© 1986 The Gerontological Society of America
Symptoms of Mental Impairment Among Elderly Adults and Their Effects on Family Caregivers1
2 The Margaret Blenkner Research Center, the Benjamin Rose Institute 500 Hanna Building, 1422 Euclid Avenue, Cleveland, OH 44115-1989.
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Abstract |
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Research that has examined the relationship between caregiving stress and elders' symptoms of mental impairment has focused primarily on cognitive incapacity. This research expands the symptoms of mental impairment to include caregivers' reports of problems in elders' social functioning and the presence of disruptive behavior, in addition to the traditional measure of cognitive incapacity. Results from a study of 614 families living with and caring for an impaired elder show cognitive incapacity to have a less important direct effect on caregiving stress than disruptive behavior and impaired social functioning. Cognitive incapacity does have an important indirect effect through its influence on disruptive behavior and social functioning
Key Words: Stress effects • Caregiver strain • Burden • Family caregiving
Received for publication March 14, 1985. Accepted for publication April 18, 1986.
1 An earlier draft was presented at the Annual Meeting of the Gerontological Society, San Antonio, 1984. This research was funded in part by Retirement Research Foundation Grant No. 83-4 and National Institute of Mental Health Grant No. MH35360. The authors wish to acknowledge the collaboration of their colleagues, Linda S. Noelker and Aloen L. Townsend, in developing the indices used in this paper, and the technical assistance of Dorothy Schur and Nancy Esker. Due to space limitations, items comprising the symptoms of mental impairment and caregiver stress measures and the intercorrelation matrix are not included. They are available on request.
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