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Stress and Blood Pressure in Dementia Caregivers: The Moderator Role of Mindfulness


Vara-García, Carlos; Romero-Moreno, Rosa; Márquez-González, María; Mausbach, Brent T; von Känel, Roland; Gallego-Alberto, Laura; Olmos, Ricardo; Losada, Andrés (2018). Stress and Blood Pressure in Dementia Caregivers: The Moderator Role of Mindfulness. Clinical Gerontologist:Epub ahead of print.

Abstract

OBJECTIVE:
Dementia caregiving has been described as a chronically stressful situation with adverse cardiovascular effects. Psychological resources such as mindfulness may reduce the impact of stress on caregivers' cardiovascular health. The objective of this study was to analyze the moderating effect of trait mindfulness on the relationship between frequency of disruptive behaviors of the care recipient and blood pressure (BP) in dementia caregivers.
METHOD:
Participants were 110 dementia family caregivers. Two hierarchical regressions (for systolic and diastolic BP) were conducted to analyze whether mindfulness moderates the relationship between disruptive behaviors and BP after controlling for known predictors of cardiovascular outcomes.
RESULTS:
A significant moderator effect of mindfulness was found between the frequency of disruptive behaviors and diastolic BP (β = -.195, p < .05). Among those caregivers reporting low levels of mindfulness, the relationship between frequency of disruptive behaviors and diastolic BP was relatively stronger than among those reporting high mindfulness levels.
CONCLUSIONS:
The results suggest that a high level of trait mindfulness may have protective effect on BP when caregivers face high levels of stress.
CLINICAL IMPLICATIONS:
Mindfulness seems to be an important variable with potential for buffering the effects of caregiving stressors on caregivers' blood pressure.

Abstract

OBJECTIVE:
Dementia caregiving has been described as a chronically stressful situation with adverse cardiovascular effects. Psychological resources such as mindfulness may reduce the impact of stress on caregivers' cardiovascular health. The objective of this study was to analyze the moderating effect of trait mindfulness on the relationship between frequency of disruptive behaviors of the care recipient and blood pressure (BP) in dementia caregivers.
METHOD:
Participants were 110 dementia family caregivers. Two hierarchical regressions (for systolic and diastolic BP) were conducted to analyze whether mindfulness moderates the relationship between disruptive behaviors and BP after controlling for known predictors of cardiovascular outcomes.
RESULTS:
A significant moderator effect of mindfulness was found between the frequency of disruptive behaviors and diastolic BP (β = -.195, p < .05). Among those caregivers reporting low levels of mindfulness, the relationship between frequency of disruptive behaviors and diastolic BP was relatively stronger than among those reporting high mindfulness levels.
CONCLUSIONS:
The results suggest that a high level of trait mindfulness may have protective effect on BP when caregivers face high levels of stress.
CLINICAL IMPLICATIONS:
Mindfulness seems to be an important variable with potential for buffering the effects of caregiving stressors on caregivers' blood pressure.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Klinik für Konsiliarpsychiatrie und Psychosomatik
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Gerontology, Health(social science), Clinical Psychology, Geriatrics and Gerontology, Social Psychology
Language:English
Date:18 December 2018
Deposited On:12 Feb 2019 15:20
Last Modified:18 Feb 2019 12:40
Publisher:Taylor & Francis
ISSN:0731-7115
Additional Information:This is an Accepted Manuscript of an article published by Taylor & Francis in Clinical Gerontologist in 2018, available online: http://wwww.tandfonline.com/10.1080/07317115.2018.1554611
OA Status:Green
Publisher DOI:https://doi.org/10.1080/07317115.2018.1554611
PubMed ID:30560734

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