Skip to main content

Research Repository

Advanced Search

The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia

Feast, Alexandra; Orrell, Martin; Russell, Ian; Charlesworth, Georgina; Moniz-Cook, Esme

Authors

Alexandra Feast

Martin Orrell

Ian Russell

Georgina Charlesworth

Professor Esme Moniz-Cook E.D.Moniz-Cook@hull.ac.uk
Professor of Clinical Psychology of Ageing and Dementia Care Research/ Dementia Research Work Group Lead



Abstract

Copyright © 2016 John Wiley & Sons, Ltd. 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 (χ 2 = 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.

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), 76-85 . https://doi.org/10.1002/gps.4447

Journal Article Type Article
Acceptance Date Jan 20, 2016
Online Publication Date Feb 18, 2016
Publication Date Jan 1, 2017
Deposit Date Apr 19, 2016
Publicly Available Date Apr 19, 2016
Journal International journal of geriatric psychiatry
Print ISSN 0885-6230
Electronic ISSN 1099-1166
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 32
Issue 1
Pages 76-85
DOI https://doi.org/10.1002/gps.4447
Keywords Behavioural symptoms; Caregivers; Dementia; Path analysis; Psychosocial factors; Psychological stress; Regression analysis
Public URL https://hull-repository.worktribe.com/output/436346
Publisher URL http://onlinelibrary.wiley.com/doi/10.1002/gps.4447/abstract
Additional Information Authors' accepted manuscript of article: Feast, A., Orrell, M., Russell, I., Charlesworth, G., and Moniz-Cook, E. (2017) The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia. Int J Geriatr Psychiatry, 32: 76–85. doi: 10.1002/gps.4447.

Files





You might also like



Downloadable Citations