The impact of decreased environmental reward in predicting depression severity in caregivers

  1. Vázquez González, Fernando Lino 1
  2. López, Lara 1
  3. Blanco, Vanessa 1
  4. Otero, Patricia 2
  5. Ángela J. Torres 1
  6. Ferraces, María José 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  2. 2 Universidade da Coruña
    info

    Universidade da Coruña

    La Coruña, España

    ROR https://ror.org/01qckj285

Journal:
Anales de psicología

ISSN: 0212-9728,  1695-2294

Year of publication: 2019

Issue Title: October

Volume: 35

Issue: 3

Pages: 357-363

Type: Article

DOI: 10.6018/ANALESPS.35.3.329131 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Anales de psicología

Sustainable development goals

Abstract

Pese a sus dificultades para realizar actividades agradables y la alta prevalencia de depresión, no se ha analizado el refuerzo como predictor de la depresión en la población de cuidadores. El objetivo de este estudio fue analizar el refuerzo como predictor del nivel de depresión (sin depresión, depresión subclínica, episodio depresivo mayor) en cuidadores. Evaluadores independientes evaluaron las variables sociodemográficas del cuidador, la persona cuidada y la situación de cuidado, el refuerzo y la sintomatología depresiva mediante autoinformes, y clínicos expertos evaluaron el episodio depresivo mayor mediante la SCID-5-CV, en 592 cuidadores (87.2% mujeres; edad media = 55.4 años). La puntuación media en refuerzo fue 28.1. El refuerzo fue menor en cuidadores ≤55 años y de clase social baja-media/baja. Y mayor en cuidadores sin depresión que en aquellos con depresión subclínica y episodio depresivo mayor, y en cuidadores con depresión subclínica frente a aquellos con episodio depresivo mayor. Los cuidadores con mayor refuerzo tenían menor probabilidad de depresión subclínica (adjusted OR = 0.78, 95% CI 0.75-0.83) y episodio depresivo mayor (adjusted OR = 0.67, 95% CI 0.62-0.72). El refuerzo fue un factor de protección frente a la depresión subclínica y el episodio depresivo mayor en cuidadores.

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Funding information

This project was approved by the Ethics Committee for Clinical Research of the corresponding health service area and the Secretariat General for Penitentiary Institutions of the Spanish Ministry of the Interior. The participants were informed that this was a study on aggressive experiences, and that confidentiality was ensured and no health risk was involved. Before the questionnaires were administered, the participants were provided with information about the general aims of the study. Once this information had been read, those who agreed gave their signed informed consent on the confidential treatment of the information obtained and its possible subsequent dissemination. The tests were individually administered in 30-45 minute sessions by an examiner who was previously trained to administer the instru- ments. The data collection was conducted in the prison infirmary.

