Anxiety in Family Caregivers of Hospitalized Persons With Dementia: Contributing Factors and Responses
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BACKGROUND: Baseline health and functional vulnerabilities increase the risk for complications in persons with dementia and predispose family caregivers (FCGs) to increased stress. METHODS: This secondary analysis used a combined quantitative and qualitative approach. Regression analyses examined the contribution of patient and FCG characteristics to FCG anxiety. Interviews with FCGs explored the experiences and responses of FCGs during hospitalization of their family member with dementia. RESULTS: Lower patient physical function and higher caregiver strain were associated with higher FCG anxiety. FCGs described the following themes related to the hospitalization: (1) added strain, (2) care-related worries, (3) keeping vigil, (4) need to be heard, and (5) enablers of FCGs. CONCLUSIONS: Routine evaluation of caregiver strain and baseline patient function is integral to informing the transitional planning for persons with dementia. The FCG responses suggest that a multifactorial approach (family-centered policies of partnership in care, staff education addressing the specialized needs of patients and family members, and attention to promoting functional recovery) may benefit both hospitalized patients with dementia as well as FCGs and warrants future research.
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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 [29]
The Results (Quantitative Data; page unavailable) identify dementia severity as a predictor of caregiver anxiety. The introductory passage (labelled Abstract > Conclusions in our copy; page unavailable) associates behavioural and psychological symptoms with caregiver strain, anxiety and depression. The paper does not establish illness severity as a predictor of caregiver burden or depression, and it describes the links with behavioural symptoms as associations rather than demonstrated predictors. (LLM, conf=0.84)
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Self-citation
- Authors
- Boltz, M., Chippendale, T., Resnick, B., & Galvin, J. E.
- Affiliations
- Boston College (US)
- New York University (US)
- University of Maryland, Baltimore (US)
- NYU Langone Health (US)
- Corresponding author
- Boltz, Marie
- Venue
- Alzheimer Disease & Associated Disorders
- Published
- 2015-07
- Volume
- 29
- Issue
- 3
- Pages
- 236-241
- ISSN
- 0893-0341 (ISSN-L)
- PMC
- PMC4714710
- OpenAlex
- W2094117325
- Cited by
- 61
- References
- 44
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 12 · 2022: 7 · 2021: 5 · 2020: 13 · 2019: 2 · 2018: 4 · 2017: 6 · 2015: 2
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer Disease & Associated Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (KL2TR000053, UL1TR000038, UL1TR001445)
- National Institute on Aging (P30AG028747)
- National Center for Advancing Translational Sciences
- 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
- family caregivers, caregiver anxiety, dementia, hospitalization, caregiver burden, physical function, family-centered care, caregiver experiences, functional recovery
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Dementia, Family, Female, Hospitalization, Humans, Male, Middle Aged, Risk Factors, Stress, Psychological, Caregivers, Young Adult
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