Modeling the distress of spousal caregivers of people with dementia

Autor: Florence Pasquier, Emilie Wawrziczny, Pascal Antoine, Francine Ducharme, Guillaume Berna, Marie-Jeanne Kergoat
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