Activities of daily living function and neuropsychiatric symptoms of people with dementia and caregiver burden: The mediating role of caregiving hours |
| |
| Affiliation: | 1. Dementia Centre for Research Collaboration, School of Psychiatry, UNSW Sydney, Sydney, Australia;2. Centre for Healthy Brain Ageing, School of Psychiatry, UNSW Sydney, Sydney, Australia;3. School of Public Health, University of Sydney, Sydney, Australia;4. Austin Hospital, Heidelberg, Australia;5. University of Melbourne Academic Unit for Psychiatry of Old Age, Melbourne, Australia;6. National Ageing Research Institute, Melbourne, Australia;1. Institute for Research, Development and Innovation, International Medical University, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia;2. Department of Psychology, International Medical University, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia;1. School of Nursing, University of Pennsylvania, Philadelphia, PA;2. School of Medicine, University of Missouri, Columbia, MO |
| |
| Abstract: | ObjectiveDue to the presence of neuropsychiatric behaviors and the decreased ability for activities of daily living (ADLs), family caregivers experience high burden levels in caring for people with dementia (PWD). This study sought to test the mediating role of caregiving hours in association with PWDs’ ability for basic activities of daily living (BADL) function or neuropsychiatric behaviors and caregiver burden.MethodsThis study used two waves of survey data, collected between 2013 and 2016, from 186 PWD–caregiver dyads in a dementia clinic at a teaching hospital in southern Taiwan. Two sets of multiple linear regression models were used to analyze the relationships between the changes in patients’ BADL function, patients’ neuropsychiatric behaviors, caregiving hours in ADL (including BADL and Instrumental ADL), and caregiver burden (measured using Zarit Burden Interview). Bootstrapping methods were used to detect the mediating effects of caregiving hours in ADL if the 95% confidence interval (CI) did not cover 0.ResultsCaregiving hours in BADL mediated the relationship of PWDs’ BADL function and caregiver burden (effect = −0.0137, 95% bootstrap CI = −0.0379, −0.0003). However, such mediating effects were not found in the relationship of PWDs’ neuropsychiatric behaviors and caregiver burden.ConclusionsIn order to relieve caregiver burden, respite care services for caregivers for PWD should target services that assist with PWD’s BADL. |
| |
| Keywords: | Dementia Activities of daily living (ADL) Neuropsychiatric behaviors Caregiving hours Caregiver burden |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
