Journals of Gerontology Series B: Psychological Sciences and Social Sciences
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The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 59:P27-P34 (2004)
© 2004 The Gerontological Society of America

RESEARCH ARTICLE

Effects of a Caregiver Intervention on Negative Caregiver Appraisals of Behavior Problems in Patients With Alzheimer's Disease: Results of a Randomized Trial

Mary S. Mittelman1,, David L. Roth2, William E. Haley3 and Steven H. Zarit4

1 Silberstein Aging and Dementia Research Center, New York University Medical School.
2 Department of Biostatistics, University of Alabama at Birmingham.
3 School of Aging Studies, University of South Florida.
4 Department of Human Development and Family Studies, Pennsylvania State University.

Address correspondence to Dr. Mary Mittelman, Silberstein Aging and Dementia Research Center, New York University Medical School (THN312C), 550 First Avenue, New York, NY 10016. E-mail: mary.mittelman{at}med.nyu.edu

Behavioral problems are among the most challenging aspects of caring for a person with Alzheimer's disease. A sample of 406 spouses–caregivers of patients with Alzheimer's disease was randomized to an active multicomponent counseling and support intervention condition or to a usual care condition. Caregivers reported on the frequency of troublesome patient behaviors and their reactions to them at baseline and at regular follow-up interviews. Random-effects regression models over the first 4 years after randomization revealed that, although the intervention did not affect the frequency of patient behavioral problems, it did significantly reduce caregivers' reaction ratings. Because caregiver appraisals have been found to mediate the impact of caregiving stress on depression and to predict nursing home placement rates, they deserve greater attention as an important target of intervention services.






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