Caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease.

Abstract:

UNLABELLED:This prospective study examines the relationship between caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease (AD). METHOD:A 3-year longitudinal study was conducted with a clinic-based cohort of 396 persons with AD and their respective family caregivers. Caregiver adjustment was sequentially measured in 3-month intervals using standard scales of appraisal (perceived burden and satisfaction) and emotion (depressive symptoms and positive affect). RESULTS:In multivariable proportional hazards regression models predicting time to institutionalization controlling for AD severity, hazard ratios were significant for appraisal measures of caregiver adjustment, perceived burden (1.053; 95% confidence interval [CI], 1.014, 1.093), and satisfaction (.929; 95% CI, .883, .977). In contrast, levels of caregivers' positive and negative emotion did not reliably predict institutionalization. DISCUSSION:The findings highlight the importance of caregiver appraisals in decisions to institutionalize persons with a dementia syndrome, but the limited impact of caregiver emotion was unexpected and requires further study.

journal_name

J Aging Health

authors

Gilley DW,McCann JJ,Bienias JL,Evans DA

doi

10.1177/0898264304274252

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

172-89

issue

2

eissn

0898-2643

issn

1552-6887

pii

17/2/172

journal_volume

17

pub_type

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