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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 (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]
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“Depression symptoms are common for older adults with memory difficulties and their caregivers.”
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Metadata
- 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 › Nursing › Research and Theory › 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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