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P4–232: Developing community based low cost dementia care services – An Indian experience
Author(s) -
Kuriakose Jacob R.
Publication year - 2006
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2006.05.1972
Subject(s) - dementia , intervention (counseling) , health care , public health , nursing , service (business) , medicine , gerontology , psychology , business , economic growth , marketing , disease , pathology , economics
ation between depressive mood in these caregivers and their personal characteristics and the influences of subjective and objective stressors. Methods: A secondary analysis of data drawn from a baseline evaluation as part of a double-blind, placebo-controlled, parallel-group study was conducted using a cross-sectional, correlational design utilizing data from the Alzheimer Disease Cooperative Study at the University of California, San Diego. Descriptive statistics and univariate logistic regression modeling were used. Results: A total of 769 MCI family caregivers were enrolled. The prevalence of depressive mood (as indicated by CESD score 16) in MCI family caregivers was 26.4% (n 187). The odds of being depressed were statistically significantly higher in family caregivers who were younger (OR 1.15 for a 10 year decrease in years of age, 95% CI 1.01-1.31), had less education (OR 1.21 for a 3 year decrease in years of education, 95% CI 1.01-1.45), and were non-spousal family caregivers (OR 1.57, 95% CI 1.10-2.25). In addition, the odds of being depressed were statistically significantly higher in family caregivers who perceived greater relational deprivation (OR 1.12, 95% CI 1.06-1.18), higher levels of self loss (OR 1.43, 95% CI 1.22-1.68), and higher personal gain (OR 1.08, 95% CI 1.02-1.14). Conclusions: Depressive mood remains an important index of health outcomes for MCI family caregivers. Family caregivers who are younger, have less education, are non-spouse caregivers and who have reported greater relational deprivation, and higher levels of self loss and personal gain may be at risk for experiencing depressive mood. Interventions designed to address these factors could serve to improve the well-being of both family caregivers and patients with MCI.