Factors Influencing Perceived Stress Among Informal Caregivers of Older Adults in Kerman in 2023

Document Type : Original Article

Authors

1 Department of Health Education and Promotion, School of Public Health, Kerman University of Medical Sciences Kerman, Iran

2 Department of Health Education and Promotion, School of Public Health, Kerman University of Medical Sciences Kerman, Iran; Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

3 Department of Epidemiology and Biostatistics, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran; Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

10.34172/jhad.1169

Abstract

Background: The responsibility for caring for older adults typically falls on family members (informal caregivers), and caregiver stress can significantly impact various aspects of an older adult’s life. This study aimed to identify factors associated with perceived stress among informal caregivers of older adults in Kerman, Iran in 2023.
Methods: This cross-sectional (descriptive-analytical) study was conducted in 2023 on 253 informal caregivers selected through multistage sampling from 10 comprehensive healthcare centers in Kerman. Data were collected using a demographic information questionnaire and Cohen’s Perceived Stress Scale (PSS) for caregivers of older adults. Given the normal distribution of the data, univariate and multivariate linear regression models were employed for data analysis with SPSS-22 software.
Results: The majority of informal caregivers were women (62.1%) and were aged 17–40 (42.3%) and 41–64 (42.3%) years. Data analysis showed a significant relationship between perceived stress among informal caregivers and variables such as age, income, addiction, mental illness, place of residence, occupation, number of children, and insurance coverage (r = 015; P value < 0.05).
Conclusion: The mean perceived stress score for informal caregivers of older adults in Kerman in 2023 was moderate (28.96 ± 6.98, based on Cohen’s scale with a score range of 0–56). Evidence suggests that stress is a risk factor for misbehaviors and may contribute to or exacerbate maladaptive responses, such as elder abuse. Thus, adopting strategies and interventions to reduce stress among these individuals is essential for all relevant organizations.

