Stress of Caregivers of Dementia Patients in the Singapore Chinese Family

Kua, Ee Heok; Li, Tan Swee

doi:10.1002/(sici)1099-1166(199704)12:4<466::aid-gps517>3.0.co;2-u

Cited by 45 publications

(13 citation statements)

References 16 publications

(17 reference statements)

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“…However, the same study revealed similar stress (or lack thereof) in response to patient "delusions, hallucinations, agitation, anxiety, euphoria, disinhibition, irritation, aberrant motor behavior, sleep and appetite symptoms." 40 These findings are consistent with those reported by Heok and Li 36 …”

Section: Asiasupporting

confidence: 91%

See 1 more Smart Citation

A Multinational Review of Recent Trends and Reports in Dementia Caregiver Burden

Torti¹,

Gwyther²,

Reed³

et al. 2004

Alzheimer Disease & Associated Disorders

228

163

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This systematic review of the literature focuses on the influence of ethnic, cultural, and geographic factors on the caregivers of patients with dementia. In particular, we explore the impact of cultural expectations on five important questions: 1) Do the characteristics of dementia affect caregiver burden? 2) Do characteristics of the caregiver independently predict burden? 3) Does the caregiver affect patient outcomes? 4) Does support or intervention for caregiver result in reduced caregiver burden or improved patient outcomes? 5) Finally, do patient interventions result in reduced caregiver burden or improved patient outcomes? Our findings suggest that noncognitive, behavioral disturbances of patients with dementia result in increased caregiver burden and that female caregivers bear a particularly heavy burden across cultures, particularly in Asian societies. Caregiver burden influences time to medical presentation of patients with dementia, patient condition at presentation, and patient institutionalization. Moreover, interventions designed to reduce caregiver burden have been largely, although not universally, unsuccessful. Pharmacological treatments for symptoms of dementia were found to be beneficial in reducing caregiver burden. The consistency of findings across studies, geographic regions, cultural differences, and heathcare delivery systems is striking. Yet, there are critical differences in cultural expectations and social resources. Future interventions to reduce caregiver burden must consider these differences, identify patients and caregivers at greatest risk, and develop targeted programs that combine aspects of a number of interventional strategies.

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Section: Asiasupporting

confidence: 91%

“…Arai et al 53 Mittleman et al 67 Grafstrom and Winblad 51 More severe Vetter et al 33 (AD) Behavioral disturbances Severe Severe Severe Zanetti et al 49 Nagatomo et al 35 Teri 21 Donaldson and Burns 50 Pang et al 40 Victoroff et al 24 Schneider et al 30 Heok and Li 36 Chang et al 11 Annerstedt et al 55 Lim et al 38 Gallicchio et al 23 …”

Section: North Americamentioning

confidence: 99%

A Multinational Review of Recent Trends and Reports in Dementia Caregiver Burden

Torti¹,

Gwyther²,

Reed³

et al. 2004

Alzheimer Disease & Associated Disorders

228

163

View full text Add to dashboard Cite

show abstract

“…This was not unexpected given the uicrease in sample size from the previous investigation of incontinence and also the trend presented previously between incontinence and strain. The resuhs support the findmgs of previous research (Brittmn, 1998;Flaherty, 1992;Heok and Li, 1997;Lim et al, 1999) which has also demonstrated a relationship between incontinence and caregiver outcomes.…”

Section: 4supporting

confidence: 88%

“…Functional status at the time ofthe stroke was unimportant with regard to later strain. Studies have shown that incontinence can negatively impact on carer burden and mood (Brittain et al, 1998;Flaherty, 1992;Heok and Li, 1997;Lim et al, 1999). Despite the lack of statistical significance, bar charts suggested increased strain in spouses of incontinent patients by three months.…”

Section: 35mentioning

confidence: 99%

Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

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Objective: To test the ability of a previously generated logistic regression model to predict caregiver strain from carer mood, negative affectivity and perceived patient functional ability. Design: Postal prospective survey. Setting: Spouses of community-residing patients identified from hospital stroke registers. Method: Spouses were assessed at three and six months after stroke. A previously derived equation was used to make predictions at three months of their level of strain at six months, which were compared with observed outcomes. Measures: Spouses were asked to complete the Caregiver Strain Index (CSI), the General Health Questionnaire (GHQ-12), the Positive and Negative Affectivity Schedule (PANAS) and to assess patients' independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL). Results: Of 409 stroke patients, 276 had an identifiable co-resident spouse and 116 (42%) completed the measures. At three months after stroke, 39 carers (34%) were under significant strain with 40 (35%) under strain at six months. The predictive model using the GHQ-12, PANAS and EADL at three months was 78% accurate in predicting levels of caregiver strain at six months. Conclusion: Carers at risk of later strain could be identified for further followup. Services to provide emotional support to carers might be effective in the reduction of carer strain.

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“…Previous family caregiving studies reported that caregiver health is a good predictor of negative caregiving experiences, such as caregiver burden (e.g., Choi, 1993;Fredman, Daly & Lazur, 1995;Macera et al, 1992;Martin, 2000) and caregiver depression (e.g., Farran et al, 1997;Heok & Li, 1997;Kim & Lee, 2003;Lee & Farran, 2004). This study found that caregivers with better health had more positive feelings toward caregiving.…”

Section: Discussionmentioning

confidence: 50%

Can Cultural Values Help Explain the Positive Aspects of Caregiving Among Chinese American Caregivers?

Tang

2011

Journal of Gerontological Social Work

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This study used an adaptation of the caregivers' stress model to examine the positive aspects of caregiving with 113 Chinese American family caregivers who provided care to their elderly relatives. The hierarchical multiple regression analysis indicated that combination of caregiver background characteristics, stressors, and cultural values had direct effects on positive aspects of caregiving. Unlike previous studies in which cultural values were not measured, this study found that cultural values helped explain positive aspects of caregiving. Specifically, cultural values, caregiver's health, and caregiver's age predicted positive aspects of caregiving. Service implications are discussed based upon the findings.

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Stress of Caregivers of Dementia Patients in the Singapore Chinese Family

Cited by 45 publications

References 16 publications

A Multinational Review of Recent Trends and Reports in Dementia Caregiver Burden

A Multinational Review of Recent Trends and Reports in Dementia Caregiver Burden

Caregiver strain in spouses of stroke patients

Can Cultural Values Help Explain the Positive Aspects of Caregiving Among Chinese American Caregivers?

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