Objective: The aim of this study was to evaluate the association between noncustodial grandparent caregiving and cognition using the Health and Retirement Study (HRS), a population-based study of older adults. Method: Participants were White and African American grandparents aged ≥65 years. Only noncustodial grandparents who reported not living with their grandchildren over the three waves were included in our analyses. Grandparent caregiving status and cognition were assessed in 2006, 2008, and 2010. Analyses controlled for demographics, baseline health, depressive symptoms, and baseline cognition. Results: Both the number of waves of grandparent caregiving and the total number of grandparent caregiving hours across the three waves were associated with better cognitive functioning at 4-year follow-up in 2010. Associations were observed among Whites, but not among African Americans. Discussion: This study uses longitudinal data to evaluate the association between grandparent caregiving and cognitive functioning. Findings suggest that providing care may be beneficial for some grandparents.
AlbertM. S.JonesK.SavageC. R.BerkmanL.SeemanT.BlazerD.RoweJ. W. (1995). Predictors of cognitive change in older persons: MacArthur Studies of Successful Aging.Psychology and Aging, 10, 578-589.
2.
Andrews-HannaJ. R.SnyderA. Z.VincentJ. L.LustigC.HeadD.RaichleM. E.BucknerR. L. (2007). Disruption of large-scale systems in advanced aging. Neuron, 56, 924-935.
3.
ArpinoB.BordoneV. (2014). Does grandparenting pay off? The effect of child care on grandparents’ cognitive functioning. Journal of Marriage and Family, 76, 337-351.
4.
BarnesL. L.De LeonC. M.WilsonR. S.BieniasJ. L.EvansD. A. (2004). Social resources and cognitive decline in a population of older African Americans and whites. Neurology, 63, 2322-2326.
5.
BassukS. S.GlassT. A.BerkmanL. F. (1999). Social disengagement and incident cognitive decline in community-dwelling elderly persons. Annals of Internal Medicine, 131, 165-173.
6.
BerteraE. M.CreweS. E. (2013). Parenthood in the twenty-first century: African American grandparents as surrogate parents. Journal of Human Behavior in the Social Environment, 23, 178-192.
7.
BertrandR. M.SaczynskiJ. S.MezzacappaC.HulseM.EnsrudK.FredmanL. (2012). Caregiving and cognitive function in older women: Evidence for the healthy caregiver hypothesis. Journal of Aging and Health, 24, 48-66.
8.
BlusteinJ.ChanS.GuanaisF. C. (2004). Elevated depressive symptoms among caregiving grandparents. Health Services Research, 39, 1671-1689. doi:10.1111/j.1475-6773.2004.00312.x
9.
BrownS.CohonD.WheelerR. (2002). African American extended families and kinship care: How relevant is the foster care model for kinship care?Children and Youth Services Review, 24, 53-77.
10.
BurnK. F.HendersonV. W.AmesD.DennersteinL.SzoekeC. (2014). Role of grandparenting in postmenopausal women’s cognitive health: Results from the Women’s Healthy Aging Project. Menopause, 21, 1069-1074.
11.
BurtonL. M.Dilworth-AndersonP. (1991). The intergenerational roles of aged black Americans. Marriage & Family Review, 16, 311-330.
12.
CarlsonM. C.EricksonK. I.KramerA. F.VossM. W.BoleaN.MielkeM.. . . FriedL. P. (2009). Evidence for neurocognitive plasticity in at-risk older adults: The experience corps program. The Journals of Gerontology, Series A: Biological Sciences & Medical Sciences, 64, 1275-1282.
13.
CarlsonM. C.HasherL.ZacksR. T.ConnellyS. L. (1995). Aging, distraction, and the benefits of predictable location. Psychology and Aging, 10, 427-436.
14.
CarlsonM. C.SaczynskiJ. S.RebokG. W.SeemanT.GlassT. A.McGillS.. . . FriedL. P. (2008). Exploring the effects of an “everyday” activity program on executive function and memory in older adults: Experience Corps®. The Gerontologist, 48, 793-801.
