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Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia

  • Purpose: To test whether the negative relationship between perceived stress and quality of life (Hypothesis 1) can be buffered by perceived social support in patients with dementia as well as in caregivers individually (Hypothesis 2: actor effects) and across partners (Hypothesis 3: partner effects and actor-partner effects). Method: A total of 108 couples (N = 216 individuals) comprised of one individual with early-stage dementia and one caregiving partner were assessed at baseline and one month apart. Moderation effects were investigated by applying linear mixed models and actor-partner interdependence models. Results: Although the stress-quality of life association was more pronounced in caregivers (beta = -.63, p<.001) compared to patients (beta= -.31, p<.001), this association was equally moderated by social support in patients (beta = .14, p<.05) and in the caregivers (beta =.13, p<.05). From one partner to his or her counterpart, the partner buffering and actor-partner-buffering effect were not present. Conclusion:Purpose: To test whether the negative relationship between perceived stress and quality of life (Hypothesis 1) can be buffered by perceived social support in patients with dementia as well as in caregivers individually (Hypothesis 2: actor effects) and across partners (Hypothesis 3: partner effects and actor-partner effects). Method: A total of 108 couples (N = 216 individuals) comprised of one individual with early-stage dementia and one caregiving partner were assessed at baseline and one month apart. Moderation effects were investigated by applying linear mixed models and actor-partner interdependence models. Results: Although the stress-quality of life association was more pronounced in caregivers (beta = -.63, p<.001) compared to patients (beta= -.31, p<.001), this association was equally moderated by social support in patients (beta = .14, p<.05) and in the caregivers (beta =.13, p<.05). From one partner to his or her counterpart, the partner buffering and actor-partner-buffering effect were not present. Conclusion: The stress-buffering effect has been replicated in individuals with dementia and caregivers but not across partners. Interventions to improve quality of life through perceived social support should not only focus on caregivers, but should incorporate both partners.zeige mehrzeige weniger

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Metadaten
Verfasserangaben:Paul GellertORCiDGND, Andreas HäuslerORCiDGND, Ralf Suhr, Maryam GholamiORCiDGND, Michael A. RappORCiDGND, Adelheid KuhlmeyORCiDGND, Johanna NordheimORCiDGND
DOI:https://doi.org/10.1371/journal.pone.0189849
ISSN:1932-6203
Pubmed ID:https://pubmed.ncbi.nlm.nih.gov/29300741
Titel des übergeordneten Werks (Englisch):PLoS one
Verlag:PLoS
Verlagsort:San Fransisco
Publikationstyp:Wissenschaftlicher Artikel
Sprache:Englisch
Jahr der Erstveröffentlichung:2018
Erscheinungsjahr:2018
Datum der Freischaltung:16.02.2022
Band:13
Ausgabe:1
Seitenanzahl:14
Fördernde Institution:German Federal Ministry of Education and Research (BMBF)Federal Ministry of Education & Research (BMBF); Centre for Quality in Care (ZQP) (DYADEM trial) [01ET1001A]
Organisationseinheiten:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Sport- und Gesundheitswissenschaften
DDC-Klassifikation:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Peer Review:Referiert
Publikationsweg:Open Access / Gold Open-Access
DOAJ gelistet
Externe Anmerkung:Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 657
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