Centre for Policy on Ageing



Caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease
Author(s)	David W Gilley, Judith J McCann, Julia L Bienias
Journal title	Journal of Aging and Health, vol 17, no 2, April 2005
Pages	pp 172-189
Source	http://www.sagepub.com
Keywords	Informal care ; Adjustment ; Dementia ; Admission ; Institutional accommodation ; Longitudinal surveys ; United States of America.
Annotation	A 3-year longitudinal study was conducted with a clinic-based sample of 396 people with Alzheimer's disease (AD) and their respective family caregivers. Caregiver adjustment was sequentially measured at 3-month intervals using standard scales of appraisal (perceived burden and satisfaction) and emotion ( depressive symptoms and positive affect). In multivariate proportional hazards regression models predicting time to institutionalisation controlling for AD severity, hazard ratios were significant for appraisal measures of caregiver adjustment, perceived burden and satisfaction. In contrast, levels of caregivers' positive and negative emotion did not reliably predict institutionalisation. The findings highlight the importance of caregiver appraisals in decisions to institutionalise people with dementia, but the limited impact of caregiver emotion was unexpected and requires further study. (RH).
Accession Number	CPA-050418208 A
Classmark	P6: DR: EA: QKH: KV: 3J: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.