Behavioral change in persons with dementia: Relationships with mental and physical health of caregivers

Karen Hooker, Sally R. Bowman, Deborah Padgett Coehlo, Shana Rae Lim, Jeffrey Kaye, Robin Guariglia, Fuzhong Li

Research output: Contribution to journalArticle

97 Scopus citations

Abstract

The purpose of this study was to examine the effects that changes in behavioral and psychological symptoms of dementia of persons with Alzheimer's disease have on their caregivers' mental health and physical health. The research design was a prospective, longitudinal follow-up study conducted in a major medical center and in participants' homes. Longitudinal analysis linking change in behavior to caregiver outcomes was based on 64 cases. Care recipients were assessed at the time of diagnosis with the Mini-Mental State Examination (MMSE). To provide information on the care recipient's behaviors, caregivers participated in an interview with the Modified Neuropsychiatric Inventory at diagnosis and at follow-up. Caregivers also completed a battery of established instruments to measure stress appraisal, mental health, and perceptions of their physical health at follow-up. Results showed that increases in problem behaviors among persons living with dementia, along with residence status, were significant predictors of caregivers' mental health and also their physical health. However, these relationships were mediated through stress appraisal. Variables such as MMSE score of the person with dementia, number of years caregiving, relationship status, and education level were not significant predictors of caregivers' health when behavior change was in the model.

Original languageEnglish (US)
Pages (from-to)P453-P460
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume57
Issue number5
DOIs
StatePublished - Sep 2002

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

Fingerprint Dive into the research topics of 'Behavioral change in persons with dementia: Relationships with mental and physical health of caregivers'. Together they form a unique fingerprint.

  • Cite this