Keywords

Main Subjects


  1. Rabiei M, Safarpour M. Assessment of dental environment stress and related factors in dental students. J Res Med Educ. 2017;9(1):46-57. [Persian].
  2. Esmaeili Elder abuse. Common Geriatric Syndromes. University of Social Welfare and Rehabilitation Sciences; 2022.
  3. Ismail Z, Wan Ahmad WI, Hamjah SH, Astina IK. The impact of population ageing: a review. Iran J Public Health. 2021;50(12):2451-60. doi: 18502/ijph.v50i12.7927.
  4. Saber M, Nosratabadi M. Social support and health-related quality of life in elderly people covered by the welfare organization of Kerman city. Health and Development Journal. 2014;3(3):189-99. [Persian].
  5. Boloorsaz Mashhadi H. The relationship between emotional intelligence with mental health and self-efficacy in elderly women of Karaj city. Organizational Behavior Management in Sport Studies. 2017;4(2):41-51. doi: 30473/fmss.2017.3692. [Persian].
  6. Mahmoudzadeh H, Aghayari Hir T, Hatami D. Study and analysis of the elderly population of the Iran. Geographical Researches. 2022;37(1):111-25. doi: 29252/geores.37.1.111. [Persian].
  7. Briede-Westermeyer JC, Radici Fraga PG, Schilling-Norman MJ, Pérez-Villalobos C. Identifying the needs of older adults associated with daily activities: a qualitative study. Int J Environ Res Public Health. 2023;20(5):4257. doi: 3390/ijerph20054257.
  8. Maher A, Jafari M, Ali Mohammadzadeh K, Hosseini M. The provision of care services for older adults-a narrative review (2015 to 2020). J Gerontol. 2020;5(3):1-13. [Persian].
  9. Li F, Fang X, Gao J, Ding H, Wang C, Xie C, et al. Determinants of formal care use and expenses among in-home elderly in Jing’an district, Shanghai, China. PLoS One. 2017;12(4):e0176548. doi: 1371/journal.pone.0176548.
  10. Babaei M. Social problems of families caring for a frail elderly referrals to public hospitals clinics in Karaj City. Iran J Ageing. 2007;2(1):177-81. [Persian].
  11. Lapane KL, Hughes CM. Considering the employee point of view: perceptions of job satisfaction and stress among nursing staff in nursing homes. J Am Med Dir Assoc. 2007;8(1):8-13. doi: 1016/j.jamda.2006.05.010.
  12. Valizadeh L, Joonbakhsh F, Pashaei S. Determinants of care giving burden in parents of child with cancer at Tabriz children medical and training center. Journal of Multidisciplinary Care. 2014;3(2):13-20. [Persian].
  13. Hughes TB, Black BS, Albert M, Gitlin LN, Johnson DM, Lyketsos CG, et al. Correlates of objective and subjective measures of caregiver burden among dementia caregivers: influence of unmet patient and caregiver dementia-related care needs. Int Psychogeriatr. 2014;26(11):1875-83. doi: 1017/s1041610214001240.
  14. Denno MS, Gillard PJ, Graham GD, DiBonaventura MD, Goren A, Varon SF, et al. Anxiety and depression associated with caregiver burden in caregivers of stroke survivors with spasticity. Arch Phys Med Rehabil. 2013;94(9):1731-6. doi: 1016/j.apmr.2013.03.014.
  15. Navidian A, Salar A, Keikhaee A. Investigation of family caregiver strain of patient with mental health disorder who attend to Zahedan centre psychology. Urmia Med J. 2002;3(12):206-14. [Persian].
  16. Goodarzi N, Rahgoi A, Mohammadi Shahboulaghi F, Biglarian A. Correlation between family function and anxiety in family carers of elderly with dementia. Iran J Psychiatr Nurs. 2018;6(3):1-9. [Persian].
  17. Hosseini MA, Fallahi Khoshknab M, Mohammadi Shahboulaghi F, Mohammad Zaheri S, Soltani P, Khanjani MS. The effect of mindfulness program on the perceived stress of family caregivers of elderlies with Alzheimer’s disease. Iran J Psychiatr Nurs. 2016;4(3):1-6. doi: 21859/ijpn-04031. [Persian].
  18. Bastani F, Hosseini RS, Javanbakhtian Ghahfarokhi R. The effect of group discussion and telephone counselling on perceived stress of women as caregivers of patient with Alzheimer disease. Journal of Multidisciplinary Care. 2012;1(1):61-72. [Persian].
  19. Luchesi BM, Souza É N, Gratão AC, de Oliveira Gomes GA, Inouye K, da Silva Alexandre T, et al. The evaluation of perceived stress and associated factors in elderly caregivers. Arch Gerontol Geriatr. 2016;67:7-13. doi: 1016/j.archger.2016.06.017.
  20. Jafari M, Alipour F, Raheb G, Mardani M. Perceived stress and burden of care in elderly caregivers: the moderating role of resilience. Iran J Ageing. 2022;17(1):62-75. doi: 32598/sija.2021.2575.2. [Persian].
  21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
  22. Asghari F, Sadeghi A, Aslani K, Saadat S, Khodayari H. The survey of relationship between perceived stress coping strategies and suicide ideation among students at University of Guilan, Iran. Int J Educ Res. 2013;1(11):111-8.
  23. Zahed S, Emami M, Eslami AA, Barekatain M, Hassanzadeh A, Zamani-Alavijeh F. Stress as a challenge in promoting mental health among dementia caregivers. J Educ Health Promot. 2020;9:65. doi: 4103/jehp.jehp_445_19.
  24. Bastani F, Ghasemi E, Ramezanzadeh Tabriz E, Janani L, Rahmatnejad L. The investigation of perceived stress and religious coping among female caregivers of the elderly with dementia. J Rafsanjan Univ Med Sci. 2015;13(10):925-36. [Persian].
  25. Heravi-Karimooi M, Rejeh N, Montazeri A. Health-related quality of life among abused and non-abused elderly people: a comparative study. Payesh. 2013;12(5):479-88. [Persian].
  26. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet. 2002;360(9339):1083-8. doi: 1016/s0140-6736(02)11133-0.
  27. World Health Organization . Abuse of older people . Available from: int.http://www.who.int/news-room/fact-sheets/detail/elder-abuse Accessed June 15, 2024
  28. Andreou E, Alexopoulos EC, Lionis C, Varvogli L, Gnardellis C, Chrousos GP, et al. Perceived stress scale: reliability and validity study in Greece. Int J Environ Res Public Health. 2011;8(8):3287-98. doi: 3390/ijerph8083287.
  29. Mansouri T, Dehdari T, Seyedfatemi N, Gohari MR, Barkhordari M. The effect of communication skills training on perceived stress of caregivers of elderly with Alzheimer’s disease referral to Iranian Alzheimer Association in 2012. Razi J Med Sci. 2014;21(121):52-62.
  30. Cohen S, Janicki‐Deverts DE. Who’s stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009 1. J Appl Soc Psychol. 2012;42(6):1320-34. doi: 1111/j.1559-1816.2012.00900.x.
  31. Wadsworth ME, Santiago CD, Einhorn L, Etter EM, Rienks S, Markman H. Preliminary efficacy of an intervention to reduce psychosocial stress and improve coping in low-income families. Am J Community Psychol. 2011;48(3-4):257-71. doi: 1007/s10464-010-9384-z.
  32. van den Broek T. Is having more children beneficial for mothers’ mental health in later life? Causal evidence from the national health and aging trends study. Aging Ment Health. 2021;25(10):1950-8. doi: 1080/13607863.2020.1774739.
  33. Wang Z, Zhang Y, Xiong F, Li H, Ding Y, Gao Y, et al. Association between medical insurance type and survival in patients undergoing peritoneal dialysis. BMC Nephrol. 2015;16:33. doi: 1186/s12882-015-0023-7.
  34. Samuei R, Ebrahimi A, Mousavi SG, Hasanzadeh R, Rafiei S. Pattern of coping with stress in self-reported addicts: Isfahan addiction center. Iran J Psychiatry Clin Psychol. 2019;6:63-9. [Persian].