The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia
dc.contributor.author | Orrell, Martin | |
dc.date.accessioned | 2017-09-06T12:43:52Z | |
dc.date.available | 2017-09-06T12:43:52Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Feast, A., Orrell, M., Russell, I., Charlesworth, G. & Moniz-Cook, E. (2017). The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia. International Journal of Geriatric Psychiatry, 32 (1), pp.76-85. | |
dc.identifier.other | 10.1002/gps.4447 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/7905 | |
dc.description | This is the peer reviewed version of the following article: Feast, A., Orrell, M., Russell, I., Charlesworth, G. & Moniz-Cook, E. (2017). The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia. International Journal of Geriatric Psychiatry, 32 (1), pp.76-85, which has been published in final form at http://dx.doi.org/10.1002/gps.4447. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. | |
dc.description.abstract | Objective: The objective of the study is to examine caregiver factors as predictors of BPSD-related distress and their potential mechanisms. Method: 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. Results: 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 (chi2=23.920, df=19, p=0.199). Conclusions: 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. | |
dc.description.uri | http://onlinelibrary.wiley.com/doi/10.1002/gps.4447/full | |
dc.format | Full text uploaded | |
dc.subject | Caregivers | |
dc.subject | Dementia | |
dc.subject | Psychological stress | |
dc.title | The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia | |
dc.type | Article | |
refterms.dateFOA | 2021-06-14T09:30:19Z | |
html.description.abstract | Objective: The objective of the study is to examine caregiver factors as predictors of BPSD-related distress and their potential mechanisms. Method: 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. Results: 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 (chi<sup>2</sup>=23.920, df=19, p=0.199). Conclusions: 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. |