This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Davis, B. A. Articles by Weiner, M. F. Search for Related Content PubMed PubMed Citation Articles by Davis, B. A. Articles by Weiner, M. F. Social Bookmarking                         What's this?

Caregivers' perceptions of dementia patients' functional ability

Kristin Martin-Cook, MS

Department of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas

Linda S. Hynan, PhD

Department of Clinical Science and Biostatistics; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas

Myron F. Weiner, MD

Departments of Neurology and Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas

Dementia patients' caregivers often provide information about patients' daily functioning, but little is known about factors influencing caregivers' perceptions. Baseline data from an intervention trial were used to compare caregiver estimates of dementia patients' performance with their actual performance of instrumental activities of daily living (IADLs) and to assess relationships between measures of caregiver responses to caregiving, self-perceived sense of self-efficacy, and depression. We also assessed patient cognition, overall function and behavioral disturbance, and caregivers' perceptions of their patients' behavior as manipulative or deliberate. Disparities between these estimates and actual patient performance on structured IADL tasks were unrelated to any caregiver, patient, or relationship factor that we measured.

Key Words: dementia patients • caregiver perceptions • functional ability

References

• 1. Martin-Cook K, Svetlik D, Weiner MF: Supporting family caregivers. In Weiner, MF, Lipton AM (eds.): The Dementias. Diagnosis, Treatment, and Research. Washington, DC: American Psychiatric Publishing, 2003.
• 2. Zanetti 0, Geroldi C, Frisoni GB, et al.: Contrasting results between caregiver's report and direct assessment of activities of daily living in patients affected by mild and very mild dementia: The contribution of the caregiver's personal characteristics. JAm Geriatr Soc. 1999; 47: 196-202.[Web of Science][Medline] [Order article via Infotrieve]
• 3. Loewenstein DA, Arguelles S, Bravo M, et al.: Caregivers' judgments of the functional abilities of the Alzheimer's disease patient: A comparison of proxy reports and objective measures. J Gerontol B Psychol Sci Soc Sci. 2001; 56: P78-P84.[Abstract/Free Full Text]
• 4. Loewenstein DA, Amigo E, Duara R, et al.: A new scale for the assessment of functional status in Alzheimer's disease and related disorders. J Gerontol. 1989; 44: P114-P121.[Abstract/Free Full Text]
• 5. Folstein MF, Folstein SE, McHugh PR: Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. JPsychiatr Res. 1975; 12: 189-198.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 6. Doble SE, Fisk JD, Rockwood KR: Assessing the ADL functioning of persons with Alzheimer's disease: comparison of family informants' ratings and performance-based assessment findings. Int Psychogeriatr 1999; 11: 399-409.[CrossRef][Medline] [Order article via Infotrieve]
• 7. Reisberg B, Ferris SH, DeLeon MJ, et al.: The Global Deterioration Scale for assessment of primary degenerative dementia. Am JPsychiatry. 1982; 139: 1136-1139.
• 8. Lyons KS, Zarit SH, Sayer AG, et al.: Caregiving as a dyadic process: perspectives from caregiver and receiver. J Gerontol B psychol Sci Soc Sci. 2002; 57; P195-P204.[Abstract/Free Full Text]
• 9. Beck C, Heacock P, Mercer SO, et al.: Improving dressing behavior in cognitively impaired nursing home residents. Nurs Res. 1997; 46: 126-132.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 10. Martin-Cook K, Davis B, Hynan LS, et al.: A randomized controlled study of an Alzheimer's caregiver skills training program, Am JAlzheimers Dis Other Demen. 2005; 20: 204-210.
• 11. Cullum CM, Saine K, Davis-Chan L, et al.: A performance-based instrument to assess functional capacity in dementia: The Texas Functional Living Scale. Neuropsychiatry Neuropsychol Behav Neurol. 2001; 14: 103-108.[Medline] [Order article via Infotrieve]
• 12. Loeb PA: Independent Living Scales. San Antonio, TX: The psychological Corporation, 1996.
• 13. Cummings JL, Mega M, Gray KF, et al.: The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology. 1994; 44: 2308-2314.[Abstract/Free Full Text]
• 14. Farran CJ, Miller BH, Kaufman JE, et al.: Finding meaning through caregiving: Development of an instrument for family caregivers of persons with Alzheimer's disease. J Clin Psychol. 1999; 55: 1107-1125.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 15. Jerusalem, M, Schwarzer R: Self-efficacy as a resource factor in American Journal of Alzheimer's Disease and Other Dementias Volume 21, Number 2, March/April 2006 stress appraisal processes. In: Schwarzer R. (ed.): Self-efficacy. Thought Control of Action. Washington, DC: Hemisphere, 1992.
• 16. Steinmetz SK: Duty bound. Elder abuse and family care. Newbury Park, CA: Sage, 1988.
• 17. Williamson GM, Shaffer DR, The Family Relationships in Late Life Project: Caregiver loss and quality of care provided: Pre-illness relationship makes a difference. In Harvey JH, Miller ED (eds.): Loss and Trauma. General and Close Relationship Perspectives. Philadelphia: Brunner/Mazel, 2000.
• 18. Fincham FD, Bradbury TN: Assessing attributions in marriage: The Relationship Attribution Measure. J Pers Soc Psychol. 1992; 62: 457-468.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 19. Lesher EL, Berryhill JS: Validation of the Geriatric Depression Scale-Short Form among inpatients. J Clin Psychol. 1994; 50: 256-260.[Web of Science][Medline] [Order article via Infotrieve]
• 20. Yesavage JA, Brink TL, Rose TL, et al.: Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1983; 17: 37-49.
• 21. Karagiozis H, Gray S, Sacco J, et al.: The Direct Assessment of Functional Abilities (DAFA): a comparison to an indirect measure of instrumental activities of daily living. Gerontologist. 1998; 38: 113-121.[Abstract]

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 21, No. 2, 85-91 (2006)
DOI: 10.1177/153331750602100207


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				E. M. Cotter, L. D. Burgio, D. L. Roth, J. Gerstle, and P. Richardson Comparison of Caregiver and Occupational Therapist Ratings of Dementia Patients' Performance of Activities of Daily Living Journal of Applied Gerontology, April 1, 2008; 27(2): 215 - 225. [Abstract] [PDF]

This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Davis, B. A. Articles by Weiner, M. F. Search for Related Content PubMed PubMed Citation Articles by Davis, B. A. Articles by Weiner, M. F. Social Bookmarking                         What's this?