دورية أكاديمية
أعرض في EDS

Contrasting the risk factors of grief and burden in caregivers of persons with dementia: Multivariate analysis.

التفاصيل البيبلوغرافية
العنوان: Contrasting the risk factors of grief and burden in caregivers of persons with dementia: Multivariate analysis.
المؤلفون: Liew TM; Department of Geriatric Psychiatry, Institute of Mental Health, Singapore.; Psychotherapy Service, Institute of Mental Health, Singapore.; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Tai BC; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Yap P; Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore.; Geriatric Education and Research Institute, Singapore., Koh GC; Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
المصدر: International journal of geriatric psychiatry [Int J Geriatr Psychiatry] 2019 Feb; Vol. 34 (2), pp. 258-264. Date of Electronic Publication: 2018 Nov 19.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley Country of Publication: England NLM ID: 8710629 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1166 (Electronic) Linking ISSN: 08856230 NLM ISO Abbreviation: Int J Geriatr Psychiatry
أسماء مطبوعة: Publication: Chichester : John Wiley
Original Publication: Chichester, Sussex, England ; [New York] : Wiley, c1986-
مواضيع طبية MeSH: Grief*, Caregivers/*psychology , Dementia/*nursing, Adaptation, Psychological ; Adult ; Aged ; Asian People ; Caregivers/statistics & numerical data ; Cost of Illness ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Regression Analysis ; Risk Factors ; Spouses ; Surveys and Questionnaires
مستخلص: Background: Caregivers of persons with dementia (PWD) can experience loss and grief long before the death of the person. While such phenomenon of pre-death grief (PDG) has been increasingly described, we are uncertain how it can be distinct from the well-studied construct of caregiver burden.
Objective: To determine whether there are differences in the risk factors of PDG and caregiver burden to aid in our understanding of the relationship between the two constructs.
Methods: Spouses or children of community-dwelling PWD were consecutively sampled from two tertiary hospitals. They completed questionnaires containing a PDG scale, a caregiver burden scale, and information related to the caregiver and PWD. Risk factors of PDG and caregiver burden were identified using multivariate regression, within which PDG and caregiver burden scores were jointly included as two separate dependent variables.
Results: We recruited 394 caregivers with a mean age of 53.0 years (SD 10.7), majority were Chinese (86.6%), children caregivers (86.3%), and primary caregivers (70.8%). In the regression analyses, we identified three risk factors which were shared by both PDG and caregiver burden (later stage of dementia, behavioral problems in PWD, and primary caregiving role) and three other risk factors which were unique to PDG alone (younger age of PWD, lower educational attainment of caregivers, and spousal caregiver).
Conclusions: The different risk factor profiles evidence a distinction between PDG and caregiver burden. They may possibly be distilled into a framework to direct our approach to PDG interventions, which may include using caregiver burden as an opportunity to initiate conversations on grief, exploring the various aspects of losses and encouraging adaptive coping.
(© 2018 The Authors. International Journal of Geriatric Psychiatry Published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: burden; caregiver; dementia; pre-death grief; risk factor
تواريخ الأحداث: Date Created: 20181030 Date Completed: 20190819 Latest Revision: 20221207
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6635735
DOI: 10.1002/gps.5014
PMID: 30370698
قاعدة البيانات: MEDLINE
الوصف
تدمد:1099-1166
DOI:10.1002/gps.5014