Self-Efficacy for Managing Dementia may Protect Against Burden and Depression in Alzheimer’s Caregivers
Abstract
BACKGROUND: Self-efficacy is the belief that one can perform a specific task or behaviour and is a modifiable attribute which has been shown to influence health behaviours. Few studies have examined the relationship between self-efficacy for dementia-related tasks and symptoms of burden and depression in caregivers. METHODS: Eighty four patient/caregiver dyads with Alzheimer's disease were recruited through a memory clinic. Patient function, cognition and neuropsychiatric symptoms were assessed together with caregiver burden, personality, depressive symptoms, coping strategies and self-efficacy for completing tasks related to dementia care. RESULTS: 33% (28) of caregivers reported significant depressive symptoms (CES-D ≥ 10). In multivariate analyses, caregiver burden was predicted by self-efficacy for symptom management, neuroticism, patient function and neuropsychiatric symptoms while caregiver depression was predicted by self-efficacy for symptom management, caregiver educational level, neuroticism, emotion-focused coping, dysfunctional coping and patient function. In patients with moderate to severe impairment (MMSE ≤ 20), self-efficacy for symptom management behaved as a mediator between patient neuropsychiatric symptoms and symptoms of burden and depression in caregivers. CONCLUSIONS: Further longitudinal investigation is warranted to determine if self-efficacy might be usefully considered a target in future interventional studies to alleviate symptoms of burden and depression in Alzheimer's caregivers.
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Illness severity and presence of behavioural and psychological symptoms of dementia are known predictors for caregiver burden and depressive and anxiety symptoms.
“Illness severity and presence of behavioural and psychological symptoms of dementia (BPSD) are known predictors for caregiver burden and depressive and anxiety symptoms [25,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48].”
From Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia (2023) · cites this paper as [32]
Caregivers of individuals with memory difficulties experience high levels of depression, emotional stress, and burden.
“Depression symptoms are common for older adults with memory difficulties and their caregivers.”
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- Authors
- Gallagher, D., Ni Mhaolain, A., Crosby, L., Ryan, D., Lacey, L., Coen, R. F., Walsh, C., Coakley, D., Walsh, J. B., Cunningham, C., & Lawlor, B. A.
- Affiliations
- St. James's Hospital (IE)
- a Mercer's Institute for Research on Ageing, St James's Hospital , Dublin, Ireland
- Janssen (Ireland) (IE)
- Trinity College Dublin (IE)
- Corresponding author
- Gallagher, Damien
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2011-05-03
- Volume
- 15
- Issue
- 6
- Pages
- 663-670
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2060512946
- Cited by
- 181
- References
- 50
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 12 · 2023: 17 · 2022: 14 · 2021: 17 · 2020: 11 · 2019: 13 · 2018: 15 · 2017: 10 · 2016: 12 · 2015: 15 · 2014: 7 · 2013: 9 · 2012: 7
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- self-efficacy, dementia caregiving, Alzheimer's disease, caregiver burden, caregiver depression, neuropsychiatric symptoms, symptom management, emotion-focused coping, dysfunctional coping, neuroticism, patient function, mediation
- MeSH terms
- Adult, Aged, Aged, 80 and over, Alzheimer Disease, Dementia, Dependency, Psychological, Depression, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Self Care, Caregivers, Self Efficacy
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