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Psychosocial Predictors of Dementia Caregiver Desire to Institutionalize: Caregiver, Care Recipient, and Family Relationship Factors
Mary Beth Spitznagel, PhD
Brown Medical School, Providence, Rhode Island, Rhode Island Hospital, Providence, Rhode Island
Geoffrey Tremont, PhD
Brown Medical School, Providence, Rhode Island, Rhode Island Hospital, Providence, Rhode Island, gtremont{at}lifespan.org
Jennifer Duncan Davis, PhD
Brown Medical School, Providence, Rhode Island, Rhode Island Hospital, Providence, Rhode Island
Suzanne M. Foster, BA
Rhode Island Hospital, Providence, Rhode Island
Several factors influence dementia caregiver desire to institutionalize; however, little is known about differences in caregivers who desire institutionalization versus those who do not. The current study compares predictors of desire to institutionalize in dementia caregivers. Seventy-two caregivers completed the Desire to Institutionalize Scale (DIS) and several psychosocial measures, including burden, dementia knowledge, self-efficacy, depression, health, care recipient daily functioning and memory/behavior problems, family functioning, and social support. Based on DIS responses, caregivers were divided into No DI versus DI groups. DI caregivers had significantly higher burden, greater dementia knowledge, more family dysfunction, and decreased social support compared with No DI caregivers. Findings emphasize the importance of caregiver and family relationship variables in DIS, suggesting potentially modifiable targets for caregiver interventions. Dementia knowledge was associated with higher DIS, suggesting that educational programs alone may not be helpful to delay institutionalization.
Key Words: dementia • dementia caregivers • caregiver burden • institutionalization • nursing home • caregiver depression
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Journal of Geriatric Psychiatry and Neurology, Vol. 19, No. 1,
16-20 (2006)
DOI: 10.1177/0891988705284713
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