Physical Disability Contributes to Caregiver Stress in Dementia Caregivers
| Autor: | David Roberts, Peter J Underwood, David G. Bruce, Frank Schaper, Glenys A Paley, Pam Nichols |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Gerontology Aging medicine.medical_specialty Physical disability Home Nursing Health Status MEDLINE Risk Assessment Disability Evaluation Quality of life (healthcare) Sickness Impact Profile Surveys and Questionnaires medicine Humans Dementia Disabled Persons Psychiatry Aged Aged 80 and over business.industry Age Factors Australia Middle Aged medicine.disease Health Surveys Long-Term Care Mental health Long-term care Caregivers Chronic Disease Quality of Life Caregiver stress Female Geriatrics and Gerontology Risk assessment business Stress Psychological |
| Zdroj: | The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 60:345-349 |
| ISSN: | 1758-535X 1079-5006 |
| Popis: | Previous findings of studies on the impact of physical illness on caregiver health have been inconsistent. The authors wanted to determine whether physical disability, as determined by the SF-12 survey that provides information on both physical and mental health problems, contributes to caregiver stress.The authors interviewed 91 primary caregivers (aged 38-85 years) of persons with dementia who had been referred by their family physicians for the first time for formal support services or memory evaluation. Caregivers completed the SF-12 version of the Medical Outcomes Study Short Form Health Survey that generates Mental Component Summary (MCS) and Physical Component Summary (PCS) scores and reported on caregiver stress and concurrent medical conditions and medications.Most caregivers reported stress (76.9%), having medical conditions (72.4%), or taking medications (67%). The MCS but not the PCS scores were significantly lower than community norms, indicating an excess of disability due to mental health problems. Nevertheless, 40.7% had PCS scores indicating some degree of physical disability. Using multiple logistic regression analysis, PCS scores but not the presence of medical problems were independently associated with caregiver stress.Chronic disability as assessed by SF-12 PCS scores is independently associated with caregiver stress. These data suggest that caregivers of persons with dementia should be assessed for disabling physical conditions and mental health problems. In addition, reducing the impact of physical disability could ameliorate caregiver stress. |
| Databáze: | OpenAIRE |
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