Caregiver factors contributing to psychological elder abuse behavior in long-term care facilities: a structural equation model approach

Wang, Jing-Jy; Lin, Mei-Feng; Tseng, Hung Fu; Chang, Wen-Yun

doi:10.1017/s1041610208008211

Cited by 35 publications

(32 citation statements)

References 20 publications

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“…In contrast, higher risk of being “neglected, abused and mistreated” was observed among older adults with their primary caregiver experienced a lower level of informal support. A previous study in Taiwan has also found a positive association in this sense . Among the three relationship factors, only one significant relationship between conflicting relationship and “fearful of a family member or caregivers” was found in the current study, which was in line with the conclusion by the systematic review and extended to a Chinese context, as few studies in the Asian region had examined the association between conflicting relationship and different forms of potential abuse .…”

Section: Discussionsupporting

confidence: 91%

Prevalence and correlates of abuse screening items among community‐dwelling Hong Kong Chinese older adults

Leung

et al. 2015

Geriatrics Gerontology Int

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Section: Discussionsupporting

confidence: 91%

Prevalence and correlates of abuse screening items among community‐dwelling Hong Kong Chinese older adults

Leung

et al. 2015

Geriatrics Gerontology Int

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“…Limpawattana et al reported that older caregivers with poorer self-reported health status, a longer of duration of care, and a lower self-reported income had higher caregiver burdens, such as stress and depression [8]. Studies have also shown that negative care reactions by caregivers lead to negative impacts, such as caregiver depression, poor quality of care, potentially harmful behavior, and elder abuse [6], [14], [35]. Burdened caregivers have reported less social support, poorer quality of life, and problems with social integration [36].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, knowledge may maximize the quality of caring behavior and decrease the potential negative effects on caregivers. Caregivers with negative caring behavior, overloaded caregiver burdens, and a lack of caring knowledge lead to negative patient health and health promotion behavior outcomes [6], [12]–[14]. Therefore, the caregivers' caring behavior, caregiver burden, and caring knowledge may inevitably affect the patients.…”

Section: Introductionmentioning

confidence: 99%

Differences in COPD Patient Care by Primary Family Caregivers: An Age-Based Study

et al. 2014

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BackgroundBecause Taiwan has the fastest aging rate among developed countries, care for the elderly is becoming more prominent in the country. Primary family caregivers play an important role in patient health and health promotion behavior. Chronic obstructive pulmonary disease (COPD), an age-related disease, is a major public health problem with high morbidity and mortality and can be a long-term burden for family members; however, little attention has been given to the differences in COPD care between elder caregivers and other caregivers. This study aimed to investigate the differences between elder family caregivers and non-elder family caregivers caring for COPD patients in Taiwan, including caring behavior, caregiver response, and caring knowledge.MethodsThis cross-sectional study was conducted between March 2007 and January 2008; 406 primary family caregivers of COPD patients from the thoracic outpatient departments of 6 hospitals in north-central Taiwan were recruited to answer questionnaires measuring COPD characteristics, care behavior, caregiver response, and COPD knowledge. All questionnaires, which addressed caregiver knowledge, care behaviors, and care reactions, were shown to have acceptable validity and reliability, and the data were analyzed using univariate and generalized linear model techniques.ResultsThe elder caregivers group had 79 participants, and the non-elder caregivers comprised 327 participants. The COPD-related knowledge scale results were positively correlated with the family caregiver caring behavior scale, suggesting that better COPD-related knowledge among family caregivers may result in improved caring behavior. After adjusting for all possible confounding factors, the elder caregivers had significantly lower COPD-related knowledge than the non-elder caregivers (P<0.001). However, there were no significant differences in the family caregiver caring behavior scale or the caregiver reaction assessment scale between the two groups.ConclusionsElder family caregivers require increased education regarding medications and preventive care in COPD patient care.

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“…In Hong Kong, large number of co-residing days with older adults (Yan, 2014a;Yan & Kwok, 2011), a lack of assistance from a domestic helper (Yan & Kwok, 2011), a high level of caregiver burden (Yan, 2014a;Yan & Kwok, 2011) childhood experience of abuse, negative attitudes toward older adults, and modernity (Yan & Tang, 2003) were significantly linked to elder abuse. In Taiwan, fewer working hours of caregivers, lower education level, lack of social resources, higher working stress (Wang, Lin, Tseng, & Chang, 2009), caregiver burden, and younger age (Wang, 2005;Wang, Lin, & Lee, 2006) were identified as key factors associated with psychological elder abuse behavior.…”

Section: Potential Perpetrator Characteristicsmentioning

confidence: 99%

Elder Abuse in Chinese Populations: A Global Review

Dong¹

2015

Journal of Elder Abuse & Neglect

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This review focuses on the epidemiology of elder abuse in the global Chinese population with respect to its prevalence, risk factors, and consequences, as well as the perceptions of elder abuse. Evidence revealed that elder abuse and its subtypes are common among the global Chinese population with prevalence ranging from 0.2% to 64%. Younger age, lower income levels, depression, cognitive impairment, and lack of social support were consistently associated with self-reported elder abuse. Caregiver burden was a constant risk factor for the proclivity to elder abuse by caregivers. The adverse health outcomes of elder abuse included suicidal ideation and psychological stress. Some primary research gaps exist: such as, lack of consistency in measurements and recall periods, insufficient studies on the causal relationships between potential risk factors and elder abuse, consequences of elder abuse, and possible interventions. In order to reduce the risk of elder abuse in the global Chinese population, collaboration is encouraged among researchers, health care professionals, social service providers, and policy makers.

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Caregiver factors contributing to psychological elder abuse behavior in long-term care facilities: a structural equation model approach

Cited by 35 publications

References 20 publications

Prevalence and correlates of abuse screening items among community‐dwelling Hong Kong Chinese older adults

Prevalence and correlates of abuse screening items among community‐dwelling Hong Kong Chinese older adults

Differences in COPD Patient Care by Primary Family Caregivers: An Age-Based Study

Elder Abuse in Chinese Populations: A Global Review

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