Considered impact of physical environment on work-related stress and quality of care in day care center integrating demented people and other frail elderly. Examined positive and negative differences before and after move to new facility. Discusses implications for facility design and other program characteristics. (Author/CM)

Examined differences in patterns of service use between persons with probable or possible Alzheimer's disease who lived alone (n=439) versus those living with others (n=2,026). Found that those living alone were more likely female, poor, older, and had milder cognitive impairments; less likely to use medical services; and more likely to use…

Provides psychometric data on two tools used to identify pleasant activities for Alzheimer's disease (AD) patients. Results indicate that both tools had good reliability. Depression and decreased cognitive functioning were associated with reduced frequency of enjoyable activity; the reduction was greater in depressed AD patients when compared with…

Studied depression of family caregivers seeking help to increase coping skills (N=158) and volunteer non-help-seekers (N=58). Found depression among 46 percent of help-seekers and 18 percent of non-help-seekers. Found women more depressed than men but no major differences in depression for those caring for more impaired persons. (Author/CM)

Studied effects on family caregivers (N=208) of frail elderly persons of eight-week professionally guided caregiver support group program to reduce anxiety, depression, and sense of burden. Found significant reductions immediately after intervention and continued but weaker effects four months later. (Author/CM)

Conducted longitudinal follow-up to previously published experimental study of effectiveness of group intervention for dementia family caregivers. Found methodological and clinical issues relevant to future studies included issues of differential attrition from treatment, selection of participants,and need for measures appropriate to long-term…

Reports on behavior management training given to seven caregivers of a home-dwelling spouse with Alzheimer's disease. Results reveal that trained caregivers were successful at decreasing patient repetitions using written cues. Patients of control subjects showed no systematic changes in behavioral disturbances. Intervention effects lasted for 16…

Interviewed 179 caregivers of hospitalized patients and studied discharge decisions to examine factors associated with willingness to continue in caregiving role after hospitalization of relative with dementia. Caregivers initially undecided about discharge plans were likely to seek placement for patients with more severe cognitive impairment,…

Studied 108 adults to investigate the impact of adult attachment to parents, perceived disease severity, and caregiving behaviors, moderated by perceived caregiving adequacy. Results indicate that attachment style and the trait aspect of attachment predicted both aspects of caregiver burden. Attachment preoccupation predicted psychologic…

Reanalyzed data from a study on respite care's effects by focusing on the linear relationship between amount of respite use and probability of nursing home placement at the end of the treatment period. Results indicate a significant negative relationship between the amount of respite use and nursing home placement. (RJM)

Explored the impact of dementia on family members' physical and mental health while caring for an ill parent/spouse. Severity of illness was significantly associated with health and well-being for spouses, offspring, and in-laws, regardless of the amount of caregiving. Demonstrates the potential cascading effect of severe illness. (RJM)