Journals of Gerontology Series B: Psychological Sciences and Social Sciences, Vol 51, Issue 3 S121-S131, Copyright © 1996 by The Gerontological Society of America

ARTICLES

The moderating influence of service use on negative caregiving consequences

DM Bass, LS Noelker and LR Rechlin
Margaret Blenkner Research Center, Benjamin Rose Institute, Cleveland, Ohio USA.

This investigation adapts the social support conceptual framework to examine the moderating influence of community service use by impaired older persons on the negative consequences of caregiving for informal helpers. The model is modified by defining services as a type of social support that can counteract the stress associated with various care recipient impairments. Results from multivariate analyses of data from 401 caregivers suggest that certain services for care recipients can reduce the adverse effects of certain impairments on informal caregivers. The use of health care service by care recipients who are more disabled is related to lower levels of caregiver depression, health deterioration, and social isolation. Personal care service use consistently offsets the negative effects of care recipients' behavioral problems. Additionally, the use of household service when care recipients exhibit behavioral problems is associated with lower levels of caregiver depression.

This article has been cited by other articles:

				S.-I. Hong Understanding Patterns of Service Utilization Among Informal Caregivers of Community Older Adults Gerontologist, July 2, 2009; (2009) gnp105v1. [Abstract] [Full Text] [PDF]

				F. K. Ejaz, L. S. Noelker, H. L. Menne, and J. G. Bagaka's The Impact of Stress and Support on Direct Care Workers' Job Satisfaction Gerontologist, July 1, 2008; 48(suppl_1): 60 - 70. [Abstract] [Full Text] [PDF]

				C. J. Farran, D. W. Gilley, J. J. McCann, J. L. Bienias, D. A. Lindeman, and D. A. Evans Efficacy of Behavioral Interventions for Dementia Caregivers West J Nurs Res, December 1, 2007; 29(8): 944 - 960. [Abstract] [PDF]

				L. S. Noelker, F. K. Ejaz, H. L. Menne, and J. A. Jones The Impact of Stress and Support on Nursing Assistant Satisfaction With Supervision Journal of Applied Gerontology, August 1, 2006; 25(4): 307 - 323. [Abstract] [PDF]

				S. E. Jarrott, S. H. Zarit, M. A. P. Stephens, A. Townsend, and R. Greene Instrumental help and caregivers' distress: Effects of change in informal and formal help American Journal of Alzheimer's Disease and Other Dementias, May 1, 2005; 20(3): 181 - 190. [Abstract] [PDF]

				J. Capitman Effective Coordination of Medical and Supportive Services J Aging Health, February 1, 2003; 15(1): 124 - 164. [Abstract] [PDF]

				F. K. Ejaz, L. S. Noelker, D. Schur, C. J. Whitlatch, and W. J. Looman Family Satisfaction With Nursing Home Care for Relatives With Dementia Journal of Applied Gerontology, September 1, 2002; 21(3): 368 - 384. [Abstract] [PDF]

				K. S. Lyons, S. H. Zarit, A. G. Sayer, and C. J. Whitlatch Caregiving as a Dyadic Process: Perspectives From Caregiver and Receiver J. Gerontol. B. Psychol. Sci. Soc. Sci., May 1, 2002; 57(3): P195 - 204. [Abstract] [Full Text] [PDF]

				S. W. Williams and P. Dilworth-Anderson Systems of Social Support in Families Who Care for Dependent African American Elders Gerontologist, April 1, 2002; 42(2): 224 - 236. [Abstract] [Full Text] [PDF]

				P. Dilworth-Anderson, I. C. Williams, and B. E. Gibson Issues of Race, Ethnicity, and Culture in Caregiving Research: A 20-Year Review (1980-2000) Gerontologist, April 1, 2002; 42(2): 237 - 272. [Abstract] [Full Text] [PDF]

				B. Miller, A. Townsend, E. Carpenter, R. V. J. Montgomery, D. Stull, and R. F. Young Social Support and Caregiver Distress: A Replication Analysis J. Gerontol. B. Psychol. Sci. Soc. Sci., July 1, 2001; 56(4): S249 - 256. [Abstract] [Full Text] [PDF]

				D. I. LEVANDE, J. M. HERRICK, and K.-T. SUNG Eldercare in the United States and South Korea: Balancing Family and Community Support Journal of Family Issues, July 1, 2000; 21(5): 632 - 651. [Abstract] [PDF]

				K. W. Piercy and R. Blieszner Balancing Family Life: How Adult Children Link Elder-Care Responsibility to Service Utilization Journal of Applied Gerontology, December 1, 1999; 18(4): 440 - 459. [Abstract] [PDF]

				M. Coe and A. Neufeld Male Caregivers' Use of Formal Support West J Nurs Res, August 1, 1999; 21(4): 568 - 588. [Abstract] [PDF]

				D. M. Bass, L. S. Noelker, and C. A. McCarthy The Influence of Formal and Informal Helpers on Primary Caregivers' Perceptions of Quality of Care Journal of Applied Gerontology, June 1, 1999; 18(2): 177 - 199. [Abstract] [PDF]