Abstract:
:Objectives: Informal caregivers who recognize patients' depressive symptoms can better support self-care and encourage patients to seek treatment. We examined patient-caregiver agreement among patients with heart failure (HF). Our objectives were to (1) identify distinct groups of HF patients and their out-of-home informal caregivers (CarePartners) based on their relationship and communication characteristics, and (2) compare how these groups agree on the patients' depressive symptoms. Method: We used baseline data from a comparative effectiveness trial of a self-care support program for veterans with HF treated in outpatient clinics from 2009-2012. We used a cross-sectional design and latent class analysis (LCA) approach to identify distinct groups of patient-CarePartner dyads (n = 201) based on relationship and communication characteristics then evaluated agreement on patients' depressive symptoms within these groups. Results: The LCA analysis identified four groups: Collaborative (n = 102 dyads, 51%), Avoidant (n = 33 dyads, 16%), Distant (n = 35 dyads, 17%), and Antagonistic (n = 31 dyads, 15%). Dyadic agreement on the patients' depressive symptoms was highest in the Distant (Kappa (κ) = 0.44, r = 0.39) and Collaborative groups (κ = 0.19, r = 0.32), and relatively poor in the Avoidant (κ = -0.20, r = 0.17) and Antagonistic (κ =-0.01, r = 0.004) groups. Patients in Avoidant (61%) and Antagonistic groups (74%) more frequently had depression based on self-report than patients in Collaborative (46%) and Distant (34%) groups. Conclusion: Caregiver relationships in HF tend to be either Collaborative, Avoidant, Distant, or Antagonistic. Patients' depressive symptoms may negatively affect how they communicate with their caregivers. At the same time, improved patient-caregiver communication could enhance dyadic consensus about the patient's depressive symptoms.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Bouldin ED,Aikens JE,Piette JD,Trivedi RBdoi
10.1080/13607863.2018.1481923keywords:
["Caregivers","communication","depression","heart failure","proxy"]subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1122-1129issue
9eissn
1360-7863issn
1364-6915journal_volume
23pub_type
杂志文章abstract:BACKGROUND AND OBJECTIVES:Montreal Cognitive Assessment-Basic (MoCA-B) is a modified version of the MoCA that is especially suitable for use in elderly subjects with low education. The Authors translated the tool into Arabic and they aimed at validation of this tool in a sample of elderly Egyptians. METHODS:The study ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1428936
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:To validate a measure of social exclusion for older people based on one already in use for the general population. METHODS:A random sample of 2281 older adults (age ranged from 65 to 89; mean age = 74.9; 52.6% females) were successfully interviewed face-to-face at their homes. The structured questionnaire i...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1330870
更新日期:2018-08-01 00:00:00
abstract::Policy research into the service needs of persons with dementia had its origin looking at challenges confronting caregivers-extended hours of instrumental task assistance, social isolation, fatigue, depression-and how public policy might support informal care-giving while saving public expenditures from nursing home c...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/713649997
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:The current study aims to add to the limited empirical research of possible benefits of personal social capital for the well-being of elderly. A validated personal social capital scale, measuring both bonding and bridging social capital in a general population, was adjusted to fit the characteristics of the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1650887
更新日期:2020-12-01 00:00:00
abstract::Background: Research shows that formal and informal social support can facilitate resilience in carers. There is a paucity of research exploring social support and resilience amongst recently bereaved informal carers. Aim: To examine how the presence or absence of distinct dimensions of social support facilitate or hi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1484886
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:Prior integrative reminiscence interventions have had a limited focus on attachment themes. The attachment-focused integrative reminiscence (AFIR) intervention differs from these in its central emphasis on attachment themes. The wide range of health benefits resulting from integrative reminiscence may be due...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1023764
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Care managers and professional caregivers of home care services are sometimes unaware of the psychosocial approaches to the challenging behaviour of dementia. Therefore, we developed a Behaviour Analytics & Support Enhancement (BASE) programme. We investigated the effects of the programme on the attitudes to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1332160
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:This study examined determinants of discriminatory behavior towards a person with Alzheimer's disease (AD) using an attribution model. More specifically, the effects of residing in a nursing home compared with the community were examined. METHOD:A phone survey was conducted during the summer of 2007 with a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802380649
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The negative effect of hypertension has overshadowed possible health problems associated with hypotension. The purposes of this study were to describe the prevalence of hypotension in older adults and to determine the association between hypotension and cognitive function, after adjusting for p...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1268093
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:To explore the key components representative of measures of psychosocial functioning with a focus on identifying the constituents of psychological distress in an Irish sample of community-dwelling older adults and to examine the relationship between these components and health outcomes such as frailty. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.604024
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Normal aging involves progressive prefrontal declines and impairments in executive control. This study aimed to examine the efficacy of an executive-control training focusing on working memory and inhibition, in healthy older adults, and to explore the role of individual differences in baseline capacities an...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1858755
更新日期:2020-12-16 00:00:00
