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  4. Factor Analysis Affecting Degree of Depression in Family Caregivers of Patients with Spinal Cord Injury: A Cross-Sectional Pilot Study

Factor Analysis Affecting Degree of Depression in Family Caregivers of Patients with Spinal Cord Injury: A Cross-Sectional Pilot Study

Int. J. Environ. Res. Public Health, 2022 · DOI: 10.3390/ijerph191710878 · Published: August 31, 2022

Spinal Cord InjuryMental HealthSocial Support

Simple Explanation

This study explores the relationship between the well-being of family caregivers of spinal cord injury (SCI) patients and their depression levels. It examines how factors like physical health, economic status, social activities, and family relationships influence the mental health of these caregivers. The research identifies that caregivers' depression is linked to the patient's economic activity and the caregiver's ability to engage in leisure and social activities. When patients are not economically active and caregivers lack leisure time, depression levels tend to increase. The study highlights the need for supportive policies and interventions aimed at improving the quality of life for both SCI patients and their families. By addressing the economic and social needs of patients, and providing opportunities for caregivers to engage in social activities, it may be possible to alleviate the burden of care and reduce depression among caregivers.

Study Duration
2021-10-21 to 2021-11-30
Participants
30 family caregivers (6 males, 24 females)
Evidence Level
Cross-sectional pilot study

Key Findings

  • 1
    Caregivers of patients who were not economically active reported higher levels of depression.
  • 2
    Increased leisure and social activities for caregivers were associated with lower levels of depression.
  • 3
    Increased family economic level was associated with increased physical health, which in turn, was associated with increased engagement in leisure and social activities.

Research Summary

This study investigated the factors affecting depression in family caregivers of spinal-cord-injury patients. Data were collected on caregiver depression, patient and caregiver characteristics, physical health, household income, leisure, social activity, family relationship, and life-in-general status. The study found that caregiver depression was higher when the patient was not economically active and that increased leisure and social activities were associated with lower depression. A path model analysis revealed that increased family economic level led to improved physical health and greater engagement in leisure and social activities. The authors conclude that policies are needed to support the return to society of spinal-cord-injury patients by ensuring their leisure and social activities and establishing measures to support their economical income, which could alleviate caregiver depression.

Practical Implications

Policy Development

Inform the development of policies aimed at supporting family caregivers of SCI patients, particularly focusing on economic and social support.

Intervention Programs

Guide the creation of intervention programs designed to increase leisure and social activities for caregivers, thereby reducing their levels of depression.

Resource Allocation

Highlight the need for increased resources to support families affected by SCI, including financial assistance and access to social services.

Study Limitations

  • 1
    Selection bias due to sampling from a single medical institution.
  • 2
    Potential response bias due to reliance on self-report questionnaires.
  • 3
    Cross-sectional design limits the ability to determine causal relationships.

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