Association of physical functioning of persons with dementia with caregiver burden and depression in dementia caregivers: an integrative data analysis.

Abstract:

OBJECTIVES:To determine whether caregiver relationship and race modify associations between physical functioning of persons with dementia (PWD) and their caregiver's burden and general depressive symptoms. METHOD:We pooled data from four behavioral intervention trials (N = 1,211). Using latent growth modeling, we evaluated associations of PWD physical functioning with the level and rate of change in caregiver burden and caregivers' general depressive symptoms and stratified these associations by caregiver relationship and race. RESULTS:PWD were, on average, 81 years old (68% female) with mean follow-up of 0.5 years. More baseline PWD physical impairment was associated with less worsening in caregiver burden over time (β = -0.23, 95% CI: -0.29, -0.14), but this relationship was not modified by caregiver characteristics. More impaired baseline PWD physical functioning was not associated with changes in depressive symptoms (β = -0.08, 95% CI: -0.17, 0.00), but was associated with less worsening in depressive symptoms among spousal (β = -0.08, 95% CI: -0.17, 0.00) and non-white (β = -0.08, 95% CI: -0.17, 0.00) caregivers. CONCLUSIONS:Dementia caregivers may experience reduced caregiver-related burden because of adjustment to PWD functional status, while spousal and non-white caregivers may experience less depressive symptoms resultant of adjustment to functional status.

journal_name

Aging Ment Health

journal_title

Aging & mental health

authors

Armstrong NM,Gitlin LN,Parisi JM,Roth DL,Gross AL

doi

10.1080/13607863.2018.1441263

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

587-594

issue

5

eissn

1360-7863

issn

1364-6915

journal_volume

23

pub_type

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