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Concordance in psychological distress between people with dementia and caregivers

Patten, EL; (2014) Concordance in psychological distress between people with dementia and caregivers. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Objectives: Psychological symptoms are highly prevalent, and negatively impact upon wellbeing in both people with dementia and caregivers. Despite this, little is known about whether there is a concordance in psychological symptoms between members of this dyad. This review examined the current evidence for a concordance in depression and anxiety symptoms between people with dementia and their family caregivers. Method: Studies were included if they examined the association in either depression or anxiety symptoms between the Person with Dementia (PwD) and family caregiver, using quantitative measures or diagnostic clinical interview. Results: Three longitudinal studies and 14 cross-sectional studies were identified that met criteria. All three longitudinal studies found a positive association in symptoms of depression between the PwD and caregiver compared to five out of 14 cross-sectional studies. The one study in the review that examined symptoms of anxiety found no association. Variables that influenced whether a concordance in symptoms was observed included informant source for measures of depression in the PwD, cohabitation, symptom severity and sample size. However, conclusions were limited as only three studies in the review had an explicit aim of examining the association in psychological symptoms between dyad members. Conclusions: Further research is needed which explicitly focuses on whether there is a concordance in psychological symptoms between people with dementia and their caregivers, including identifying which variables influence whether concordance occurs. This can enable interpersonal factors that contribute to and maintain psychological symptoms in dyad members to be identified and guide interventions.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Concordance in psychological distress between people with dementia and caregivers
Open access status: An open access version is available from UCL Discovery
Language: English
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/1451905
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