Modeling the distress of spousal caregivers of people with dementia
Autor: | Florence Pasquier, Emilie Wawrziczny, Pascal Antoine, Francine Ducharme, Guillaume Berna, Marie-Jeanne Kergoat |
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Přispěvatelé: | Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193 (SCALab), Université de Lille-Centre National de la Recherche Scientifique (CNRS), Université de Montréal (UdeM), Troubles cognitifs dégénératifs et vasculaires - U 1171 (TCDV), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 (SCALab), Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 (TCDV), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille, Droit et Santé-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille) |
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
Family support [SDV]Life Sciences [q-bio] psychological model late onset Alzheimer disease Disease Mesh:Caregivers/psychology [SCCO]Cognitive science 0302 clinical medicine Surveys and Questionnaires Adaptation Psychological 030212 general & internal medicine Mesh:Aged media_common Aged 80 and over Mesh:Adaptation General Neuroscience spouses General Medicine 3. Good health Psychiatry and Mental health Clinical Psychology Distress Feeling Caregivers Preparedness behavior and behavior mechanisms Female Independent Living Psychology Mesh:Surveys and Questionnaires Clinical psychology Mesh:Female media_common.quotation_subject Mesh:Male Context (language use) Mesh:Psychological Mesh:Dementia/psychology 03 medical and health sciences Intervention (counseling) Mesh:80 and over medicine Humans Dementia Mesh:Logistic Models Mesh:Dementia/nursing Aged 030214 geriatrics medicine.disease Mesh:Stress Mesh:Psychological/psychology Mesh:Humans Logistic Models Mesh:Psychological/etiology early onset Alzheimer disease Mesh:Independent Living Geriatrics and Gerontology Stress Psychological dementia |
Zdroj: | Journal of Alzheimer's Disease Journal of Alzheimer's Disease, IOS Press, 2017, Journal of Alzheimer's disease JAD, 55 (2), pp.703-716. ⟨10.3233/JAD-160558⟩ Journal of Alzheimer's Disease, 2017, Journal of Alzheimer's disease JAD, 55 (2), pp.703-716. ⟨10.3233/JAD-160558⟩ |
ISSN: | 1387-2877 |
Popis: | International audience; The progressive mobilization of spouse caregivers who take care of a person with dementia (PWD) can lead to situations of distress.The current study sought to investigate the influence of the characteristics of the caregiving context on spousal caregiver distress.125 spousal caregivers participated in this study. The characteristics of the caregiving context were assessed using questionnaires. We examined a moderated-mediator model (Step 1) in which we hypothesized that PWD and caregiver characteristics and dyadic determinants contribute to spousal caregiver distress. This model was compared based on the age at onset of the disease and the gender of the caregiver (Step 2).The model revealed that poor self-rated health and a lack of family support accentuated spousal caregiver distress, whereas the feeling of being prepared and level of confidence decreased spousal caregiver distress. Moreover, the quality of couple adjustment affected spousal caregiver distress, and this effect was mediated by the severity of the PWD's symptoms. Regarding the age at onset of the disease, the path between Couple Adjustment and the Care recipient's impairments was more important for caregivers of person with early-onset dementia (PEOD). Female caregivers who reported poor self-rated health experienced greater distress.It would be interesting to create a support program that would incorporate these three areas of intervention regarding the progression of the disease: first, "preparedness modules"; second, "dyadic modules" (especially for caregivers of PEOD); and third, "family modules". Specific attention should be given to female caregivers who report poor self-rated health. |
Databáze: | OpenAIRE |
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