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The Diabetes Educator

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Journal of Health Psychology
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Correlates and Predictors of Self-reported Psychological and Physical Morbidity in Chronic Caregiver Stress

K. Vedhara

N. Shanks

Gordon Wilcock

S. L. Lightman

University of Bristol, UK

An investigation was conducted to explore: (1) whether psychological and physical morbidity share similar psychosocial determinants; (2) the long-term stability of these determinants; and (3) the role of neuroticism in predicting psychological and physical morbidity. Fifty spousal caregivers of dementia patients were recruited into a 12-month study. Participants were followed up at six-monthly interva ls during which they completed scales measuring psychosocial mediators, psychological morbidity, physical morbidity and neuroticism. Psychological morbidity was influenced primarily by indices of coping and neuroticism. Physical morbidity was influenced primarily by indices of psychological morbidity (increased psychological morbidity was associated with perceptions of greater physical morbidity). Neuroticism exhibited significant cross-sectional and longitudinal relationships with the indices of psychological morbidity, but only cross-sectional relationships with the indices of physical morbidity.

Key Words: neuroticism • physical morbidity • psychological morbidity • quality of life • stress

Journal of Health Psychology, Vol. 6, No. 1, 101-119 (2001)
DOI: 10.1177/135910530100600108
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