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

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.