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Elder-proxy agreement concerning the functional status and medical history of the older person: the impact of caregiver burden and depressive symptomatology
Author(s)Kristie Long, S Sudha, Elizabeth J Mutran
Journal titleJournal of the American Geriatrics Society, vol 46, no 9, September 1998
Pagespp 1103-1111
KeywordsMobility ; Self care capacity ; Health [elderly] ; Attitude ; Depression ; Family care ; Stress ; United States of America.
AnnotationThe aim of this study was to examine the influence of caregiver burden and depressive symptomatology on elder-proxy response concordance regarding the older person's functional status and medical history. A total of 340 matched pairs of frail older persons and their respective caregivers participated in the study. Results showed that older person-carer concordance was highest among activities of daily living (ADL) items, followed by medical history items and instrumental activities of daily living (IADL) items. Caregiver depression had no significant impact on response concordance on any of the three outcomes of interest: IADL, medical history bias and ADL disagreement. However, caregiver burden was marginally predictive of bias on the total ADL and IADL scales. In addition, increased burden was significantly predictive of bias on five of the seven individual items of the IADL scale, suggesting that the more burden a caregiver feels, the greater likelihood that he or she will overstate the older person's disability compared with self-report. (AKM).
Accession NumberCPA-981210406 A
ClassmarkC4: CA: CC: DP: ENR: P6:SJ: QNH: 7T

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