Evaluated the Screen for Caregiver Burden (SCB) using 191 subjects. The SCB is a 25-item measure designed to identify distressing caregiver experiences rapidly, specifically for spouse caregivers of Alzheimer's care recipients. Results demonstrated the internal consistency, test-retest reliability, and validity (content, divergent, convergent, and…

Interviewed 15 male caregivers from diverse backgrounds caring for their wives with Alzheimer's disease. Found following themes: commitment, social isolation, loss of companionship, control, sense of accomplishment, problem-solving approach, burden lessening with years of caregiving, and limited expectations of children. Typology of male…

This case study of an 83-year-old woman with Down syndrome suggests she is the longest surviving person with the condition. Also noted is the lack of decline in mental function and performance of activities of daily living despite the apparently universal presence of the neuropathologic changes of Alzheimer's disease in persons with Down syndrome…

After reading a newspaper article on Alzheimer disease, an incurable medical problem involving gradual and debilitating loss of memory, students examine the key elements of the scientific method as conveyed in the story. During their analysis students explore the workings of the nervous system and consider the role of animal model systems in…

This article, based on a Lawton Award Lecture, addresses the subject of the need to enhance the evidence base in our field in order to influence processes of policy development. Four issues are identified as critical to this: theory-driven targets of public health significance, use of appropriate and sophisticated approaches to research design and…

Purpose: Our objective in this analysis was to determine how the duration of caregiving interacts with key care demands (i.e., severity of problem behaviors) to influence the institutionalization of individuals suffering from dementia. Methods: We utilized multiregional data from 4,761 caregivers of individuals with dementia over a 3-year period.…

The present study was designed to investigate the relationship between performance of limb gestures and the severity of Alzheimer's disease (AD). Apraxia tends to occur at later stages of AD, and the severity of apraxia has been shown to vary with the severity of AD dementia. Participants were 19 mild (including 9 with no cognitive impairment and…

Accessible support programs can improve health outcomes for family caregivers of older relatives with a chronic condition. Over the course of 6 months, 27 experienced family caregivers provided weekly support via the telephone to 66 individuals, either new family caregivers of seniors recently diagnosed with stroke or newly vulnerable family…

Summarizes categories, methods of research on adjustment by family members to providing care to Alzheimer's patients. Critically evaluates state of knowledge produced by studies; suggests ways of strengthening future investigations. Organizes review around psychological, social, and health factors as antecedents or correlates of similar categories…

Developed 24-item, 5-subscale Caregiver Burden Inventory (CBI) as useful diagnostic tool for professional caregivers. Administered CBI to 107 caregivers of cognitively impaired older people. Individual cases illustrated that caregivers with same total burden scores can have markedly different patterns of burden and different social and…

Designed and tested battery of drawing techniques with scoring methodology appropriate for investigation of Alzheimer's disease (AD). Variables as a whole and most hypothesized drawing features provided significant discrimination between age-matched controls and AD subjects. Capability to discriminate was also provided by objective measures of use…

The Alzheimer's Disease Knowledge Test (ADKT) was administered to samples of practicing nurses in the U.S. and Hong Kong. Overall, U.S. nurses were significantly more knowledgeable, but exhibited more negative bias than Hong Kong nurses. Findings suggest that nurses in both countries need more training. (JPS)

Interviewed two expert caregivers about their experiences of caring for severely demented patients. Ethical reasoning, exemplified by tender descriptions of relatedness to patients, indicated that expert caregivers used sound knowledge combined with imagination, empathy, and intuition to grasp situation, where patient is regarded as person with…

Examined psychological and immunological changes among 25 caregivers of Alzheimer's disease (AD) patients, 25 caregivers of stroke patients, and 25 noncaregivers. Found that AD caregiving group was more psychologically distressed than stroke group, and both caregiving groups were more psychologically distressed than controls. Found no differences…

Conceptualizes separation-individuation conflicts in caregivers as behavior under dual control of nonverbal and verbal antecedents and consequences of others and dysfunctional self-rules of caregiver. Describes two types of treatment in context of case study: changing caregiver's problem behaviors by training nursing home staff and teaching…