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Impact of three dementia‐related behaviors on caregiver depression: The role of rejection of care, aggression, and agitation
Journal article   Open access   Peer reviewed

Impact of three dementia‐related behaviors on caregiver depression: The role of rejection of care, aggression, and agitation

Scott Seung W. Choi, Chakra Budhathoki and Laura N. Gitlin
International journal of geriatric psychiatry, v 34(7), pp 966-973
Jul 2019
DOI: https://doi.org/10.1002/gps.5097
PMID: 30897238
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc6579654View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

aggression agitation caregiver depression dementia rejection of care
Objective The relationship of specific dementia‐related behaviors to caregiver depression and moderating factors is unclear. We examined the role of rejection of care, aggression, and agitation to caregiver depression and if social support and mastery independently moderated associations. Methods The method used was a cross‐sectional, secondary analysis using baseline data from two community‐based clinical trials. We examined frequency of occurrence of presenting behaviors and their combinations in persons with dementia. Multiple logistic regression analyses examined associations between nonoverlapping behavioral clusters (agitation alone, agitation + rejection, agitation + aggression, and agitation + rejection + aggression) and caregiver depression. Multiple logistic regression with interaction terms was also used to investigate whether social support or caregiver mastery moderated the relationship between behavioral symptom clusters and caregiver depression. Results Three of four symptom clusters (all three behaviors [adjusted odds ratio (AOR) = 2.22; 95% CI, 1.02‐4.83], agitation + rejection of care [AOR = 2.55; 95% CI, 1.06‐6.13], and agitation + aggression [AOR = 2.63; 95% CI, 1.17‐5.89]) had a positive association with caregiver depression, whereas agitation alone was not significantly associated with caregiver depression. Neither social support nor mastery significantly moderated the relationship between these three behavioral clusters and caregiver depression. Conclusion Caregiver depression was associated with different combinations of behaviors but not with agitation alone. These results have implications for intervention development and identifying caregivers at risk for depression. Level of social support and mastery does not appear to moderate impact on caregiver depression.

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14 citations in Web of Science
15 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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Collaboration types
Domestic collaboration
Web of Science research areas
Geriatrics & Gerontology
Gerontology
Psychiatry
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