Skip to main content

Stress among Family Caregivers of Older Persons in Singapore

Abstract

It is projected that, in the 21st century, the majority of the world’s older people will be living in Asia. After Japan, Singapore is the most rapidly aging country in Asia. With an increasing life expectancy, many older persons will require health and instrumental care during later life stages. In Singapore, close to 95% of older people co-reside with family members, highlighting the importance of community support for family caregivers. Using a study of 61 principal family caregivers in Singapore, this article highlights the nature of and relationship between caregivers’ stress and gender, patients’ activities of daily living (ADL) and instrumental ADL dependency, and caregivers’ attitudes. Findings from the study suggest that female caregivers tended to be more stressed than male caregivers. Results also showed a significant inverse relationship between the level of stress experienced by caregivers and the ADL and instrumental ADL dependency of patients. Caregivers looking after patients suffering from dementia, Parkinson’s disease, and hypertension were more likely to be stressed than those caring for persons with stroke, depression, and other illnesses. This article concludes by describing some implications of this research for social worker practice and for informal as well as formal support programs for family caregivers.

This is a preview of subscription content, access via your institution.

References

  • Bass, D., & Noelker, L. (1997). Family caregiving: A focus for aging research and intervention. In K. Ferraro (Ed.), Gerontology: Perspectives and issues (pp. 243–266). Berlin Heidelberg New York: Springer.

    Google Scholar 

  • Beigel, D., & Blum, A. (Eds.). (1990). Aging and caregiving. Newbury Park, California: Sage.

  • Blood, G., Simpson, K., Dineen, M., Kauffman, S., & Raimond, S. (1994). Spouses of individuals with laryngeal cancer: Caregiver strain and burden. Journal of Community Disorders, 27, 19–35.

    Article  Google Scholar 

  • Bowes, A. M., & Dar, N. S. (2000). Researching social care for minority ethnic older people: Implications of some Scottish research. British Journal of Social Work, 30, 305–321.

    Article  Google Scholar 

  • Chappell, N. (1992). Social support and aging. Toronto: Butterworths.

    Google Scholar 

  • Department of Statistics. (1996). Yearbook of statistics. Singapore: Department of Statistics.

    Google Scholar 

  • Department of Statistics. (2000). Census of population: A quick count. Singapore: Department of Statistics.

    Google Scholar 

  • DeVaries, H., Hamilton, D., Lovett, S., & Gallagher-Thompson, D. (1998). Patterns of coping preferences for male and female caregivers of frail older adults. Psychology and Aging, 12, 263–267.

    Article  Google Scholar 

  • Doty, P., Jackson, M., & Crown, W. (1998). The impact of female caregivers’ employment status on patterns of formal and informal eldercare. The Gerontologist, 38, 331–341.

    Google Scholar 

  • Economic and Social Commission for Asia and the Pacific (ESCAP), Bangkok with Japanese Organisation for International Cooperation in Family Planning, Inc. Tokyo. (1996). Population ageing in Asia and the Pacific. New York: United Nations.

    Google Scholar 

  • Gallant, M., & Connel, C. (1998). The stress process among dementia spousal caregivers. Research on Aging, 20, 267–297.

    Google Scholar 

  • Garland, C., & Grey-Amante, P. (1999). Gender differences, family care and dementia. Generations Review, 9(1), 10–11.

    Google Scholar 

  • Hannessy, C., & John, R. (1996). American Indian family caregivers’ perceptions of burden and needed support services. Journal of Applied Gerontology, 15, 275–293.

    Google Scholar 

  • Harris, P. (1998). Listening to caregiving sons: Misunderstood realities. The Gerontologist, 38, 342–352.

    Google Scholar 

  • HelpAge International. (2002). State of the world’s older people, 2002. London, U.K.: HelpAge International.

    Google Scholar 

  • Hooker, K., Manoogian-O’Dell, M., Monahan, D., Frazier, L., & Shifren, K. (2000). Does type of disease matter? Gender differences among Alzheimer’s and Parkinson’s disease spousal caregivers. The Gerontologist, 40, 568–573.

    Google Scholar 

  • Koyano, W. (2000). Filial piety, co-residence, and intergenerational solidarity in Japan. In W. T. Liu & H. Kendig (Eds.), Who should care for the elderly? An East–West value divide (pp. 200–223). Singapore: Singapore University Press.

    Google Scholar 

  • Kua, E. H. (1989). Psychological distress of families caring for frail elderly. Singapore Medical Journal, 3, 42–44.

    Google Scholar 

  • Kua, E. H., & Tan, S. L. (1997). Stress of caregivers of dementia patients in the Singapore Chinese family. International Journal of Geriatric Psychiatry, 12, 466–469.

    Article  Google Scholar 

  • Lee, R. P. L., Lee, J. J., Yu, E. S. H., Sun, S. G., & Liu, W. T. (2000). Living arrangements and elderly care: The case of Hong Kong. In W. T. Liu & H. Kendig (Eds.), Who should care for the elderly? An East–West value divide (pp. 269–296). Singapore: Singapore University Press.

