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High score on the Relative Stress Scale, a marker of possible psychiatric disorder in family carers of patients with dementia
Author(s)Ingun Ulstein, Torgeit Bruun Wyller, Knut Engedal
Journal titleInternational Journal of Geriatric Psychiatry, vol 22, no 3, March 2007
Pagespp 195-202
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Informal care ; Stress ; Behaviour disorders ; Evaluation ; Norway.
AnnotationScores on the Relative Stress Scale (RSS) were compared for those on the General Health Questionnaire (GHQ) and the Geriatric Depression Scale (GDS). In this Norwegian study, 194 carers of 194 patients suffering from dementia according to ICD-10 were included. Burden of care was assessed by the 15-item RSS and psychiatric symptoms by means of the GHQ-30 and the 30-item GDS. A case score above 5 on GHQ and above 13 on GDS were used to define carers with probable psychiatric morbidity. Sensitivity (SS), specificity (SP), accuracy and likelihood ratio for a positive test (LR+) were calculated or different cut-points of the RSS. 56% of the carers had a GHQ score above 5, and 22% had a GDS score above 13. A two-step cluster analysis using 192 of the 194 carers identified three groups fo carers: a low-risk for psychiatric morbidity (LRG), 82 carers with GHQ of 5 or less and GDS of 13 or less (MRG); and 40 carers with GHQ >5 and GDS >13 (HRG). The optimal RSS cut-off to distinguish between LRG and the others was >23, whereas the optimal cut-off to separate the HRG from the others was >30. The RSS is a useful instrument to stratify carers according to their risk of psychiatric morbidity. (RH).
Accession NumberCPA-070627205 A
ClassmarkEA: P6: QNH: EP: 4C: 76N

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