Caregiver mental health and racial/ethnic disparities in stroke: implications for culturally sensitive interventions.

PURPOSE/OBJECTIVE: The purpose of this study was to create a set of culturally sensitive mental-health-intervention recommendations for the caregivers of Latino/Puerto-Rican, Black, and White individuals with stroke. The study examined whether the mental health of stroke caregivers and functioning of individuals with stroke differed according to race/ethnicity, changed differentially over time according to race/ethnicity, and showed relationships between the two sets of constructs that differed according to race/ethnicity.

RESEARCH METHOD/DESIGN: Data on caregiver mental health and functioning of individuals with stroke were collected from 124 (n = 248) White, Black, and Latino/Puerto-Rican dyads at 1, 6, and 12 months post-hospital discharge.

RESULTS

Out of the three racial/ethnic groups, Latino/Puerto-Rican individuals with stroke showed the lowest functioning, and their caregivers showed the poorest mental health, though the mental-health effects did not reach statistical significance. Consistent patterns which differed as a function of race/ethnicity emerged over time in the relationships between caregiver mental health and functioning of individuals with stroke.

CONCLUSIONS/IMPLICATIONS: Critical knowledge may be lost regarding the connections between caregiver mental health and the functioning of individuals with stroke when researchers and clinicians look only across race/ethnicity as opposed to also within. A monolithic racial/ethnic approach to mental-health interventions for stroke rehabilitation is likely limited, and race/ethnicity may affect how caregiver mental health and functioning of individuals with stroke reciprocally influence each other.