abstract:OBJECTIVES:The purpose of this quasi-experimental study was to evaluate the effectiveness of a videoconference intervention program in improving nursing home residents' social support, loneliness, and depressive status. METHODS:Fourteen nursing homes were selected from various areas of Taiwan by purposive sampling. El...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.501057
更新日期:2010-11-01 00:00:00
abstract::Many healthcare professionals in Hong Kong are now working in dementia care, but little is known about their informational needs in this area. This study explored the level of knowledge about dementia that healthcare professionals perceived themselves as having, and the informational needs of dementia care. 320 respon...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786031000120688
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVES:There is a paucity of research on antisocial personality disorder (ASPD) in the geriatric population and the majority of knowledge on the disorder is drawn from young adult samples. Researchers posit that the prevalence of ASPD as well as other personality disorders (PDs) is underestimated among older adults...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1839867
更新日期:2020-10-27 00:00:00
abstract:OBJECTIVES:Falls and the fall-related psychological concerns associated with these events pose a serious public health problem among aging adults. The measurement of fall-related psychological concerns can serve as important endpoints for fall prevention programs, yet there is some confusion regarding the best method o...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860802148855
更新日期:2008-11-01 00:00:00
abstract::The current emphasis on early detection and disclosure of a diagnosis of dementia highlights the need to examine couples' shared constructions of, and responses to, the diagnosis, and to explore the appraisals that couples make about the illness at an early stage. While the experiences of carers and of people with dem...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500114555
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:To determine psychotropic drug prescription rates in nursing home residents with dementia and to identify associations with the so far understudied psychosocial non-resident-related factors. METHOD:A cross-sectional, observational, exploratory design as part of PROPER I (PRescription Optimization of Psychot...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1348469
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:Having a broadened perspective on one's future has been associated with better affective well-being, including reduced reports of depressive symptoms. However, research is limited regarding which aspect of future time perspective is associated with depressive symptoms, and whether these findings are consiste...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1855107
更新日期:2020-12-21 00:00:00
abstract::While it is clear that families remain involved in the lives of loved ones following placement in a nursing home, little research has examined whether visiting and the provision of care has effects on the emotional stress and psychological well-being of family members. Utilizing pre-placement and post-placement data f...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860310001613356
更新日期:2004-01-01 00:00:00
abstract::Early intervention in Alzheimer's disease (AD) should focus on psychological and social needs as well as the provision of medication. One possible component of early intervention programmes for people with early-stage AD is cognitive rehabilitation aimed at fostering the development of strategies for coping with memor...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786021000045854
更新日期:2003-01-01 00:00:00
abstract::The present paper discusses recruitment of older African-Americans for a psycho-physiological study using the matching model of recruitment proposed by Levkoff, Levy, and Weitzman (2000). The hallmark of the model by Levkoff et al. is that there must be a match between research and minority communities' perspectives i...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860500409781
更新日期:2006-05-01 00:00:00
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journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1647134
更新日期:2020-12-01 00:00:00
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journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1872490
更新日期:2021-01-20 00:00:00
abstract::Background and objectives: We explore the internal and external resources that older adults use to negotiate adversity and related to later life. We investigated the experiences older adults had with adversity and explored the factors that promote and protect resilience and the how these factors shaped the process of ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1594162
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:Little is known about the factors associated with depression among elderly Nigerians despite research evidence suggesting that some correlates of depression may be important in early detection, treatment and prognosis. This study aimed to determine the correlates of depression among a community based elderly...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.843156
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:To investigate the characteristics of the caregiving experience according to age at onset of dementia to adapt support programs. METHOD:Fifty-seven spouse caregivers of persons with early-onset dementia (PEOD) and 93 spouse caregivers of persons with late-onset dementia (PLOD) participated. The characterist...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1339777
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:Self-perceptions of aging have been shown to predict mental and physical health and even longevity. This study examined the aging perceptions of patients with rheumatic disease and compared them with the general Dutch population. METHODS:Consecutive patients visiting a rheumatology clinic completed the Pers...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.651438
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this cross-sectional study was to examine the relationship between sensory impairment and suicide ideation among elderly Koreans. METHODS:Data from the 2010-2012 Korea National Health and Nutrition Examination Survey V was used. Participants included 3636 older adults (≥65 years) who received...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.989812
更新日期:2015-07-01 00:00:00
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journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607863.2013.868404
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:Given the chronically painful, incurable nature of osteoarthritis, effective cognitive and behavioral coping strategies may be critical for older adults with the disease. Little is known about how and why coping changes over time, nor about stability of coping strategies in persons with osteoarthritis. The a...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.1003286
更新日期:2015-01-01 00:00:00