlife in the United States study and the National Study of Daily Experiences (N = 1,202) who had a mean age of 57 years (SD = 12; 56% women, 44% men) completed positive and negative mood reports as well as a stressor diary on 8 consecutive evenings via telephone. Participants also completed a telephone-based battery of tests measuring fluid cognitive ability. Higher levels of fluid cognitive ability were associated with greater exposure to work- and home-related overload stressors. Possessing higher levels of fluid cognitive ability was associated with smaller stressor-related increases in negative mood, primarily for interpersonal tensions and network stressors, and smaller stressor-related decreases in positive mood for interpersonal tensions. Furthermore, fluid cognitive ability was unrelated to subjective severity ratings of the stressors reported. Discussion focuses on the role of fluid cognitive ability in daily stress processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chinese Values and Stressors of Construction Professionals in Hong Kong

The construction industry has been recognized as a stressful industry, and a great deal of stress is placed on various construction professionals (CPs). However, due to the different “values” among CPs in Hong Kong, susceptibility to stressors varies from individual to individual. People who grow up and live in different cultural environments have different values and this leads to different perceptions of stressors. This study aims to investigate the impact of Chinese values on the stressors of CPs in Hong Kong, one of the main cities in China. To achieve this aim, factor analysis, Pearson correlation analysis, and structural equation modeling were applied based on the survey data collected from CPs in Hong Kong. Four types of Chinese values and eight stressors are identified. The results reveal that: (1) social conventions value alleviate role ambiguity and poor workgroup relationship; (2) value of disciplined work ethos triggers work overload, although it alleviate poor workgroup relationship and work underload; (3) value of conservative personality alleviates work overload; (4) interpersonal integration value has indirect impacts on the various stressors; and (5) the objective poor working environment stressor has significant impact on the poor workgroup relationships and role ambiguity of individual CPs.     

Longitudinal impact of interhousehold caregiving on adult children's mental health.

The wear-and-tear hypothesis of caregiving (the longer care provided, the more psychological strain on caregivers) was examined using panel survey data from 112 adult children providing interhousehold care to an impaired elderly parent. Measures included subjective caregiving stress and perceived caregiving effectiveness ("wear") and depression and affect balance ("tear"). Contrary to the hypothesis, data revealed variability in children's adaptation to caregiving, improvement rather than deterioration being the norm. In a recursive path model, both subjective stress and perceived effectiveness were significant predictors of changes in depression. Depression was not significantly related to duration of caregiving. Discussion suggests that future researchers consider other types of caregivers and care settings, factors predicting variability in caregivers' adaptation over time, and changes as well as stability in care arrangements. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Critical incidents and chronic stressors at work: Their impact on forensic doctors.

Workers in medium- or high-risk professions are often confronted with critical incidents at the workplace. The impact of these acute stressors may be serious and enduring. Many workers also experience chronic job stressors, such as work overload or role conflicts. This study examined the frequently neglected relationship of acute and chronic stressors with self-reported health symptoms, such as posttraumatic responses, fatigue, and burnout. This association was investigated in a sample of forensic doctors in the Netherlands (N = 84). It was found that the more traumatic events the respondents experienced, the more problems they reported in coping with the traumatic events. Chronic job stressors were associated with posttraumatic responses (intrusions and avoidances) and with burnout and fatigue. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Longitudinal Effects of Early Behavior Problems in the Dementia Caregiving Career.

Using multiregional, 3-year data from early career dementia caregivers, this study determines how behavior problems that occur early in the caregiving career influence time to nursing home placement and change in burden and depression over time. A Cox proportional hazards model indicated that caregivers who managed frequent behavior problems earlier are more likely to institutionalize. After controlling for important time-varying covariates in a series of growth-curve models, caregivers who were faced with severe, early behavior problems reported greater increases in burden and depression over the 3-year study period. The findings suggest the need to consider experiences early in the dementia caregiving career when accounting for key longitudinal outcomes and also emphasize the importance of attrition when attempting to model the health implications of informal long-term care over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Role of family adaptability in the psychological adjustment of spouse caregivers to patients with dementia.

This study examined the role of family adaptability in moderating the impact of caregiving on psychological adjustment and the relationship between adaptability and marital roles for 54 spouse caregivers to patients with dementia. Greater memory and behavior problems were related to greater burden and depression. For caregivers who were lower in adaptability, longer hours of care were related to greater depression. For caregivers higher in adaptability, hours of care were unrelated to depression. Cluster analysis identified a subset of caregivers lower in adaptability, with a partner who was severely demented, who endorsed a spouse role. These caregivers were the most depressed in the sample. Implications for service providers and suggestions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Too stressed out to participate? Examining the relation between stressors and survey response behavior.

Despite the use of survey-based organizational data in many studies of organizational behavior, survey response behavior and nonresponse are rarely studied phenomena. This study expands on previously proposed survey response and nonresponse frameworks by integrating the job stress literature. The authors investigated whether overload, role ambiguity, and role conflict experienced by individuals relate to survey response behavior. Using organizational citizenship behavior theory and social exchange theory as theoretical frameworks, the authors proposed that nonrespondents experience higher levels of stressors than respondents. Data collected in a longitudinal field study partially supported the hypotheses. As hypothesized, overload increased the likelihood of nonresponse. Contrary to hypotheses, role ambiguity decreased the likelihood of nonresponse. Role conflict was not significantly related to nonresponse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Immigration as a multiple-stressor situation: Stress and coping among immigrants from the former Soviet Union in Israel.

