Management of the Demented Elderly Patient in the Community

Bergmann, K.; Foster, E. M.; Justice, Amelia; Matthews, Virginia

doi:10.1192/bjp.132.5.441

Cited by 116 publications

(36 citation statements)

References 4 publications

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“…Social support may be unportant as stucUes of dementia caregivers have found that a supportive social environment can be protective against institutionalisation ofthe patient (Bergmann et al, 1978), Ufestyle and the mere existence of a confidante can be negatively correlated with the presence of affective disorder (Brown et al, 1977).…”

Section: Social Supportmentioning

confidence: 99%

Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

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Objective: To test the ability of a previously generated logistic regression model to predict caregiver strain from carer mood, negative affectivity and perceived patient functional ability. Design: Postal prospective survey. Setting: Spouses of community-residing patients identified from hospital stroke registers. Method: Spouses were assessed at three and six months after stroke. A previously derived equation was used to make predictions at three months of their level of strain at six months, which were compared with observed outcomes. Measures: Spouses were asked to complete the Caregiver Strain Index (CSI), the General Health Questionnaire (GHQ-12), the Positive and Negative Affectivity Schedule (PANAS) and to assess patients' independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL). Results: Of 409 stroke patients, 276 had an identifiable co-resident spouse and 116 (42%) completed the measures. At three months after stroke, 39 carers (34%) were under significant strain with 40 (35%) under strain at six months. The predictive model using the GHQ-12, PANAS and EADL at three months was 78% accurate in predicting levels of caregiver strain at six months. Conclusion: Carers at risk of later strain could be identified for further followup. Services to provide emotional support to carers might be effective in the reduction of carer strain.

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Section: Social Supportmentioning

confidence: 99%

Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

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“…The considerable coping ability of many families is emphasized by the 12 month follow-up by Bergmann et al (1978) of a series of first referrals to a day-hospital for dementia. Family support, and not medical and social measures, related significantly to survival in the community.…”

Section: Introductionmentioning

confidence: 99%

Effect of Family Relationships on Psychogeriatric Patients

Bergmann

Manchee

Woods³

1984

J R Soc Med

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Severe strain has been repeatedly reported in the families of psychogeriatric patients. Nevertheless, many families continue to provide a great deal of support, despite the undoubted burden involved. A retrospective study of short-term outcome in 60 psychogeriatric referrals demonstrated the importance of some aspects of the relationship between the patient and their key supporting relative. In the sample as a whole, and in functional patients, the extent to which a positive communication system existed was significant. In patients with dementia, poor outcome was related to the patient being less dependent and more dominant in their interaction with the relative. The implications of this study for intervention and future research are discussed.

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“…Although less applicable to the elderly, they could undoubtedly be very disruptive. Among older people with identifi ed mental illnesses, behavioural diffi culties caused signifi cant distress in over half the families caring for them (Bergmann, Foster, Justice and Matthews, 1978).…”

Section: Psychology and Occupational Therapymentioning

confidence: 99%

The provision of mental health services in England for people over 65 years of age, 1970—78

Hilton

2008

Hist Psychiatry

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Management of the Demented Elderly Patient in the Community

Cited by 116 publications

References 4 publications

Caregiver strain in spouses of stroke patients

Caregiver strain in spouses of stroke patients

Effect of Family Relationships on Psychogeriatric Patients

The provision of mental health services in England for people over 65 years of age, 1970—78

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