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The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia
Orrell, Martin
Orrell, Martin
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.
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2017
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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.
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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.