Document Detail


Pleasant events, activity restriction, and blood pressure in dementia caregivers.
MedLine Citation:
PMID:  22888824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A combination of high engagement in pleasurable activities and low perceived activity restriction is potentially protective for a number of health and quality of life outcomes. This study tests the newly proposed Pleasant Events and Activity Restriction (PEAR) model to explain level of blood pressure (BP) in a sample of elderly dementia caregivers.
METHODS: This cross-sectional study included 66 caregivers, ≥55 years of age, providing in-home care to a relative with dementia. Planned comparisons were made to assess group differences in BP between caregivers reporting high engagement in pleasant events plus low perceived activity restriction (HPLR; n = 22) to those with low pleasure plus high restriction (LPHR; n = 23) or those with either high pleasure plus high restriction or low pleasure plus low restriction (HPHR/LPLR; n = 21).
RESULTS: After adjustments for age, sex, body mass index, use of antihypertensive medication, physical activity, and number of health problems, HPLR participants (86.78 mm|Hg) had significantly lower mean arterial pressure compared with LPHR participants (94.70 mm|Hg) (p = .01, Cohen's d = 0.89) and HPHR/LPLR participants (94.84 mm|Hg) (p = .023, d = 0.91). Similar results were found in post hoc comparisons of both systolic and diastolic BP.
CONCLUSIONS: This study extends support for the PEAR model to physical health outcomes. Differences in BP between the HPLR group and other groups were of large magnitude and thus clinically meaningful. The findings may inform intervention studies aimed at investigating whether increasing pleasant events and lowering perceived activity restriction may lower BP.
Authors:
Elizabeth A Chattillion; Jenni Ceglowski; Susan K Roepke; Roland von Känel; Andres Losada; Paul J Mills; Rosa Romero-Moreno; Igor Grant; Thomas L Patterson; Brent T Mausbach
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-08-13
Journal Detail:
Title:  Health psychology : official journal of the Division of Health Psychology, American Psychological Association     Volume:  32     ISSN:  1930-7810     ISO Abbreviation:  Health Psychol     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-07-02     Completed Date:  2013-09-12     Revised Date:  2014-07-02    
Medline Journal Info:
Nlm Unique ID:  8211523     Medline TA:  Health Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  793-801     Citation Subset:  IM    
Copyright Information:
PsycINFO Database Record (c) 2013 APA, all rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Aged
Blood Pressure / physiology*
Caregivers / psychology*,  statistics & numerical data
Cross-Sectional Studies
Dementia / therapy*
Female
Humans
Male
Middle Aged
Models, Theoretical
Pleasure*
Grant Support
ID/Acronym/Agency:
R01 AG015301/AG/NIA NIH HHS; R01 AG015301/AG/NIA NIH HHS; R01 AG031090/AG/NIA NIH HHS; R01 AG031090/AG/NIA NIH HHS; R25 MH080916/MH/NIMH NIH HHS
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