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Long-term adaptation to institutionalization in dementia caregivers
Author(s)Joseph E Gaugler, Anne Margriet Pot, Steven H Zarit
Journal titleThe Gerontologist, vol 47, no 6, December 2007
Pagespp 730-740
Sourcehttp://www.geron.org
KeywordsDementia ; Admission [nursing homes] ; Adjustment ; Family care ; Stress ; Longitudinal surveys ; United States of America.
AnnotationLongitudinal research in dementia has acknowledged the importance of transitions during the course of family caregiving. This study attempts to describe caregivers' adaptation to placement up to 4 years following institutionalisation. Using data from the Caregiver Stress and Coping Study (CSCS), this analysis constructed four longitudinal panels, each consisting of a pre-placement assessment and either two (n=145), three (n=109), four (n=75) or five (n=38) waves after placement. Growth curve models were used to examine longitudinal trajectories of adaptation to various measures of stress, well-being and psychosocial resources. The findings suggest sharper decrease in stressors (e.g. role overload) and indicators of negative mental health in the shorter term panels. However, more significant intra-individual variation existed in the longer term panels (four and five waves of post-placement). There is relative stability in caregiver long-term adaptations to institutionalisation. However, the variability in adaptation emphasises the need to target post-placement clinical interventions to families most at risk for negative outcomes during the transition to institutional care. (RH).
Accession NumberCPA-080326206 A
ClassmarkEA: LHB:QKH: DR: P6:SJ: QNH: 3J: 7T

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