Cited by 131Dementia and Cognitive Impairment ResearchGeriatric Care and Nursing HomesAging, Elder Care, and Social Issues

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Factors Affecting Decisions to Institutionalize Demented Elderly

Lieberman, M. A., Kramer, J. H.·1991·The Gerontologist

DOI 10.1093/geront/31.3.371

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Abstract

This study followed 321 community-based patients with documented dementias, 22% of whom were institutionalized after 1 year. Multivariate analyses indicated that none of the patient characteristics, such as level of cognitive, psychiatric, or neurological impairment, predicted institutionalization. Social psychological characteristics, type and number of caregivers, and subjective caregiver distress did predict which patients were ultimately institutionalized. Implications for treatment planning are discussed.

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Crossref · 10.1093/geront/31.3.371

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Evolving Values in Community-Based Long-Term Care Services for Japanese Americans
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Spousal Caregiving in the Institutional Setting: Task Performance
Ross, M. M., Rosenthal, C. J., & Dawson, P. G. (1997) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s071498080001415x · Cited by 20
“The decision to admit a husband to a long-term care institution and to relinquish care to professionals is a difficult one (Cohen, Gold, Shulman, Task Performance La Revue canadienne du vieillissement 53 Wortley, McDonald, & Wargon, 1993; Lieberman & Kramer, 1991).”
Background
Family Stress and Social Support among Caregivers to Persons with Alzheimer’s Disease
Pillemer, K. A., & Suitor, J. J. (1996) · Springer eBooks · doi:10.1007/978-1-4899-1388-3_19 · Cited by 19
Reliability and Validity of the Subjective Burden Scale in Family Caregivers of Elderly Relatives With Dementia
Matsuda, O. (1999) · International Psychogeriatrics · doi:10.1017/s1041610299005712 · Cited by 18
Caregiver Issues and Concerns Following TBI: A Review of the Literature and Future Directions
Everhart, D. E., Nicoletta, A. J., Zurlinden, T., & Gencarelli, A. (2020) · Psychological Injury and Law · doi:10.1007/s12207-019-09369-3 · Cited by 20
Community care for the elderly: is it really better?
Gordon, M. (1993) · Europe PMC (PubMed Central) · Cited by 17
Transitions in Care: Lessons Learned From a Longitudinal Study of Dementia Care
Cohen, C. A., & Pushkar, D. (1999) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-199905000-00007 · Cited by 16
MEASURING THE EFFECT OF CARERS ON PATIENTS’ RISK OF ADVERSE HEALTHCARE OUTCOMES USING THE CAREGIVER NETWORK SCORE
Ó’Caoimh, R., Cornally, N., Svendrovski, A., Weathers, E., Fitzgerald, C., HEALY, E., O’Connell, E., O’Keeffe, G., O’Herlihy, E. A., GAO, Y., et al. (2016) · The Journal of Frailty & Aging · doi:10.14283/jfa.2016.86 · Cited by 15
Characterizing Behavioral and Psychological Symptoms of Dementia (BPSD) Among Geropsychiatric Inpatients
Tunis, S. L., Edell, W. S., Adams, B. E., & Kennedy, J. S. (2002) · Journal of the American Medical Directors Association · doi:10.1016/s1525-8610(04)70457-0 · Cited by 13
The Association of Disability with Long-Term Care Institutionalization of the Elderly
Young, J. E., Forbes, W. F., & Hirdes, J. P. (1994) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980800006528 · Cited by 14
Changes in Carers’ Capacity and Motivation to Provide Care
Wells, Y., & Kendig, H. L. (1996) · Journal of Family Studies · doi:10.5172/jfs.2.1.15 · Cited by 14
A novel two-day intervention reduces stress in caregivers of persons with dementia
Spalding‐Wilson, K. N., Guzmán‐Vélez, E., Angelica, J., Wiggs, K., Savransky, A., & Tranel, D. (2018) · Alzheimer's & Dementia: Translational Research & Clinical Interventions · doi:10.1016/j.trci.2018.08.004 · Cited by 13
Peripheral electrical nerve stimulation and rest‐activity rhythm in Alzheimer's disease
Dijk, K. R. A. V., Luijpen, M. W., Someren, E. J. W. V., Sergeant, J. A., Scheltens, P., & Scherder, E. (2006) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2006.00548.x · Cited by 13
