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Factors Affecting Decisions to Institutionalize Demented Elderly
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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“In addition, worsening psychological and physical health in caregivers can adversely impact the individual with dementia—for example, they increase the likelihood of institutionalization of the person with dementia, which is associated with decreased psychological and physical health and increased mortality in individuals with dementia [11], [12], [13], [14].”
From A novel two-day intervention reduces stress in caregivers of persons with dementia (2018) · cites this paper as [13]
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Smith, G. E., Tangalos, E. G., Ivnik, R. J., et al. (1995) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331759501000502 · Cited by 6
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Institutional Risk Among African-American and White Adult Day Health Care Participants
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Vézina, A., & Pelletier, D. (2004) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980800016822 · Cited by 4
“…le parent age est heberge, les aidants familiaux tentent d'etablir les normes de leur nouveau role dans la continuite de la relation conjugate et parentale amorcee plusieurs annees auparavant (Lieberman & Kramer, 1991; Cohen et al., 1993), afin de maintenir les liens familiaux (Bowers, 1988).”
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Eloniemi-Sulkava, U. R. (2002) · UEF eRepo (University of Eastern Finland) · Cited by 3
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A Systematic Review of Interventions for Unpaid Caregivers of Persons With Dementia
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Unterstützende Intervention bei dementen Patienten und ihren pflegenden Angehörigen in der Gemeinde
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Boxenbaum, E. (2001) · eScholarship@McGill (McGill) · doi:10.5281/zenodo.345924 · Cited by 1
Multigenerational Families and Mental Illness in Late Life
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Self-citationCriteria for Clinical Decisions
Kaye, J. A. (2003) · Wiley eBooks · doi:10.1002/9780470752340.ch27
Prediction of Institutionalisation in Dementia Review
Luppa, M., Luck, T., König, H., & Riedel-Heller, S. G. (2016)
Ripoll, E. M., & Parra‐Casado, D. L. (2009)
EASING THE TRASITION FROM COMMUNITY CARE TO LONG-TERM CARE
Flynn, G., & Dupuis, S. L. (2003)
Pennington, B. E. (1995) · Digital Commons - Longwood (Longwood University)
(2005) · Érès eBooks · doi:10.3917/eres.lavoi.2005.01.0252
Tunis, S. L., Edell, W. S., Adams, B. E., et al. (2002) · Journal of the American Medical Directors Association · doi:10.1097/00130535-200205000-00005
Elder Care and Family Relationships
Sumankuuro, J. (2026) · Emerald Group Publishing Limited eBooks · doi:10.1108/s1530-353520260000036005
Metadata
- 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
- 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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