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Journal article
Finding fault: Criticism as a care management strategy and its impact on outcomes for dementia caregivers
International journal of geriatric psychiatry, v 34(4), pp 571-577
01 Apr 2019
PMID: 30556172
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Despite a large literature on the stress process, little attention has focused on how caregivers for persons living with dementia (PLWDs) provide care and how this may impact care outcomes. Criticism is a management strategy caregivers may use to respond to behavioral symptoms. We consider whether criticism is associated with caregivers' mental health and service utilization. Methods Data are drawn from the Advancing Caregiver Training intervention study including 256 informal caregivers living with a PLWD. In multiple linear regressions controlling for caregivers' demographics and PLWDs' clinical factors, we consider criticism (criticism subscale of the Dementia Management Strategies Scale) as a predictor of caregiver burden, depressive symptoms, desire to institutionalize the PLWD, level of frustration with care, and the number of home-based, social, and health services utilized. Results On average, 15% of the sample sometimes reported using criticism as a management strategy to manage the challenges of care. Greater use of criticism was associated with significantly more caregiver burden (beta = 0.26, P < 0.001) and frustration with caregiving (beta = 0.66, P < 0.001), but not depressive symptoms or a desire to institutionalize the PLWD. Criticism was also associated with significantly greater utilization of home-based (beta = 0.14, P < 0.05) and social services (beta = 0.15, P < 0.05), but not health care services. Conclusion Criticism appears to be used by more burdened and frustrated caregivers. The association of criticism with social and home-based services potentially reflects a need for greater support among this group of caregivers. Behavioral interventions that can help caregivers manage behavioral symptoms with positive, empirically validated strategies may be helpful.
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Details
- Title
- Finding fault: Criticism as a care management strategy and its impact on outcomes for dementia caregivers
- Creators
- Amanda N. Leggett - University of Michigan–Ann ArborHelen C. Kales - University of Michigan–Ann ArborLaura N. Gitlin - Drexel University
- Publication Details
- International journal of geriatric psychiatry, v 34(4), pp 571-577
- Publisher
- Wiley
- Number of pages
- 7
- Grant note
- K01AG056557; R01AG22254; R01 AG22254 / National Institute on Aging (NIA); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) K01AG056557 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) NCT00259480 / National Institute on Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000461373800007
- Scopus ID
- 2-s2.0-85059510211
- Other Identifier
- 991019168192604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Psychiatry