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Aging & Mental Health Volume 22, 2018 - Issue 1
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THEORETICAL AND STATISTICAL MODELING

The moderating effect of religiosity on caregiving burden and depressive symptoms in caregivers of patients with dementia

Kyung Hee YoonDepartment of Psychiatry, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South Korea;Institute for Skeletal Aging, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South KoreaView further author information
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Yoo Sun MoonDepartment of Psychiatry, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South Korea;Institute for Skeletal Aging, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South KoreaView further author information
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Yunhwan LeeDepartment of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, South Korea;Institute on Aging, Ajou University Medical Center, Suwon, South KoreaView further author information
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Seong Hye ChoiDepartment of Neurology, Inha University School of Medicine, Incheon, South KoreaView further author information
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So Young MoonInstitute on Aging, Ajou University Medical Center, Suwon, South Korea;Department of Neurology, Ajou University School of Medicine, South KoreaView further author information
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Sang Won SeoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea;Neuroscience Center, Samsung Medical Center, Seoul, South Korea;Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, South KoreaView further author information
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Kyung Won ParkDepartment of Neurology, Dong-A University College of Medicine, Pusan, South KoreaView further author information
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Bon D. KuDepartment of Neurology, Catholic Kwandong University College of Medicine, Gangneung, South KoreaView further author information
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Hyun Jeong HanDepartment of Neurology, Myongji Hospital, Goyang, South KoreaView further author information
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Kee Hyung ParkDepartment of Neurology, Gachon University Gil Medical Center, Incheon, South KoreaView further author information
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Seol-Heui HanDepartment of Neurology, Konkuk University College of Medicine, Seoul, South KoreaView further author information
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Eun-Joo KimDepartment of Neurology, Pusan National University School of Medicine, Pusan, South KoreaView further author information
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Jae-Hong LeeDepartment of Neurology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South KoreaView further author information
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Sun A. ParkDepartment of Neurology, Soonchunhyang University Bucheon Hospital, College of Medicine, Bucheon, South KoreaView further author information
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Yong S. ShimDepartment of Neurology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, South KoreaView further author information
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Jong Hun KimDepartment of Neurology, Ilsan Hospital, National Health Insurance Service, Goyang, South KoreaView further author information
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Chang Hyung HongInstitute on Aging, Ajou University Medical Center, Suwon, South Korea;Department of Psychiatry, Ajou University School of Medicine, Suwon, South KoreaView further author information
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Duk L. NaDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea;Neuroscience Center, Samsung Medical Center, Seoul, South Korea;Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, South KoreaView further author information
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Byoung Seok YeDepartment of Neurology, Yonsei University College of Medicine, Seoul, South KoreaView further author information
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Hee Jin KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea;Neuroscience Center, Samsung Medical Center, Seoul, South Korea;Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, South KoreaView further author information
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Yeonsil MoonDepartment of Neurology, Konkuk University College of Medicine, Seoul, South KoreaView further author information
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Sang Soo LeeInstitute for Skeletal Aging, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South KoreaView further author information
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Do Hoon KimDepartment of Psychiatry, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South KoreaCorrespondence[email protected]
View further author information
& CARE (Caregivers of Alzheimer's Disease Research) Investigators show all
Pages 141-147 | Received 23 May 2016, Accepted 29 Aug 2016, Published online: 23 Sep 2016
 
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ABSTRACT

Objectives: This study explored whether religiosity/spirituality has a protective role against negative caregiving outcomes, in a large multicenter nationwide sample of caregivers of patients with dementia in South Korea. Additionally, this study was the first to examine whether religiosity/spirituality could affect caregiving outcomes according to the various religious affiliations of caregivers.

Methods: The study was conducted on a sample of 476 caregivers of patients with dementia participated in the Clinical Research Center for Dementia of South Korea (CREDOS). We examined the moderating effect of each of the three dimensions of religiosity/spirituality (organizational religious activity, ORA; non-organizational religious activity, NORA; intrinsic religiosity, IR) on the relationship between activities of daily living (ADL) of patients with dementia and caregiving burden and depressive symptoms of caregivers, using a series of hierarchical regression analyses. In addition, these analyses were conducted according to the religious affiliations of the caregivers.

Results: ORA, NORA, and IR of religiosity/spirituality alleviated the effect of ADL of patients on caregiving burden. ORA and IR moderated the relationship between ADL of patients and depressive symptoms of caregivers. These moderating effects of religiosity on caregiving outcomes were different according to various religious groups.

Conclusion: We have identified religiosity/spirituality as a protective factor for caregivers of patients with dementia. The sub-dimensions of religiosity as moderators were different by religious affiliations of caregivers. Further studies are needed to investigate the specific religiosity-related factors which could positively impact the mental health of the caregivers of patients with dementia by religions.

Acknowledgments

This study was supported by Hallym University Research Fund and a grant of the Korea Healthcare Technology R&D Project, Ministry of Health and Welfare, Republic of Korea under Grant (HI10C2020).

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The Korea Healthcare Technology R&D Project, Ministry of Health and Welfare [HI10C2020] and Hallym University Research Fund.

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