Funders

Bibliographic References

  • Alzheimer's Association and National Alliance for Caregiving (2004). Families Care: Alzheimer's Caregiving in the United States. Chicago: Alzheimer's Association and National Alliance for Caregiving.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, D.C: American Psychiatric Association.
  • Armento, M. E. y Hopko, D. R. (2007). The Environmental Reward Observation Scale (EROS): Development, validity, and reliability. Behavior Therapy, 38, 107-119. doi: 10.1016/j.beth.2006.05.003.
  • Barraca, J. y Pérez-Álvarez, M. (2010). Adaptación española del Environmental Reward Observation Scale (EROS). Ansiedad y Estrés, 16, 95-107.
  • Backenstrass, M., Frank, A., Joest, K., Hingmann, S., Mundt, C. y Kronmüller, K. T. (2006). A comparative study of nonspecific depressive symptoms and minor depression regarding functional impairment and associated characteristics in primary care. Comprehensive Psychiatry, 47, 35–41. doi:10.1016/j.comppsych.2005.04.007.
  • Clark, M. S. y Bond, M. J. (2000). The effect on lifestyle activities of caring for a person with dementia. Psychology, Health & Medicine, 5, 13–27. doi:10.1080/135485000105972.
  • Cuijpers, P. y Smit, F. (2004). Subthreshold depression as a risk indicator for major depressive disorder: a systematic review of prospective studies. Acta Psychiatrica Scandinavica, 109, 325–331. doi:10.1111/j.1600-0447.2004.00301.x.
  • Cuijpers, P., van Straten, A. y Warmerdam, L. (2007). Behavioral activation treatments of depression: A meta-analysis. Clinical Psychology Review, 27, 318-326. doi:10.1016/j.cpr.2006.11.001.
  • First, M. B., Williams, J. B. W., Karg, R. S. y Spitzer, R. L. (2015). Structured Clinical Interview for DSM-5 Disorders, Clinician Version (SCID-5-CV). Arlington, VA, American Psychiatric Association.
  • Hulley, S. B., Cummings, S. R. y Newman T. B. (2013). Designing cross-sectional and cohort studies. En S. B. Hulley, S. R. Cummings, W. S. Browner, D. G. Grady y T. B. Newman (Eds.), Designing Clinical Research (4ª ed., pp. 85-96). Philadelphia: Lippincott Williams & Wilkins.
  • Instituto de Mayores y Servicios Sociales (2005). Cuidados a las personas mayores en los hogares españoles. El entorno familiar. Madrid: Ministerio de Trabajo y Asuntos Sociales.
  • Joling, K. J., van Marwijk, H. W. J., Veldhuijzen, A. E., van der Horst, H. E., Scheltens, P., Smit, F., y van Hout, H. P. J. (2015). The two-year incidence of depression and anxiety disorders in spousal caregivers of persons with dementia: Who is at the greatest risk? The American Journal of Geriatric Psychiatry, 23, 293-303. doi:10.1016/j.jagp.2014.05.005.
  • Lewinsohn, P. M. (1974). A behavioral approach to depression. En R. J. Friedman y M. M. Katz (Eds.), The Psychology of Depression: Contemporary Theory and Research (pp. 157-185). New York: Wiley.
  • Losada, A., Pérez-Peñaranda, A., Rodriguez-Sanchez, E., Gomez-Marcos, M. A., Ballesteros-Rios, C., Ramos-Carrera, I. R., …. Garcia-Ortiz, L. (2010). Leisure and distress in caregivers for elderly patients. Archives of Gerontology and Geriatrics, 50, 347-350. doi:10.1016/j.archger.2009.06.001.
  • Mausbach, B. T., Patterson, T. L. y Grant, I. (2008). Is depression in Alzheimer's caregivers really due to activity restriction? A preliminary mediational test of the activity restriction model. Journal of Behavior Therapy and Experimental Psychiatry, 39, 459-466. doi:10.1016/j.jbtep.2007.12.001.
  • Mausbach, B. T., Roepke, S. K., Depp, C. A., Moore, R., Patterson, T. L. y Grant, I. (2011). Integration of the pleasant events and activity restriction models: Development and validation of a “PEAR” model of negative outcomes in alzheimer's caregivers. Behavior Therapy, 42, 78-88. doi: 10.1016/j.beth.2009.11.006.
  • Mausbach, B. T., Roepke, S. K., Depp, C. A., Patterson, T. L. y Grant, I. (2009). Specificity of cognitive and behavioral variables to positive and negative affect. Behaviour Research and Therapy, 47, 608-615. doi: 10.1016/j.brat.2009.04.006.
  • National Collaborating Centre for Mental Health (2010). Depression: The NICE guideline on the treatment and management of depression in adults. Updated Edition. London: British Psychological Society and Royal College of Psychiatrists.
  • Nieboer, A. P., Schulz, R., Matthews, K. A., Scheier, M. F., Ormel, J. y Lindenberg, S. M. (1998). Spousal caregivers' activity restriction and depression: A model for changes over time. Social Science & Medicine, 47, 1361-1371. doi: 10.1016/S0277-9536(98)00214-7.
  • Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. doi:10.1177/ 014662167700100306.
  • Read, A., Mazzucchelli, T. G. y Kane, R. T. (2016). A preliminary evaluation of a single session behavioural activation intervention to improve well‐being and prevent depression in carers. Clinical Psychologist, 20, 36-45. doi: 10.1111/cp.12084.
  • Rodríguez, B., Ortiz, A., Palao, A., Avedillo, C., Sánchez-Cabezudo, A. y Chinchilla, C. (2002). Síntomas de ansiedad y depresión de pacientes oncológicos y en sus cuidadores. European Journal of Psychiatry (Ed. Española), 16, 27-38.
  • Romero-Moreno, R., Losada, A., Márquez-González, M. y Mausbach, B. T. (2014). Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. Anales de Psicología, 30, 878-886. doi: 10.6018/analesps.30.3.148381.
  • Schoenmakers, B., Buntinx, F. y Delepeleire, J. (2010). Factors determining the impact of care-giving on caregivers of elderly patients with dementia. A systematic literature review. Maturitas, 66, 191-200. doi: 10.1016/j.maturitas.2010.02.009.
  • Trew, J. L. (2011). Exploring the roles of approach and avoidance in depression: An integrative model. Clinical Psychology Review, 31, 1156-1168. doi:10.1016/j.cpr.2011.07.007.
  • Torres, Á., Blanco, V., Vázquez, F. L., Díaz, O., Otero, P. y Hermida, E. (2015). Prevalence of major depressive disorders in non-professional caregivers. Psychiatry Research, 226, 333-339. doi: 10.1016/j.psychres.2014.12.066.
  • Vázquez, F. L., Blanco, V. y López, M. (2007). An adaptation of the Center for Epidemiologic Studies Depression Scale for use in non-psychiatric Spanish populations. Psychiatry Research, 149, 247- 252. doi:10.1016/j.psychres.2006.03.004.
  • Vázquez, F.L., Otero, P., López, L., Blanco, V., Torres, A. y Díaz, O. (2018). La prevención de la depresión en cuidadores a través de multiconferencia telefónica. Clínica y Salud, 29, 14-20. doi: 10.5093/clysa2018a2.
  • Vázquez, F. L., Otero, P., Torres, A., Hermida, E., Blanco, V. y Díaz, O. (2013). A brief problem-solving indicated-prevention intervention for prevention of depression in nonprofessional caregivers. Psicothema, 25, 87-92. doi:10.7334/psicothema2012.89.
  • Vázquez, F. L., Torres, A., Blanco, V., Otero, P., Díaz, O., Ferraces, M. J. (2016). Long-term follow-up of a randomized clinical trial assessing the efficacy of a brief cognitive-behavioral depression prevention intervention for caregivers with elevated depressive symptoms. American Journal of Geriatric Psychiatry, 24, 421-432. doi:10.1016/j.jagp.2016.02.050.
  • Vázquez, F. L., Torres, A., Otero, P., Blanco, V., Díaz, O. y Estévez, L. E. (2017). Analysis of the components of a cognitive-behavioral intervention administered via conference call for preventing depression among non-professional caregivers: A pilot study. Aging & Mental Health, 21, 938-946. doi:10.1080/13607863.2016.1181714.
  • Williamson, G. M. y Shaffer, D. R. (2000). The activity restriction model of depressed affect: Antecedents and consequences of restricted normal activities. En G. M. Williamson, D. R. Shaffer y P. A. Parmelee (Eds.), Physical Illness and depression in older adults: A handbook of theory, research, and practice (pp. 173-200). New York: Kluwer Academic/Plenium.
Data source: Dialnet