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KMID : 1138720140400030025
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Korean Public Health Research
2014 Volume.40 No. 3 p.25 ~ p.36
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Long-Term Effect of End-of-Life Care among Spouses Who Dealt with Death at Home : Results from the Health and Retirement Study
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Rhee Yong-Joo
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Abstract
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Objectives :,/b> This study examines spouses’ depressive symptoms before and after end-of- life-care and its long-term effects.
Methods : Health and Retirement Study (HRS), EXIT surveys were used to identify spouses of decedents who lived at homes before death from 1996 to 2004. The HRS measures depressive symptoms with a short version of the standard Center for Epidemiologic Studies Depression scale (CES-D). We identified active depression (CES-D>= 3). Logistic regression for multivariate analyses was used to examine the factors of depressive symptoms prior and post EOL care.
Results : Among 1,335 spouses providing end-of-life care for the past ten years, 69.44 % were female and 78.95% were white. The average age was 79.12 years. The average CES-D scores significantly increased from two years before their spouses’ death (2.13) and at the time period of their spouses’ death (2.80) (p<0.001). Over half (60.00%) had active depressive symptoms at the time of their spouses’ death. The rate decreased 2 years later (40.75%). Primary caregiver, spouses who had memory problem, psychiatric problems, diabetes were more likely to suffer from depressive symptoms post to EOL care period.
Conclusion : This study provides evidence of the intensity of end-of-life care and long- term effect on spouse caregivers` depressive symptoms.
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KEYWORD
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End-of-Life, Depressive
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