Characteristics of Depressed Caregivers of Veterans With Dementia

Author:

Bejjani Carla12,Snow A. Lynn34,Judge Katherine S.56,Bass David M.6,Morgan Robert O.7,Wilson Nancy18,Walder Annette19,Looman Wendy J.6,McCarthy Catherine6,Kunik Mark E.11011

Affiliation:

1. VA HSR&D Houston Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA

2. Baylor College of Medicine, Houston, TX, USA

3. Center for Mental Health and Aging, The University of Alabama, Tuscaloosa, AL, USA

4. Research & Development Service, Tuscaloosa VA Medical Center, Tuscaloosa, AL, USA

5. Department of Psychology, Cleveland State University, Cleveland, OH, USA

6. Margaret Blenkner Research Institute, Benjamin Rose Institute on Aging, Cleveland, OH, USA

7. Department of Management, Policy and Community Health, The University of Texas School of Public Health, Houston, TX, USA

8. Section of Geriatrics, Department of Internal Medicine, Baylor College of Medicine, Houston, TX, USA

9. Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA

10. Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA

11. VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX, USA

Abstract

This study examined the characteristics of caregivers and persons with dementia (PWD) to determine their association with caregiver depression. Participants included 508 PWD (veterans) and 486 caregivers from Boston, Houston, Providence, Beaumont (Texas), and Oklahoma City, identified from diagnoses from medical records and recruited from February 2007 to July 2009, for a larger study evaluating Partners in Dementia Care, a care-coordination intervention. Characteristics evaluated for PWD included activities of daily living, instrumental activities of daily living, cognitive impairment, and disruptive behavior. Caregiver characteristics evaluated included caregiver unmet needs, support-service use, and number of informal helpers. Caregiver depression was measured using the Iowa form 11-item Center for Epidemiologic Studies Depression Scale. Depressed caregivers reported significantly more unmet needs than the nondepressed caregivers. Depressed caregivers also reported a high frequency of disruptive behavior in their PWD. Caregiver perceptions of unmet needs may be an important target for intervention.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Neuroscience

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