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Coping strategies, anxiety and depression in caregivers of people with Alzheimer's disease
Author(s)Claudia Cooper, Cornelius Katona, Martin Orrell
Journal titleInternational Journal of Geriatric Psychiatry, vol 23, no 9, September 2008
Pagespp 929-936
Sourcehttp://www.interscience.wiley.com
KeywordsAnxiety ; Depression ; Stress ; Attitude ; Informal care ; Dementia ; Longitudinal surveys ; London ; South East England.
AnnotationThe hypothesis was explored that the relationship between caregiver burden and depression is mediated by coping style. As part of the LASER-AD study in London and the South East, 93 (73.8%) people with Alzheimer's disease (AD) and their family caregivers recruited at baseline were re-interviewed 1 year later. Sampling aimed to ensure that the participants were representative of people living in the UK with AD in terms of dementia severity, gender and care setting. The Hospital Anxiety and Depression Scale (HADS), the Zarit Burden scale and the brief COPE were used to measure coping strategies. Using fewer emotion-focused strategies and more problem-focused strategies (but not dysfunctional strategies) mediated the relationship between caregiver burden and anxiety a year later. Using fewer emotion focused strategies also predicted higher psychological morbidity in general. The results suggest that a psychological intervention package to emphasise emotion-focused coping may be a rational approach to reduce anxiety in dementia caregivers. Studies are needed to test such interventions. (RH).
Accession NumberCPA-081009203 A
ClassmarkENP: ENR: QNH: DP: P6: EA: 3J: 82L: 82Z

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