Caregiver expressed emotion and depression in Alzheimer's disease
A.W. Wagner
Bok Engelsk 1997
| Utgitt | 1997
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|---|---|
| Omfang | Side 132- 139
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| Opplysninger | Expressed Emotion (EE) has been a useful construct for understandingthe relationship between family interactions and depression inpatients with psychiatric disorders. It has not, however, been wellstudied in patients with Alzheimer's disease (AD) and theircaregivers despite its potential utility in clarifying patient-caregiver interactions and how such interactions may affect patientfunction, and caregiver burden, mood and quality of care. This studyinvestigated the rate of EE in caregivers of patients with AD anddepression. It also investigated the relationship of caregiver EE topatient status and caregiver burden and depression. Fifty-seven ADpatient-caregiver dyads were studied in a cross-sectional design.Caregiver measures included the EE Speech Sample, Burden Inventory,and Center for Epidemiological Studies-Depression Scale. Patientmeasures included the Hamilton Depression Rating Scale, Record ofIndependent Living, and Revised Memory and Behavior ProblemChecklist. Twenty-three (40%) caregivers were high in EE, 34: (60%)were low. This percentage is higher than reported in normal olderadults but is consistent with other psychiatric populations. High EEcaregivers were significantly more likely to be clinically depressedand have higher levels of burden. They also endorsed fewer positiveaspects of caregiving. No relationship was found between caregiver EEstatus and patient variables. Caregiver EE offers a novel approach tounderstanding important aspects of caregiver-patient interactionswhich may impact long term patient functioning and caregivers'ability to provide effective care.
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| Emner |
