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Article: Abuse of Older Persons with Dementia by Family Caregivers: Results of a Six-Month Prospective Study in Hong Kong

TitleAbuse of Older Persons with Dementia by Family Caregivers: Results of a Six-Month Prospective Study in Hong Kong
Authors
Issue Date2014
Citation
International Journal of Geriatric Psychiatry , 2014, v. 29 n. 10, p. 1018-1027 How to Cite?
AbstractObjective: To examine the association between care-recipients’ agitated behaviors, family caregivers’ burnout and abuse in community dwelling older Chinese with dementia in Hong Kong. Design: 6-month prospective study Method: 149 caregivers provided information on their demographic characteristics, care recipients’ everyday functioning and agitated behaviors and caregivers’ burnout symptoms. Caregivers were re-interviewed 6 months later and provided information on changes in both care recipients everyday functioning and agitated behaviors, and verbally and physically abusive behaviors directed at care recipients in the past month. Results: The single most significant variable in predicting abuse at 6-month follow-up was abuse at baseline. In additionApart from baseline abuse, verbal abuse was predicted by more co-residing days, a high level of agitated behavior, and a strong sense of caregiver depersonalization. Care recipients were more likely to be physically abused if they were male, had no chronic conditions other than dementia, and demonstrated a high level of agitated behaviors. Entering caregiver burnout into the model did not modify the association between care recipients agitated behavior and abuse for either verbal or physical abuse. Conclusion: This study is the first to establish an association between care-recipients’ agitated behaviors, burnout and abuse by family caregivers using prospective data. The present results confirmed that care recipients’ agitated behaviors and caregivers symptoms of burnout are associated with family caregivers’ abusive behaviors. Caregiver burnout did not mediate the association between agitated behaviors and abuse. Proper management of care recipients’ agitated behaviors and adequate support provided to family caregivers may help prevent development of new cases of elder mistreatment.
Persistent Identifierhttp://hdl.handle.net/10722/200865

 

DC FieldValueLanguage
dc.contributor.authorYan, ECWen_US
dc.date.accessioned2014-08-21T07:04:25Z-
dc.date.available2014-08-21T07:04:25Z-
dc.date.issued2014en_US
dc.identifier.citationInternational Journal of Geriatric Psychiatry , 2014, v. 29 n. 10, p. 1018-1027en_US
dc.identifier.urihttp://hdl.handle.net/10722/200865-
dc.description.abstractObjective: To examine the association between care-recipients’ agitated behaviors, family caregivers’ burnout and abuse in community dwelling older Chinese with dementia in Hong Kong. Design: 6-month prospective study Method: 149 caregivers provided information on their demographic characteristics, care recipients’ everyday functioning and agitated behaviors and caregivers’ burnout symptoms. Caregivers were re-interviewed 6 months later and provided information on changes in both care recipients everyday functioning and agitated behaviors, and verbally and physically abusive behaviors directed at care recipients in the past month. Results: The single most significant variable in predicting abuse at 6-month follow-up was abuse at baseline. In additionApart from baseline abuse, verbal abuse was predicted by more co-residing days, a high level of agitated behavior, and a strong sense of caregiver depersonalization. Care recipients were more likely to be physically abused if they were male, had no chronic conditions other than dementia, and demonstrated a high level of agitated behaviors. Entering caregiver burnout into the model did not modify the association between care recipients agitated behavior and abuse for either verbal or physical abuse. Conclusion: This study is the first to establish an association between care-recipients’ agitated behaviors, burnout and abuse by family caregivers using prospective data. The present results confirmed that care recipients’ agitated behaviors and caregivers symptoms of burnout are associated with family caregivers’ abusive behaviors. Caregiver burnout did not mediate the association between agitated behaviors and abuse. Proper management of care recipients’ agitated behaviors and adequate support provided to family caregivers may help prevent development of new cases of elder mistreatment.en_US
dc.languageengen_US
dc.relation.ispartofInternational Journal of Geriatric Psychiatryen_US
dc.titleAbuse of Older Persons with Dementia by Family Caregivers: Results of a Six-Month Prospective Study in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailYan, ECW: elsieyan@hku.hken_US
dc.identifier.authorityYan, ECW=rp00600en_US
dc.identifier.doi10.1002/gps.4092-
dc.identifier.pmid24578325-
dc.identifier.hkuros234239en_US

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