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Table 1 Factors associated with distinct depressive-symptom trajectories from end-of-life caregiving through the first 2 years of bereavement--Minimal-impact resilience vs others

From: Modifiable factors of depressive-symptom trajectories from caregiving through bereavement

Potential Factor

Relative odds of belonging to the indicated trajectory category compared to the minimal-impact resilience trajectory

Recovery

Preloss depressive only

Delayed symptomatic

Relief

Prolonged symptomatic

Persistently distressed

AOR

95% CI

p

AOR

95% CI

p

AOR

95% CI

p

AOR

95% CI

p

AOR

95% CI

p

AOR

95% CI

p

Stressors

 Objective-caregiving-demand trajectory

  Profound

6.105

2.451

15.203

<.001

15.665

5.432

45.174

<.001

10.123

2.751

37.250

<.001

30.331

4.389

209.594

.001

22.701

4.058

127.001

<.001

25.561

1.648

396.467

.020

  Decreasing

0.747

0.210

2.648

.651

1.894

0.488

7.343

.356

---

---

---

---

5.079

0.497

51.873

.170

1.079

0.104

11.182

.949

4.411

.159

122.447

.381

  Increasing

1.762

0.890

3.485

.104

2.879

1.212

6.840

.017

1.470

0.492

4.389

.490

2.876

0.437

18.945

.272

1.545

0.316

7.552

.591

1.923

.146

25.363

.619

  Low

Ref

   

Ref

   

Ref

   

Ref

   

Ref

   

Ref

   

Stress appraisal

 Subjective-caregiving-burden trajectory

  Low

2.110

0.149

29.786

.581

0.255

0.020

3.336

.298

1.605

0.068

38.013

.770

0.089

0.003

2.429

.152

0.479

0.013

17.087

.686

---

---

---

---

  Moderate

2.090

0.165

26.507

.569

0.445

0.041

4.802

.505

1.656

0.094

29.320

.731

0.112

0.009

1.445

.093

0.735

0.050

10.890

.823

0.850

0.039

18.724

.918

  High

1.836

0.140

24.158

.644

1.305

0.119

14.350

.828

1.110

0.061

20.224

.944

0.223

0.018

2.814

.246

1.005

0.072

14.040

.997

1.118

0.065

19.135

.939

  Substantial

Ref

   

Ref

   

Ref

   

Ref

   

Ref

   

Ref

   

Psychosocial Resources

 SOC

  Preloss

1.013

0.989

1.038

.291

0.942

0.919

0.966

<.001

0.986

0.953

1.019

.396

0.901

0.867

0.936

<.001

0.963

0.929

0.999

.042

0.962

0.911

1.016

.167

  Postloss

0.933

0.912

0.953

<.001

0.968

0.946

0.991

.007

0.933

0.906

0.960

<.001

0.954

0.924

0.985

.004

0.908

0.879

0.938

<.001

0.871

0.824

0.921

<.001

 Social support

  Preloss

1.015

0.988

1.043

.265

1.023

.993

1.053

.132

1.029

0.989

1.070

.160

1.034

0.990

1.081

.134

1.031

0.987

1.077

.174

0.996

0.927

1.071

.923

  Postloss

0.921

0.894

0.949

<.001

0.944

0.914

0.976

.001

0.883

0.849

0.920

<.001

0.954

0.910

0.999

.047

0.859

0.820

0.899

<.001

0.883

0.828

0.943

<.001

  1. Subjective caregiving burden was measured by the Caregiver Reaction Assessment
  2. Social support was measured by the Medical Outcomes Study Social Support Survey
  3. Bolds indicate statistically significant differences. “---“ indicates no AOR or 95% CI could be estimated due to insufficient small sample
  4. Abbreviations: SOC Sense of coherence, AOR adjusted odds ratios, CI confidence interval, Ref references
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BMC Palliative Care

ISSN: 1472-684X

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