The present study investigated the adaptation process of immigrants from the former Soviet Union in Israel as a multiple-stressor situation that involves cognitive appraisals and coping efforts. A sample of 301 new immigrants (residing in Israel three years or less), 67% women, 25 to 45 years old, completed inventories measuring cognitive appraisals of three major immigration stressors--employment, language, and housing difficulties--and the strategies used to cope with these demands. Level of distress (as indicated by depression and anxiety) was also assessed. The results show positive associations between cognitive appraisals of the various stressors, as well as between the coping strategies applied to them, indicating mutual influences between stressors in a multiple-stressor situation. In addition, an interaction between the appraisals of threat/loss of the three stressors predicted the respondents' distress level, supporting the potentiation model of coping with multiple stressors. Last, the findings support the notion of a stable coping style by showing especially high correlations between coping efforts with different stressors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrated Model for the Stressors and Stresses of Construction Project Managers in Hong Kong

Construction projects involve multistakeholders (e.g., architects, structural engineers, surveyors, contractors, suppliers, etc.) completing a large number of unpredictable tasks in a complex process within a limited period of time. Construction project managers (C-PMs) are the key persons in achieving project success throughout the construction process, as they are responsible for planning the construction program, organizing human resources, controlling operations and the budget, and forecasting probable difficulties. Hence, C-PMs always encounter a great deal of stress in construction projects. Apart from the subjective feelings experienced by individual C-PMs, C-PMs may also feel objective stress due to the deviation between their actual abilities and their expected abilities on tasks or projects. To understand the integrated relationships between the various stressors and stresses of C-PMs, a survey was conducted of 108 C-PMs in Hong Kong. This paper attempts to investigate the causal relationships between stressors and stresses (both subjective and objective). The study reveals seven stressors of C-PMs in the industry. Based on the results of a correlation coefficient, an optimized stressor–stress structural equation model is established. Four critical stressors were found to have significant impact on both the subjective and the objective stresses of C-PMs, including work overload, poor interpersonal relationships, poor work environment, and poor nonwork environment. A number of recommendations were made for both construction companies and individual C-PMs in their offices and at home in order to optimize their work performance in the real world.     

Hassles and uplifts of giving care to a family member with dementia.

The role of daily caregiving stressors (hassles) and small caregiving satisfactions (uplifts) in the well-being of 60 family caregivers was investigated. Hassles and uplifts in 4 domains of caregiving were examined, and direct effects of hassles, uplifts on caregivers' social and psychological well-being, as well as the interactive and net effects of hassles and uplifts, were assessed. Hassles associated with care recipients' behavior demonstrated strongest associations with well-being. Women and caregivers to socially responsive yet behaviorally inappropriate care recipients reported more behavior and cognitive hassles. Uplifts associated with assistance in activities of daily living and with care recipients' behavior were related to well-being, with more uplifts related to greater, rather than less, depression. More intensely involved caregivers reported more of these uplifts. Net effects in the hypothesized direction were found, but no interactive effects emerged. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Caregiver personality characteristics and adaptation to juvenile rheumatic disease.

Objective: To assess the impact of caregiver personality characteristics on the adaptation of children with juvenile rheumatic diseases (JRDs). Method: This study examined the relationships between caregivers' personality characteristics and adaptation among 59 children with JRDs. The NEO Five-Factor Inventory was administered to caregivers, and scores on each scale served as predictor variables. Criterion variables included child emotional and behavior problems, depression, self-esteem, and pain. Results: Pearson correlation coefficients and hierarchical regression analyses revealed that caregivers' personality scores were related to indexes of emotional functioning, depression, self-esteem, and pain. Conclusion: Identification of specific caregiver personality characteristics that enhance or detract from children's adaptation may facilitate early identification of risk and protective factors and the development of interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The case for treating depression in military spouses.

The increased operational tempo associated with current deployments to Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) is placing considerable strain on military families. Among other sequelae of OIF and OEF deployment, findings from recent studies suggest high rates of depression in spouses of service members. This review presents a rationale for targeting depression among military spouses. It examines how stressors relating to the deployment cycle may contribute to depression in spouses and outlines the effects of spousal depression on the mental health of service members and their children. Mental health services currently available to military spouses as well as barriers to their care are also described. Considerations for the adaptation of treatment to their unique circumstances and needs are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Understanding marital stressors. The importance of coping style

Previous survey work with 1591 married Chicago adults has demonstrated a close connection between symptoms of depression and current marital stressors (nonfulfillment of basic role expectations, lack of reciprocity between partners, and nonacceptance by spouse). The pertinent question now becomes which factors predispose toward marital stressors. We address this issue here by examining a broad array of variables to see which are most predictive of marital stressors by employing multiple regression analysis on data from the survey sample. A descending order of explanatory power of marital stressors occurs for the following categories of variables: respondent's style of coping with marital problems, behavior patterns within the marriage, personality factors of the respondent, other current social stressors, demographic variables, and marital circumstances. One coping style in particular, that of optimistic action, is more predictive of low marital stressors than any other single variable studied. The findings contradict several common beliefs about marital stressors: the presence of background differences between the spouses, a lack of consensus between the partners, and the presence of other social stressors (job, parenting, finances) are relatively poor predictors of marital discord.     

Extending our understanding of burnout: Test of an integrated model in nonservice occupations.

C. L. Cordes and T. M. Dougherty (1993) provided a conceptual framework of job burnout in nonservice organizations. This study sought to determine the "fit" of that theoretical model within nonservice occupations. LISREL VIII was used to test this model on 165 participants, and the overall model fit the data well. Supervisory support moderated the relationships between the role conflict, role ambiguity, and quantitative role overload stressors and emotional exhaustion and between emotional exhaustion and depersonalization. Unexpectedly, role conflict, role ambiguity, and quantitative role overload had a positive impact on emotional exhaustion when supervisory support was high. As expected, participation had a negative association with depersonalization. Employees experiencing emotional exhaustion were more likely to feel nervous or tense at work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)