Publicação
Influence of personality on family caregiver’s burden, depression and distress related to the behaviour of persons with dementia
| Resumo: | Introduction Behavioural and psychological symptoms of dementia (BPSD) affect the majority of patients. The personality of the caregiver has significant influence on the responses to the care experience. We hypothesized that the personality influences the caregiver's depression, burden and distress related to the BPSD; and the personality is associated with specific strategies used by family caregivers to deal to the BPSD. Materials and Methods Participants were 105 consecutive patients with dementia and their family caregivers, living at home, attending a Dementia Outpatient Clinic. A cross-sectional design was used with a structured interview applied at home. Assessments included: Cognitive function (MMSE), Stage of Dementia (GDS), BPSD (NPI), Personality (NEO-FFI), Burden (ZBI), Depression (CESD), Distress related to BPSD (NPI-distress), and an open question to identify the strategies used by caregivers when faced with BPSD. The qualitative analysis of content was guided by Bardin. Path analysis was developed to 7 test hypothetical causal and mediation effects between personality traits, depression, burden and distress related to the BPSD; generalized linear model was used to appraise the influence of depression on use of strategies to deal with BPSD; a logit general linear model with binomial probability distribution, using the different strategies as repeated measures, to test the association between personality and strategies, followed by multiple logistic regression for each strategy. Results Neuroticism increased, whereas extraversion decreased, both caregiver’s depression and burden. Agreeableness was also found to decrease the burden. The personality characteristics only indirectly influenced the caregiver’s distress related to BPSD. Depression did not have a significant effect over the use of strategies. Only extraversion determined the use of caregiver strategies to deal with BPSD and more extroverted caregivers using “confronting” strategy less often. Conclusion Assessment of caregiver’s personality characteristics should be taken into account for the planning of intervention programs. |
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| Autores principais: | Melo E Silva, Maria Da Graça |
| Assunto: | Cuidadores Demência Depressão Teses de doutoramento - 2012 |
| Ano: | 2011 |
| País: | Portugal |
| Tipo de documento: | tese de doutoramento |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | Introduction Behavioural and psychological symptoms of dementia (BPSD) affect the majority of patients. The personality of the caregiver has significant influence on the responses to the care experience. We hypothesized that the personality influences the caregiver's depression, burden and distress related to the BPSD; and the personality is associated with specific strategies used by family caregivers to deal to the BPSD. Materials and Methods Participants were 105 consecutive patients with dementia and their family caregivers, living at home, attending a Dementia Outpatient Clinic. A cross-sectional design was used with a structured interview applied at home. Assessments included: Cognitive function (MMSE), Stage of Dementia (GDS), BPSD (NPI), Personality (NEO-FFI), Burden (ZBI), Depression (CESD), Distress related to BPSD (NPI-distress), and an open question to identify the strategies used by caregivers when faced with BPSD. The qualitative analysis of content was guided by Bardin. Path analysis was developed to 7 test hypothetical causal and mediation effects between personality traits, depression, burden and distress related to the BPSD; generalized linear model was used to appraise the influence of depression on use of strategies to deal with BPSD; a logit general linear model with binomial probability distribution, using the different strategies as repeated measures, to test the association between personality and strategies, followed by multiple logistic regression for each strategy. Results Neuroticism increased, whereas extraversion decreased, both caregiver’s depression and burden. Agreeableness was also found to decrease the burden. The personality characteristics only indirectly influenced the caregiver’s distress related to BPSD. Depression did not have a significant effect over the use of strategies. Only extraversion determined the use of caregiver strategies to deal with BPSD and more extroverted caregivers using “confronting” strategy less often. Conclusion Assessment of caregiver’s personality characteristics should be taken into account for the planning of intervention programs. |
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