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Do caregiver management strategies influence patient behaviour in dementia?
Author(s)Marjolein E de Vugt, Fred Stevens, Pauline Aalten
Journal titleInternational Journal of Geriatric Psychiatry, vol 19, no 1, January 2004
Pagespp 85-92
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Informal care ; Stress ; Management [care] ; Evaluation ; Netherlands.
AnnotationIdentification of specific caregiver strategies may provide useful information on the management and manifestation of behaviour problems in dementia. In this Netherlands study, 99 patients with dementia and their informal caregivers were followed for up to one year. Interviews were used to assess differences in caregiver management strategies. Behavioural disturbances in the patient were measured with the Neuropsychiatric Inventory (NPI). Repeated measures analysis identified three caregiver management strategies, based on whether or not the caregiver accepted the caregiving situation and dementia related problems. Caregivers characterised by non-acceptance were typified as "Non-adapters", while those characterised by acceptance were subdivided into "Nurturers" and "Supporters". Caregiver characteristics such as sex, education and personality were important determinants of management strategies. MANOVA showed that non-adapters reported significantly more hyperactivity symptoms in patients and felt less competent than did "supporters". Intervention programmes should aim at teaching caregivers adequate management strategies. (RH).
Accession NumberCPA-040303218 A
ClassmarkEA: P6: QNH: QA: 4C: 76H

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