Depression in family caregivers of elders: A theoretical model of caregiver burden, sociotropy, and autonomy†
Version of Record online: 13 NOV 2009
Copyright © 2009 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 33, Issue 1, pages 20–34, February 2010
How to Cite
Clark, M. C. and Diamond, P. M. (2010), Depression in family caregivers of elders: A theoretical model of caregiver burden, sociotropy, and autonomy. Res. Nurs. Health, 33: 20–34. doi: 10.1002/nur.20358
This study was funded by the Agency for Healthcare Research and Quality (1 R03 HS013750-01A1).
- Issue online: 12 JAN 2010
- Version of Record online: 13 NOV 2009
- Manuscript Accepted: 28 SEP 2009
- theoretical model
To test the diathesis-stress model for family caregivers, two structural equation models were developed to explain depression measured by the Center for Epidemiologic Studies Depression Scale. A cross-sectional convenience sample of 112 caregivers completed questionnaires to measure burden, personality traits, dysfunctional attitudes, and depression. The final model included direct paths from caregiver burden to autonomy and sociotropy, and indirect paths from burden to depression through sociotropy and autonomy. The final model fit adequately (χ2 [224, N = 112] = 308.60, p < .00; CFI = .951; RMSEA = .058). Levels of burden influenced caregiver depression scores. One pathway to depression was though the personality traits of sociotropy and autonomy; both had a larger influence on depression scores than burden alone. © 2009 Wiley Periodicals, Inc. Res Nurs Health 33:20–34, 2010