Article: Abuse of older Chinese with dementia by family caregivers: An inquiry into the role of caregiver burden

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TitleAbuse of older Chinese with dementia by family caregivers: An inquiry into the role of caregiver burden
AuthorsYan, E1
Kwok, T2
KeywordsChinese
Dementia
Elder Abuse
Family Caregivers
Issue Date2011
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
CitationInternational Journal Of Geriatric Psychiatry, 2011, v. 26 n. 5, p. 527-535 [How to Cite?]
DOI: http://dx.doi.org/10.1002/gps.2561
AbstractObjective: This study examined the prevalence and risk factors for elder abuse in older Chinese with dementia by their family caregivers in Hong Kong. Methods: A sample of 122 family caregivers of older persons with dementia was conveniently recruited from local community centers for the elderly. Participants provided information on their demographic characteristics, care recipients' physical functioning and agitated behavior, caregiver burden, and whether they had directed any abusive behavior at the care recipients in the previous month. Results: Sixty-two and 18 per cent of the caregivers reported having verbally or physically abused the care recipients in the past month. Family caregivers who spent more days co-residing with the care recipients, lacked any assistance from a domestic helper, observed more agitated behaviors in the care recipients, and/or reported a higher level of caregiver stress, reported more abusive behaviors. The results of hierarchical regression analysis showed that the number of co-residing days (p<0.001), lack of any assistance from a domestic helper (p<0.05), and caregiver burden (p<0.01) were significant predictors of verbal abuse. Care recipient agitated behavior (p<0.01) also predicted verbal abuse, with its effect mediated by caregiver burden. For physical abuse, the number of co-residing days (p<0.01) was the only significant predictor. Conclusions: Verbal and physical abuse were highly prevalent among this population of older Chinese with dementia. A higher level of caregiver stress is related to a higher level of verbal, but not physical abuse inflicted by the caregivers of these older persons with dementia. Copyright © 2010 John Wiley & Sons, Ltd.
ISSN0885-6230
2011 Impact Factor: 2.419
2011 SCImago Journal Rankings: 0.120
DOIhttp://dx.doi.org/10.1002/gps.2561
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorYan, E
dc.contributor.authorKwok, T
dc.date.accessioned2012-10-30T06:20:57Z
dc.date.available2012-10-30T06:20:57Z
dc.date.issued2011
dc.description.abstractObjective: This study examined the prevalence and risk factors for elder abuse in older Chinese with dementia by their family caregivers in Hong Kong. Methods: A sample of 122 family caregivers of older persons with dementia was conveniently recruited from local community centers for the elderly. Participants provided information on their demographic characteristics, care recipients' physical functioning and agitated behavior, caregiver burden, and whether they had directed any abusive behavior at the care recipients in the previous month. Results: Sixty-two and 18 per cent of the caregivers reported having verbally or physically abused the care recipients in the past month. Family caregivers who spent more days co-residing with the care recipients, lacked any assistance from a domestic helper, observed more agitated behaviors in the care recipients, and/or reported a higher level of caregiver stress, reported more abusive behaviors. The results of hierarchical regression analysis showed that the number of co-residing days (p<0.001), lack of any assistance from a domestic helper (p<0.05), and caregiver burden (p<0.01) were significant predictors of verbal abuse. Care recipient agitated behavior (p<0.01) also predicted verbal abuse, with its effect mediated by caregiver burden. For physical abuse, the number of co-residing days (p<0.01) was the only significant predictor. Conclusions: Verbal and physical abuse were highly prevalent among this population of older Chinese with dementia. A higher level of caregiver stress is related to a higher level of verbal, but not physical abuse inflicted by the caregivers of these older persons with dementia. Copyright © 2010 John Wiley & Sons, Ltd.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationInternational Journal Of Geriatric Psychiatry, 2011, v. 26 n. 5, p. 527-535 [How to Cite?]
DOI: http://dx.doi.org/10.1002/gps.2561
dc.identifier.doihttp://dx.doi.org/10.1002/gps.2561
dc.identifier.epage535
dc.identifier.issn0885-6230
2011 Impact Factor: 2.419
2011 SCImago Journal Rankings: 0.120
dc.identifier.issue5
dc.identifier.scopuseid_2-s2.0-79953248096
dc.identifier.spage527
dc.identifier.urihttp://hdl.handle.net/10722/172250
dc.identifier.volume26
dc.languageeng
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
dc.publisher.placeUnited Kingdom
dc.relation.ispartofInternational Journal of Geriatric Psychiatry
dc.relation.referencesReferences in Scopus
dc.subjectChinese
dc.subjectDementia
dc.subjectElder Abuse
dc.subjectFamily Caregivers
dc.titleAbuse of older Chinese with dementia by family caregivers: An inquiry into the role of caregiver burden
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Chinese University of Hong Kong