15.
CaswellL. W.VitalianoP. P.CroyleK. L.ScanlanJ. M.ZhangJ.DaruwalaA. (2003). Negative associations of chronic stress and cognitive performance in older adult spouse caregivers. Experimental Aging Research, 29, 303-318.
16.
ChenF.LiuG. (2012). The health implications of grandparents caring for grandchildren in China. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 67, 99-112.
17.
ChenF.MairC. A.BaoL.YangY. C. (2015). Race/ethnic differentials in the health consequences of caring for grandchildren for grandparents. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 70, 793-803.
18.
de VugtM. E.JollesJ.Van OschL.StevensF.AaltenP.LousbergR.VerheyF. R. (2006). Cognitive functioning in spousal caregivers of dementia patients: Findings from the prospective MAASBED study. Age and Ageing, 35, 160-166.
FredmanL.CauleyJ. A.HochbergM.EnsrudK. E.DorosG. (2010). Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: Results of caregiver-study of osteoporotic fractures. Journal of the American Geriatrics Society, 58, 937-943.
21.
FredmanL.CauleyJ. A.SatterfieldS.SimonsickE.SpencerS. M.AyonayonH. N.HarrisT. B. (2008). Caregiving, mortality, and mobility decline: The health, aging, and body composition (Health ABC) study. Archives of Internal Medicine, 168, 2154-2162.
22.
GoodeW. J. (1960). A theory of role strain. American Sociological Review, 483-496.
23.
HayslipB.KaminskiP. L. (2005). Grandparents raising their grandchildren: A review of the literature and suggestions for practice. The Gerontologist, 45, 262-269.
HerreraA. P.Mendez-LuckC. A.CristJ. D.SmithM. L.WarreR.OryM. G.MarkidesK. (2013). Psychosocial and cognitive health differences by caregiver status among older Mexican Americans. Community Mental Health Journal, 49, 61-72.
26.
HerzogA. R.RodgersW. L. (1999). Cognitive performance measures in survey research on older adults. In SchwarzN.ParkD. C.KnauperB.SudmanS. (Eds.), Cognition, aging, and self-reports (pp. 327-340). Philadelphia, PA: Psychology Press.
27.
HerzogA.R.WallaceR.B. (1997). Measures of cognitive functioning in the AHEAD study. Journals of Gerontology Series B, 52B, 37-48.
28.
HertzogC.KramerA. F.WilsonR. S.LindenbergerU. (2009). Fit body, fit mind?Scientific American Mind, 20, 24-31.
29.
HilbrandS.CoallD. A.GerstorfD.HertwigR. (2017). Caregiving within and beyond the family is associated with lower mortality for the caregiver: A prospective study. Evolution & Human Behavior, 38, 397-403.
30.
HoltzmanR. E.RebokG. W.SaczynskiJ. S.KouzisA. C.DoyleK. W.EatonW. W. (2004). Social network characteristics and cognition in middle-aged and older adults. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 59, P278-P284.
31.
HughesM. E.WaiteL. J.LaPierreT. A.LuoY. (2007). All in the family: The impact of caring for grandchildren on grandparents’ health. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 62, S108-S119.
32.
HungW. W.WisniveskyJ. P.SiuA. L.RossJ. S. (2009). Cognitive decline among patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 180, 134-137.
33.
HunterA. G. (1997). Counting on grandmothers: Black mothers’ and fathers’ reliance on grandmothers for parenting support. Journal of Family Issues, 18, 251-269.
34.
JarrottS. E.ZaritS. H.StephensM. A. P.TownsendA. L.GreeneR. (2000). Effects of adult day service programs on time usage by employed and non-employed caregivers. Journal of Applied Gerontology, 19, 371-388.
35.
KarlamanglaA. S.Miller-MartinezD.AneshenselC. S.SeemanT. E.WightR. G.ChodoshJ. (2009). Trajectories of cognitive function in late life in the United States: Demographic and socioeconomic predictors. American Journal of Epidemiology, 170, 331-342.
36.
