Mastery and longevity in spousal caregivers of persons with dementia

Jyoti Savla, Zhe Wang, Jiafeng Zhu, Nancy Brossoie, Karen A. Roberto, Rosemary Blieszner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: Researchers have consistently shown that providing care in a gradually deteriorating situation, such as dementia, can be stressful and detrimental to the caregiver's (CG) health. Although stressor appraisal is important in understanding variability in CG outcomes, the role of personal mastery, a coping resource, in shaping CG's health outcomes has not been considered. The primary goal of this paper was to determine whether personal mastery is associated with a survival advantage for spousal CGs of persons with dementia. Methods: This study assessed the association of CG burden and personal mastery with longevity over a 10-year period in 71 spousal CGs of persons initially diagnosed with mild cognitive impairment. Results: Over the 10 years, 16 of 71 CGs (23%) died. Cox regression models with right censoring of CGs' time to death showed that after adjusting for the health of family CG, spousal CGs who reported high levels of burden had an 83% reduced risk of death when they also reported high personal mastery (hazard ratio [HR] = 0.17, 95% confidence interval [CI] 0.04, 0.65). Conclusions: Findings have implications for support programs that help build personal mastery.

Original languageEnglish
Pages (from-to)1558-1562
Number of pages5
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume75
Issue number7
DOIs
StatePublished - Sep 1 2020

Keywords

  • Burden
  • Caregivers
  • Dementia
  • Mastery
  • Mortality

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