    Google Scholar 

  • Mehta, K. (1997). The development of services for the elderly in Singapore. Asia Pacific Journal of Social Work, 7(2), 32–45.

    Google Scholar 

  • Mehta, K. (2000). Caring for the elderly in Singapore. In W. T. Liu & H. Kendig (Eds.), Who should care for the elderly? An East–West value divide (pp. 249–268). Singapore: Singapore University Press and World Scientific.

    Google Scholar 

  • Mehta, K., & Blake, M. (1997). The ageing experience of Singaporean women. In K. Mehta (Ed.), Untapped resources: Women in ageing societies across Asia (pp. 41–58). Singapore: Times Academic.

    Google Scholar 

  • Mehta, K., & Vasoo, S. (2000). Community programmes and services for long-term care of the elderly in Singapore: Challenges for policy-makers. Asian Journal of Political Science, 8(1), 125–140.

    Google Scholar 

  • Mehta, K., & Vasoo, S. (2001). Organization and delivery of long term care in Singapore: Present issues and future challenges. Journal of Aging and Social Policy, 13(2/3), 185–202.

    Article  Google Scholar 

  • Ministry of Community Development [and Sports]. (1999). Report of the inter-ministerial committee on the ageing population. Singapore: Ministry of Community Development and Sports.

    Google Scholar 

  • Ministry of Community Development and Sports. (2001). Eldercare masterplan (FY 20012005). Singapore: Ministry of Community Development and Sports.

    Google Scholar 

  • Ministry of Health. (1999). Report of the inter-ministerial committee on health care for the elderly. Singapore: Ministry of Health.

    Google Scholar 

  • Ministry of Health, Ministry of Community Development, Department of Statistics, National Council of Social Service & Ministry of Labour. (1996). National survey of senior citizens, 1995. Singapore: Ministry of Health, Ministry of Community Development, Department of Statistics, National Council of Social Service & Ministry of Labour.

  • Mui, A., & Morrow-Howell, N. (1993). Sources of emotional strain among the oldest caregivers. Research on Ageing, 15, 50–60.

    Google Scholar 

  • Ngan, R., & Wong, W. (1993). The caring paradox: Family care for Chinese elderly. Asia Pacific Journal of Social Work, 3(2), 50–66.

    Google Scholar 

  • Nijboer, C., Triemstra, M., Tempelaar, R., Mulder, M., Sanderman, R., & van den Bos, G. A. M. (2000). Patterns of caregiver experiences among partners of cancer patients. The Gerontologist, 40, 738–746.

    Google Scholar 

  • Ong, F. S. (2001). Long term care for the elderly in Malaysia. Paper presented at the Asia Development Research Forum: Shaping Asia’s Voice, Singapore.

  • Ory, M., Hoffman, R., Yee, J., Tennstedt, S., & Schulz, R. (1999). Prevalence and impact of caregiving: A detailed comparison between dementia and non-dementia caregivers. The Gerontologist, 39, 177–185.

    Article  Google Scholar 

  • Pruchno, R. A., & Resch, N. L. (1989). Husbands and wives as caregivers: Antecedents of depression and burden. The Gerontologist, 29, 159–165.

    Google Scholar 

  • Richards, S. (2000). Bridging the divide: Elders and the assessment process. British Journal of Social Work, 30, 37–49.

    Article  Google Scholar 

  • Robinson, B. (1983). Validation of a caregiver strain index. Journal of Gerontology, 38, 344–348.

    Google Scholar 

  • Robinson, J., & Yee, L. (1991). Focus on caregivers: A practical guide to planning and delivering community care services. London: King’s Fund Centre.

    Google Scholar 

  • Rose, S., Strauss, M., Smyth, K., & Stuckey, J. (1997). The relationship of self restraint and distress to coping among spouses caring for persons with Alzheimer’s disease. Journal of Applied Gerontology, 16, 91–103.

    Google Scholar 

  • Walker, A., Acock, A. C., Bowman, S. R., & Li, F. (1996). Amount of care given and caregiving satisfaction: A latent growth curve analysis. Journal of Gerontology: Psychological Sciences, 51B, P130–P142.

    Google Scholar 

Download references

Acknowledgments

An earlier version of this article was presented at the Conference on Families in the Global Age: New Challenges Facing Japan and Southeast Asia held October 4–6, 2000, at the Allson Hotel in Singapore. The author gratefully acknowledges the assistance of Dr. Veena Joshi in the analysis of the data. Gratitude is also extended to the international Rapid Demographic Change and the Welfare of the Elderly project based at Population Studies Center at the University of Michigan, Ann Arbor, USA, for funding this research. The project is funded by Grant AG07637 from the National Institute on Aging.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Kalyani K. Mehta.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Mehta, K.K. Stress among Family Caregivers of Older Persons in Singapore. J Cross Cult Gerontol 20, 319–334 (2005). https://doi.org/10.1007/s10823-006-9009-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10823-006-9009-z

Keywords

  • Caregiving
  • Singapore
  • Stress