KelleyS. J.WhitleyD. M.CamposP. E. (2013). Psychological distress in African American grandmothers raising grandchildren: The contribution of child behavior problems, physical health, and family resources. Research in Nursing & Health, 36, 373-385. doi:10.1002/nur.21542
37.
KennedyG. E. (1990). College students’ expectations of grandparent and grandchild role behaviors. The Gerontologist, 30, 43-48.
38.
LeeS.ColditzG.BerkmanL.KawachiI. (2003). Caregiving to children and grandchildren and risk of coronary heart disease in women. American Journal of Public Health, 93, 1939-1944.
39.
LeeS.KawachiI.GrodsteinF. (2004). Does caregiving stress affect cognitive function in older women?The Journal of Nervous and Mental Disease, 192, 51-57.
40.
LövdénM.GhislettaP.LindenbergerU. (2005). Social participation attenuates decline in perceptual speed in old and very old age. Psychology and Aging, 20, 423-434.
41.
LumT. Y.LightfootE. (2005). The effects of volunteering on the physical and mental health of older people. Research on Aging, 27, 31-55.
42.
LuohM.HerzogA. R. (2002). Individual consequences of volunteer and paid work in old age: Health and mortality. Journal of Health and Social Behavior, 43, 490-509.
43.
MackenzieC. S.SmithM. C.HasherL.LeachL.BehlP. (2007). Cognitive functioning under stress: Evidence from informal caregivers of palliative patients. Journal of Palliative Medicine, 10, 749-758.
44.
MackenzieC. S.WiprzyckaU. J.HasherL.GoldsteinD. (2009). Associations between psychological distress, learning, and memory in spouse caregivers of older adults. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 64, 742-746.
45.
MinklerM.Fuller-ThomsonE. (1999). The health of grandparents raising grandchildren: Results of a national study. American Journal of Public Health, 89, 1384-1389.
46.
MusickM. A.HerzogA. R.HouseJ. S. (1999). Volunteering and mortality among older adults: Findings from a national sample. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 54, S173-S180.
OdulanaJ.CamblinL. D.WhiteP. (1996). Cultural roles and health status of contemporary African American young grandmothers. The Journal of Multicultural Nursing and Health, 2, 28-35.
49.
OfstedalM. B.FisherG. G.HerzogA. R. (2005). Documentation of cognitive functioning measures in the Health and Retirement Study (HRS/AHEAD Documentation Report DR-006). Survey Research Center at the Institute for Social Research, University of Michigan. Retrieved from http://hrsonline.isr.umich.edu/sitedocs/userg/dr-006.pdf
50.
O’ReillyD.ConnollyS.RosatoM.PattersonC. (2008). Is caring associated with an increased risk of mortality? A longitudinal study. Social Science & Medicine, 67, 1282-1290.
51.
ParkD. C.LautenschlagerG.HeddenT.DavidsonN. S.SmithA. D.SmithP. K. (2002). Models of visuospatial and verbal memory across the adult life span. Psychology and Aging, 17, 299-320.
PinquartM.SörensenS. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18, 250-267.
54.
PinquartM.SörensenS. (2007). Correlates of physical health of informal caregivers: a meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62, P126-P137.
55.
RazN. (2000). Aging of the brain and its impact on cognitive performance: Integration of structural and functional findings. In CraikF. I. M.SalthouseT. A. (Eds.), Handbook of aging and cognition (2nd ed., pp. 1-90). Mahwah, NJ: Lawrence Erlbaum.
56.
RodgersW. L.OfstedalM. B.HerzogA. R. (2003). Trends in scores on tests of cognitive ability in the elderly U.S. population, 1993-2000. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 58, S338-S346.
57.
RothD. L.HaleyW. E.HovaterM.PerkinsM.WadleyV. G.JuddS. (2013). Family caregiving and all-cause mortality: Findings from a population-based propensity-matched analysis. American Journal of Epidemiology, 178, 1571-1578.
58.
Sachs-EricssonN.JoinerT.PlantE. A.BlazerD. G. (2005). The influence of depression on cognitive decline in community-dwelling elderly persons. The American Journal of Geriatric Psychiatry, 13, 402-408.
