ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014
Daily stressors and adult day service use by family caregivers: effects on depressive symptoms, positive mood, and dehydroepiandrosterone-sulfate.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gendered experiences of providing informal care for older people: a systematic review and thematic synthesis.BMC health services research · 2021Pooled it
- The Effect of an Intervention Teaching Adolescents that People can Change on Depressive Symptoms, Cognitive Schemas, and Hypothalamic-Pituitary-Adrenal Axis Hormones.Journal of abnormal child psychology · 2019Trial
- Adult day services, leisure time satisfaction, and psychosocial well-being among dementia caregivers.The Gerontologist · 2026Article
- DHEA: a neglected biological signal that may affect fetal and child development.Journal of child psychology and psychiatry, and allied disciplines · 2024Article
- Hair dehydroepiandrosterone sulfate as biomarker of employees' well-being? A longitudinal investigation of support, resilience, and work engagement during COVID-19 pandemic.Frontiers in psychology · 2024Article
- A scoping review of intensive longitudinal methods in informal caregivers of people with dementia.BMC geriatrics · 2023Article
- Taking a Break: Daily Respite Effects of Adult Day Services as Objective and Subjective Time Away From Caregiving.The Gerontologist · 2021Article
- Adult day services and dementia caregivers' daily affect: the role of distress response to behavioral and psychological symptoms of dementia.Aging & mental health · 2021Article
- A Logic Model for Evaluation and Planning in an Adult Day Care for Disabled Japanese Old People.International journal of environmental research and public health · 2020Article
- Assessing mechanisms of benefit in adult day programs: the adult day services process and use measures.Aging & mental health · 2019Article
- Daily Social Interactions and the Biological Stress Response: Are There Age Differences in Links Between Social Interactions and Alpha-Amylase?The Gerontologist · 2018Article
- Immediate and Lagged Effects of Daily Stress and Affect on Caregivers' Daily Pain Experience.The Gerontologist · 2018Article
- Exploring the benefits of respite services to family caregivers: methodological issues and current findings.Aging & mental health · 2017Review
- Diurnal salivary alpha-amylase dynamics among dementia family caregivers.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017Article
- Care Transitions and Adult Day Services Moderate the Longitudinal Links between Stress Biomarkers and Family Caregivers' Functional Health.Gerontology · 2017Article
- Does the "widowhood effect" precede spousal bereavement? Results from a nationally representative sample of older adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study examines effects of daily use of adult day service (ADS) programs by caregivers of individuals with dementia (IWD) on a salivary biomarker of stress reactivity, dehydroepiandrosterone-sulfate (DHEA-S), and whether these effects on DHEA-S are associated with daily variability in positive mood and depressive symptoms.
methodsWe used a daily diary design of 8 consecutive days with alternation of intervention (ADS) and nonintervention days to evaluate within- and between-person effects of the intervention. Family caregivers (N = 151) of IWD who were using ADS were interviewed daily by telephone at home. Saliva samples were collected from caregivers five times a day for 8 consecutive days and were assayed for DHEA-S. Daily telephone interviews assessed daily stressors and mood.
resultsDHEA-S levels were significantly higher on days after ADS use. Daily DHEA-S levels covaried significantly with daily positive mood but not with depressive symptoms.
conclusionThese results demonstrate an association of ADS use by family caregivers and higher DHEA-S levels on the next day. Prior research has found that higher DHEA-S levels are protective against the physiologic damaging effects of stressor exposure and may reduce risks of illness. Regular use of ADS may help reduce depletion of DHEA-S and allow the body to mount a protective and restorative response to the physiologic demands of caregiving. To our knowledge, this is the first study to examine DHEA-S levels across the day in connection with an intervention that affected daily exposure to stressors.
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