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Predictors of institutionalization for persons with Alzheimer's disease and the impact on family caregivers
Author(s)Carol J Whitlatch, Lynn Friss Feinberg, Erica J Stevens
Journal titleJournal of Mental Health and Aging, vol 5, no 3, Fall 1999
Pagespp 275-288
KeywordsDementia ; Institutional accommodation ; Family care ; Stress.
AnnotationThis US study examines the factors which differentiate 284 family caregivers who placed their relatives in nursing homes, versus 642 who continued to provide care at home for relatives with dementia over a 2-year period. Caregiver variables (i.e. income, kin relations, depression, burden, physical health, and social support) and care receiver variables (i.e. level of functional impairment and age) were entered into a logistic regression analysis predicting subsequent placement versus continuing care at home. Results indicate that compared to continuing care subjects, caregivers most likely to place their family member were more depressed, caring for impaired relatives with more problem behaviours (e.g. wandering, inappropriate behaviour) and receiving respite assistance. After placement, caregivers were found to be more burdened and to have declined slightly in their levels of subjective physical health. Findings suggest that interventions for family caregivers before and after placement may be beneficial in alleviating the negative effects of this stressful transition. (RH).
Accession NumberCPA-991022223 A
ClassmarkEA: KV: P6:SJ: QNH

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