59.
SalthouseT. A. (1996). The processing-speed theory of adult age differences in cognition. Psychological Review, 103, 403-428.
60.
SalthouseT. A.FristoeN. M.LineweaverT. T.CoonV. E. (1995). Aging of attention: Does the ability to divide decline?Memory & Cognition, 23, 59-71.
61.
SchulzR.BeachS. R. (1999). Caregiving as a risk factor for mortality: The Caregiver Health Effects Study. Journal of the American Medical Association, 282, 2215-2219.
62.
SchulzR.BeachS. R.CookT. B.MartireL. M.TomlinsonJ. M.MoninJ. K. (2012). Predictors and consequences of perceived lack of choice in becoming an informal caregiver. Aging & Mental Health, 16, 712-721.
63.
SchulzR.SherwoodP. R. (2008). Physical and mental health effects of family caregiving. Journal of Social Work Education, 44, 105-113.
64.
SchwartzB. S.GlassT. A.BollaK. I.StewartW. F.GlassG.RasmussenM.. . . Bandeen-RocheK. (2004). Disparities in cognitive functioning by race/ethnicity in the Baltimore Memory Study. Environmental Health Perspectives, 112, 314-320.
65.
SeemanT. E.McAvayG.MerrillS.AlbertM.RodinJ. (1996). Self-efficacy beliefs and changes in cognitive performance: MacArthur Studies of Successful Aging. Psychology and Aging, 11, 538-551.
66.
ShipleyB. A.DerG.TaylorM. D.DearyI. J. (2006). Cognition and all-cause mortality across the entire adult age range: Health and lifestyle survey. Psychosomatic Medicine, 68, 17-24.
67.
SnareyJ. R. (1993). How fathers care for the next generation: A four-decade study. Cambridge, MA: Harvard University Press.
68.
StrykerS.BurkeP. J. (2000). The past, present, and future of an identity theory. Social Psychology Quarterly, 284-297.
69.
VitalianoP. P.MurphyM.YoungH. M.EcheverriaD.BorsonS. (2011). Does caring for a spouse with dementia promote cognitive decline? A hypothesis and proposed mechanisms. Journal of the American Geriatrics Society, 59, 900-908.
70.
VitalianoP. P.ZhangJ.ScanlanJ. M. (2003). Is caregiving hazardous to one’s physical health? A Meta-Analysis. Psychological Bulletin, 129(6), 946.
71.
VitalianoP. P.ZhangJ.YoungH. M.CaswellL. W.ScanlanJ. M.EcheverriaD. (2009). Depressed mood mediates decline in cognitive processing speed in caregivers. The Gerontologist, 49, 12-22.
72.
WallaceR. B.HerzogA. R.OfstedalM. B.SteffickD.FondaS.LangaK. (2000). Documentation of affective functioning measures in the Health and Retirement Study. Survey Research Center at the Institute for Social Research, University of Michigan. Retrieved from http://hrsonline.isr.umich.edu/sitedocs/userg/dr-005.pdf
73.
WeuveJ.KangJ. H.MansonJ. E.BretelerM. M.WareJ. H.GrodsteinF. (2004). Physical activity, including walking, and cognitive function in older women. JAMA, 292, 1454-1461.
74.
WilsonR. S.ArnoldS. E.SchneiderJ. A.LiY.BennettD. A. (2007). Chronic distress, age-related neuropathology, and late life dementia. Psychosomatic Medicine, 69, 47-53.
75.
WilsonR. S.KruegerK. R.ArnoldS. E.SchneiderJ. A.KellyJ. F.BarnesL. L.. . . BennettD. A. (2007). Loneliness and risk of Alzheimer’s disease. Archives of General Psychiatry, 64, 234-240.
76.
WilsonR. S.ScherrP. A.SchneiderJ. A.TangY.BennettD. A. (2007). Relation of cognitive activity to risk of developing Alzheimer disease. Neurology, 69, 1911-1920.
