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- Title
The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia.
- Authors
Feast, Alexandra; Orrell, Martin; Russell, Ian; Charlesworth, Georgina; Moniz‐Cook, Esme; Moniz-Cook, Esme
- Abstract
<bold>Objective: </bold>The objective of the study is to examine caregiver factors as predictors of BPSD-related distress and their potential mechanisms.<bold>Method: </bold>Informal caregivers of people with dementia (n = 157) recruited from 28 community mental health teams in six NHS Trusts across England completed questionnaires regarding psychosocial factors (relationship quality, competence, guilt, health-related quality of life in the caregiver and person with dementia, reactivity to behavioural and psychological symptoms in dementia [BPSD] and burden) and frequency of BPSD. Analyses of BPSD-related distress include hierarchical multiple regression, mediation, moderation and path analysis.<bold>Results: </bold>Caregiver psychosocial factors explained 56% of the variance in BPSD-related distress. After controlling for these factors, frequency of BPSD was not a significant predictor of BPSD-related distress. Caregiver reactivity to BPSD, burden, competence and relationship quality directly influenced BPSD-related distress. Guilt influenced distress indirectly via competence, burden and reactivity to BPSD. The final model accounted for 41% of the variance in BPSD-related distress and achieved a good fit to the data (χ2 = 23.920, df = 19, p = 0.199).<bold>Conclusions: </bold>Caregiver psychosocial factors including sense of competence, guilt, burden and reactivity to BPSD contribute to BPSD-related distress. Tailored interventions for managing behaviour problems in family settings could focus on these factors associated with BPSD-related distress to minimise distress in families. Copyright © 2016 John Wiley & Sons, Ltd.
- Subjects
DEMENTIA patients; MENTAL health of older people; SYMPTOMS; MULTIPLE regression analysis; PSYCHOSOCIAL factors
- Publication
International Journal of Geriatric Psychiatry, 2017, Vol 32, Issue 1, p76
- ISSN
0885-6230
- Publication type
journal article
- DOI
10.1002/gps.4447