UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia

Feast, A; Orrell, M; Russell, I; Charlesworth, G; Moniz-Cook, E; (2016) The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia. International Journal of Geriatric Psychiatry 10.1002/gps.4447. Green open access

[thumbnail of PDF submission_Path analysis_13.08.15_IJGP.pdf]
Preview
Text
PDF submission_Path analysis_13.08.15_IJGP.pdf - Accepted Version

Download (358kB) | Preview

Abstract

OBJECTIVE: The objective of the study is to examine caregiver factors as predictors of BPSD-related distress and their potential mechanisms. METHOD: Informal caregivers of people with dementia (n = 157) recruited from 28 community mental health teams in six NHS Trusts across England completed questionnaires regarding psychosocial factors (relationship quality, competence, guilt, health-related quality of life in the caregiver and person with dementia, reactivity to behavioural and psychological symptoms in dementia [BPSD] and burden) and frequency of BPSD. Analyses of BPSD-related distress include hierarchical multiple regression, mediation, moderation and path analysis. RESULTS: Caregiver psychosocial factors explained 56% of the variance in BPSD-related distress. After controlling for these factors, frequency of BPSD was not a significant predictor of BPSD-related distress. Caregiver reactivity to BPSD, burden, competence and relationship quality directly influenced BPSD-related distress. Guilt influenced distress indirectly via competence, burden and reactivity to BPSD. The final model accounted for 41% of the variance in BPSD-related distress and achieved a good fit to the data (χ(2)  = 23.920, df = 19, p = 0.199). CONCLUSIONS: Caregiver psychosocial factors including sense of competence, guilt, burden and reactivity to BPSD contribute to BPSD-related distress. Tailored interventions for managing behaviour problems in family settings could focus on these factors associated with BPSD-related distress to minimise distress in families.

Type: Article
Title: The contribution of caregiver psychosocial factors to distress associated with behavioural and psychological symptoms in dementia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/gps.4447
Publisher version: http://dx.doi.org/10.1002/gps.4447
Language: English
Additional information: Copyright © 2016 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: International Journal of Geriatric Psychiatry, which has been published in final form at DOI:10.1002/gps.4447. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: behavioural symptoms, caregivers, dementia, path analysis, psychological stress, psychosocial factors, regression analysis
UCL classification: UCL
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
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1476299
Downloads since deposit
529Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item