Negative Caregiving Effects Among Caregivers of Veterans With Dementia

Bass, David M.; Judge, Katherine S.; Snow, A. Lynn; Wilson, Nancy; Looman, Wendy J.; McCarthy, Catherine; Morgan, Robert O.; Ablorh-Odjidja, Clair; Kunik, Mark E.

doi:10.1097/jgp.0b013e31824108ca

Cited by 72 publications

(110 citation statements)

References 30 publications

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“…Although we hypothesized that having a formal diagnosis of dementia would make problems easier to deal with, no difference was found in the prevalence or impact of the examined problems. Participants indicated that most problems occur on the social-relational domain with the care recipient; this confirms a study on caregivers of veterans with dementia showing relational strain as a common phenomenon (Bass et al, 2012). Social-relational issues concern the preexisting relationship, shifts in responsibilities within the relationship, and social interaction with others.…”

Section: Safety Of Care Recipientsupporting

confidence: 66%

Problems experienced by informal caregivers with older care recipients with and without cognitive impairment

Bruggen

Gussekloo

Bode

et al. 2016

Home Health Care Services Quarterly

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The care of older persons can have negative impact on the caregiver. The objective of this population-based observational study is to identify problems experienced by informal caregivers, and the extent of related difficulties, in their care of older care-dependent recipients with and without cognitive impairment. Caregivers (n = 2,704) caring for a home-dwelling person aged ≥ 75 years responded to a questionnaire with 23 questions on problems and related difficulties by mail. Prevalence of self-reported problems and related difficulties was calculated. The impact of the problem was estimated by weighing the percentage of problems reported as being difficult against the prevalence of problems. The median number of problems was 12 (range 0-23), with 5 (range 0-23) reported as difficult. Informal caregivers experience a variety of problems, with the impossibility to engage in joint social activities having the highest impact. The impact of problems increased when the care recipient had a cognitive problem.

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Section: Safety Of Care Recipientsupporting

confidence: 66%

Problems experienced by informal caregivers with older care recipients with and without cognitive impairment

Bruggen

Gussekloo

Bode

et al. 2016

Home Health Care Services Quarterly

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“…Patients' personal-care dependency is the sum of six items (answered on a three-point scale of “no difficulty” to “a great deal of difficulty”), assessed by asking the patient and caregiver about the number of dependencies the patient had in personal care (i.e., toileting, bathing, grooming, dressing, eating, and mobility) and instrumental activities of daily living (i.e., managing finances, scheduling appointments, or taking care of the home). It has good reliability, with a Cronbach's α of 0.87 [17]. Veterans' cognitive impairment was assessed by summing seven items, answered on a three-point scale (0, 1, 2), that ask about difficulties with memory, such as knowing the day of the week, keeping track of current events, paying attention, repetitive verbalizations, and remembering persons, places, and appointments.…”

Section: Methodsmentioning

confidence: 99%

“…Total scores range from 0 to 14, with higher scores indicating greater cognitive impairment. This measure has a Cronbach's α of 0.82 [17]. Problem behaviors were assessed by a four-item, previously validated survey that asked about the frequency (“none of the time,” “some of the time,” or “most or all of the time”) of neuropsychiatric symptoms (i.e., yelling or swearing, complaining or criticizing, interfering with family members, and agitation).…”

Section: Methodsmentioning

confidence: 99%

Predictors of Inpatient Utilization among Veterans with Dementia

Godwin

Morgan

Walder

et al. 2014

Current Gerontology and Geriatrics Research

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Dementia is prevalent and costly, yet the predictors of inpatient hospitalization are not well understood. Logistic and negative binomial regressions were used to identify predictors of inpatient hospital utilization and the frequency of inpatient hospital utilization, respectively, among veterans. Variables significant at the P < 0.15 level were subsequently analyzed in a multivariate regression. This study of veterans with a diagnosis of dementia (n = 296) and their caregivers found marital status to predict hospitalization in the multivariate logistic model (B = 0.493, P = 0.029) and personal-care dependency to predict hospitalization and readmission in the multivariate logistic model and the multivariate negative binomial model (B = 1.048, P = 0.007, B = 0.040, and P = 0.035, resp.). Persons with dementia with personal-care dependency and spousal caregivers have more inpatient admissions; appropriate care environments should receive special care to reduce hospitalization. This study was part of a larger clinical trial; this trial is registered with ClinicalTrials.gov NCT00291161.

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“…In the dementia caregiving role, these individuals can experience relationship strain, depression, and increased stress. Additionally, because of the demands on their time, social isolation is often triggered in caregivers (Bass et al, 2012). These negative effects on caregivers are associated with increased mortality (Schulz & Beach, 1999).…”

mentioning

confidence: 97%