“Therefore, it is not surprising that institutionalization is best predicted by restactivity rhythm disruption and not by the level of cognitive functioning or by the number of psychiatric symptoms of the AD patient (Chenier, 1997; Hart et al., 2003; Hope et al., 1998; Kesselring et al., 2001; Lieberman and Kramer, 199…”
Psychogeriatric day care outcome: A five‐year follow‐up
Diesfeldt, H. (1992) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930070909 · Cited by 13
Daily Measurements of Anxiety and Affect: A Study among Spouse Caregivers
Shifren, K., & Hooker, K. A. (1995) · International Journal of Behavioral Development · doi:10.1177/016502549501800402 · Cited by 12
Multidisciplinary Team Meetings About a Patient in Primary Care
Houdt, S. V., Lepeleire, J. D., Driessche, K. V., Thijs, G., & Buntinx, F. (2011) · Journal of Primary Care & Community Health · doi:10.1177/2150131910393357 · Cited by 11
Global Change Assessments in Anti-Alzheimer Clinical Drug Trials
Knopman, D. S. (1998) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000051198 · Cited by 11
Involvement of inflammation in the medial temporal region in the development of agitation in Alzheimer's disease: an in vivo positron emission tomography study
Yasuno, F., Kimura, Y., Ogata, A., Ikenuma, H., Abe, J., Minami, H., Nihashi, T., Yokoi, K., Hattori, S., Shimoda, N., et al. (2022) · Psychogeriatrics · doi:10.1111/psyg.12915 · Cited by 11
The content and properties of the Caregiver Activities Time Survey (CATS): An outcome measure for use in clinical trial research on Alzheimer's disease
Clipp, E. C., Moore, M. J., & George, L. K. (1996) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331759601100602 · Cited by 10
Risk Factors of High Burden Caregivers of Dementia Patients Institutionalized at Day-Care Centres
Maseda, A., González‐Abraldes, I., de Labra, C., López, J. M. M., Sánchez, A., & Millán-Calentí, J. C. (2014) · Community Mental Health Journal · doi:10.1007/s10597-014-9795-7 · Cited by 8
“1992) but also they are more engaged in the caregiving relationship, implying that married people are normally institutionalized later than unmarried people (Colerick and George 1986; Lieberman and Kramer 1991; Scott et al. 1997).”
Background
Fear of Incompetence in Family Caregivers and Dementia Care Transitions
Miron, A. M., Groves, C. L., Thompson, A. E., McFadden, S. H., Bowers, H. R., & DeBraal, J. M. (2022) · The International Journal of Aging and Human Development · doi:10.1177/00914150221106075 · Cited by 9
“Although many studies have found associations between cognitive impairment, ADL impairment, and behavioral problems and care transitions, other studies found no associations (Lieberman & Kramer, 1991; Spitznagel et al., 2006).”
Result
'I often think I wish he were here' Why do primary carers institutionalise family members with dementia?
Cahill, S. M. (1997) · Australian Social Work · doi:10.1080/03124079708414093 · Cited by 8
Los cuidados familiares y las políticas públicas
Bonet, I. Ú., & Roger, M. R. (2008) · Nursing (Ed española) · doi:10.1016/s0212-5382(08)70805-7 · Cited by 7

Authors: Lieberman, M. A., & Kramer, J. H.
Affiliations: University of California San Francisco Medical Center (US)
University of California, San Francisco (US)
Corresponding author: Lieberman, M. A.
Venue: The Gerontologist
Publisher: Oxford University Press (OUP)
Published: 1991-06-01
Volume: 31
Issue: 3
Pages: 371-374
ISSN: 0016-9013 (ISSN-L)
1758-5341
DOI: 10.1093/geront/31.3.371
OpenAlex: W2002432823
Cited by: 129
References: 0
Citations by year: 2026: 1 · 2022: 2 · 2020: 1 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 2 · 2012: 3
FWCI: 5.34
Type: journal article
Language: en
Open access: closed
Locations: The Gerontologist (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
Keywords: dementia, institutionalization, older adults, nursing homes, caregiver distress, caregiver burden, socio-psychological factors, decision-making, community-dwelling patients, treatment planning
MeSH terms: Aged, Decision Making, Dementia, Family, Female, Home Nursing, Humans, Institutionalization, Male, Multivariate Analysis

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Factors Affecting Decisions to Institutionalize Demented Elderly

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