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Table 3 Factors associated with distinct depressive-symptom trajectories from end-of-life caregiving through the first 2 years of bereavement- Preloss-depressive only 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 preloss-depressive only trajectory

Relative odds of belonging to the persistently distressed compared to the prolonged symptomatic trajectory

 

Delayed symptomatic

Relief

Prolonged symptomatic

Persistently distressed

Persistently distressed

 

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

0.646

0.182

2.289

.499

1.936

0.309

12.130

.480

1.449

0.276

7.612

.661

1.632

0.110

24.168

.722

1.126

0.062

20.402

.936

  Decreasing

---

---

---

---

2.682

0.294

24.432

.381

0.570

0.060

5.441

.625

2.329

0.090

60.288

.610

4.088

0.118

142.025

.437

  Increasing

0.511

0.159

1.643

.260

0.999

0.153

6.511

.999

0.537

0.107

2.691

.449

0.668

0.050

8.900

.760

1.245

0.075

20.652

.878

  Low

Ref

   

Ref

   

Ref

   

Ref

   

Ref

   

Stress appraisal

 Subjective-caregiving-burden trajectory

  Low

6.288

0.565

70.002

.135

0.350

0.026

4.755

.431

1.877

0.104

333.748

.669

---

---

---

---

---

---

---

---

  Moderate

3.720

0.536

25.821

.184

0.251

0.055

1.150

.075

1.650

0.326

8.360

.545

1.909

0.209

17.450

.567

1.157

0.122

10.949

.899

  High

0.851

0.127

5.714

.868

0.171

0.045

0.648

.009

0.770

0.186

3.183

.718

0.857

0.148

4.972

.863

1.113

0.199

6.218

.903

  Substantial

Ref

   

Ref

   

Ref

   

Ref

   

Ref

   

Psychosocial Resources

 SOC

  Preloss

1.046

1.016

1.078

.003

0.957

0.925

0.989

.010

1.023

0.990

1.056

.174

1.022

0.970

1.076

.418

0.999

0.947

1.054

.976

  Postloss

0.963

0.940

0.988

.004

0.986

0.959

1.012

.289

0.938

0.912

0.964

<.001

0.900

0.853

0.949

<.001

0.959

0.908

1.014

.139

 Social support

  Preloss

1.006

0.970

1.043

.762

1.011

0.972

1.052

.577

1.008

0.969

1.049

.697

0.974

0.909

1.044

.459

0.967

0.899

1.039

.354

  Postloss

0.935

0.903

0.969

<.001

1.010

0.971

1.051

.630

0.909

0.873

0.947

<.001

0.935

0.881

0.993

.030

1.029

0.966

1.095

.375

  1. Subjective caregiving burden was measured by the Caregiver Reaction Assessment;
  2. Bolds indicate statistically significant differences. “---“ indicates no AOR or 95% CI could be estimated due to insufficient small sample
  3. Social support was measured by the Medical Outcomes Study Social Support Survey
  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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