Determinants of the desire to institutionalize in Alzheimer’s caregivers
Open accessAbstract
BACKGROUND: The desire to institutionalize is an important predictor of future institutionalization. Few studies have examined potentially modifiable caregiver characteristics which might be the focus of future interventional strategies. METHODS: A total of 102 patient/caregiver dyads with Alzheimer's disease (n = 84) or mild cognitive impairment were recruited through a memory clinic. Cross-sectional analyses of a range of patients, caregivers, and context of care-related characteristics were conducted. RESULTS: Caregiver desire to institutionalize was significantly associated with a number of potentially modifiable variables including caregiver coping style, self-efficacy, depression, burden, and the presence of an unmet service need. In a multivariate analysis, caregiver burden, depression, and nonspousal status were the only significant independent predictors of caregiver desire to institutionalize in a model which correctly classified 80.4% of caregivers. CONCLUSIONS: Interventions which seek to reduce caregiver desire to institutionalize should adopt a multifactorial approach to reduce symptoms of burden and depression in caregivers.
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Carer psychological morbidity, in particular depression, predicts care breakdown and institutionalisation, as well as elder abuse.
“carer psychological morbidity, in particular depression, predicts care breakdown and, therefore, institutionalisation,7,8 as well as elder abuse.9”
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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)
- Mercer's Institute for Research on Ageing, St James's Hospital, Dublin, Ireland
- Janssen (Ireland) (IE)
- Trinity College Dublin (IE)
- Venue
- American Journal of Alzheimer's Disease & Other Dementias®
- Publisher
- SAGE Publications
- Published
- 2011-03-04
- Volume
- 26
- Issue
- 3
- Pages
- 205-211
- ISSN
- 0888-4897 (ISSN-L)
- 1533-3175
- 1938-2731
- PMC
- PMC10845488
- OpenAlex
- W1974856429
- Cited by
- 71
- References
- 42
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 2 · 2020: 8 · 2019: 8 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 8 · 2013: 4 · 2012: 6
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- Alzheimer's disease, dementia caregivers, caregiver burden, caregiver depression, self-efficacy, coping styles, unmet service needs, mild cognitive impairment, predictors of institutionalization
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Aged, Aged, 80 and over, Alzheimer Disease, Cognition Disorders, Depressive Disorder, Female, Health Services Needs and Demand, Humans, Institutionalization, Ireland, Male, Middle Aged, Prognosis, Single Person, Multivariate Analysis, Caregivers, Cost of Illness, Self Efficacy
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