scholarly journals Iterating a framework for the prevention of caregiver depression in dementia: a multi-method approach

2017 ◽  
Vol 30 (8) ◽  
pp. 1119-1130 ◽  
Author(s):  
Jiangbo Ying ◽  
Philip Yap ◽  
Mihir Gandhi ◽  
Tau Ming Liew
Keyword(s):  
Family Caregivers ◽  
Behavioral Problems ◽  
Recent Literature ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Extensive Literature ◽  
Caregiver Depression ◽  
Wide Range ◽  
Multi Method Approach ◽  
Method Approach

ABSTRACTBackground:Dementia caregiving is often stressful and depression in family caregivers is not uncommon. As caregiver depression can have significant effects, there is a need for preventive efforts which are consistent with the extensive literature. We sought to consolidate the wide range of evidence (using a multi-method approach) into a simple framework that can guide the prevention of caregiver depression.Methods:Using multiple logistic regression, we derived the predictors of caregiver depression from an empirical dataset containing key information and depression scores (based on the Center-for-Epidemiological-Studies-Depression-Scale) of 394 family caregivers. We then chose an underpinning theory as the foundation of the framework, and conducted an umbrella systematic review to find possible links between the derived predictors and the theory. Last, we compared the iterated framework with known interventions for caregiver depression in recent literature to assess whether the framework could map meaningfully with the known interventions.Results:Significant predictors of caregiver depression included primary caregiver (odds ratio, OR = 1.53), severe dementia (OR = 1.40), and behavioral problems (OR = 3.23), lower education (OR = 1.77), and spousal caregivers (OR = 1.98). The integrated framework derived focuses on four strategic areas: physical-care demands of persons with dementia (PWD), behavioral problems of PWD, caregiving competency, and loss and grief of caregivers. This framework is supported by known interventions for caregiver depression in recent literature.Conclusions:By consolidating a broad range of evidence, we iterated a framework to aid the understanding and prevention of caregiver depression in dementia. The framework offers an approach to prevention which is simple, systematic, and reflective of the extensive literature.

Comparison of the burdens of family caregivers and foreign paid caregivers of the individuals with dementia

2012 ◽  
Vol 24 (12) ◽  
pp. 1953-1961 ◽  
Author(s):  
Wei-Chen Lin ◽  
Chia-Fen Tsai ◽  
Shuu-Jiun Wang ◽  
Jeng-Ping Hwang ◽  
Jong-Ling Fuh
Keyword(s):  
Family Caregivers ◽  
Caregiver Burden ◽  
Behavioral Problems ◽  
Neuropsychiatric Symptoms ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Clinical Dementia Rating ◽  
Adequate Treatment ◽  
Severity Of Dementia ◽  
Paid Caregivers

ABSTRACTBackground: The caregiver burden on foreign paid caregivers (FPCs) is currently not well understood. This study identified predictors and differences in caregiver burden between FPCs and family caregivers who provided care for patients with dementia.Methods: We recruited 489 patients with dementia (diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition) and used the Neuropsychiatric Inventory (NPI) and Clinical Dementia Rating (CDR) Scale to assess their neuropsychiatric behavioral problems and severity of dementia. All caregivers [FPCs (n = 42) and family caregivers with (n = 42) and without (n = 447) FPCs] completed three questionnaires: the Zarit Burden Interview (ZBI), the Center for Epidemiological Studies–Depression Scale (CES-D), and caregivers’ knowledge of dementia (KD). To understand caregiver burden, we analyzed the correlations between ZBI and other variables and investigated the differences between family caregivers and FPCs.Results: NPI and CDR scores were higher among patients assisted by FPCs than among those whose families did not employ FPCs. Burdens were greater among family caregivers assisted by FPCs than among FPCs and family caregivers who were not assisted by FPCs. Family caregivers had greater knowledge of dementia than did FPCs. For family caregivers, CES-D scores (Spearman's r = 0.650; p < 0.01) and patients’ NPI scores (Spearman's r = 0.471; p < 0.01) were correlated with caregiver burden. For FPCs, only CES-D scores (Spearman's r = 0.511; p < 0.01) were correlated with caregiver burden. A linear regression model showed that CES-D scores contributed most to caregiver burden in all groups [β = 0.560 (family caregivers without FPCs), 0.546 (family caregivers with FPCs), and 0.583 (FPCs); p < 0.005].Conclusion: Both family caregivers and FPCs need emotional support. Adequate treatment to reduce the neuropsychiatric symptoms of patients with dementia might reduce the burden on family caregivers.

scholarly journals Migration Trail: Exploring the Interplay Between Data visualisation, Cartography and Fiction

2021 ◽  
pp. 87-112
Author(s):  
Giacomo Toffano ◽  
Kevin Smets
Keyword(s):  
Recent Literature ◽  
Human Mobility ◽  
Data Visualisation ◽  
Multimodal Analysis ◽  
Fictional Narratives ◽  
Expert Interview ◽  
Multi Method Approach ◽  
Method Approach ◽  
Dynamic Interplay

AbstractThis chapter focuses on the interplay between data visualisation, fiction and cartography in the context of migration. It revolves around a case study of Migration Trail, a website that attempts to provide an original portrayal of human mobility. First, it explores recent literature on each of the three elements interacting on the site. This is followed by an in-depth investigation of their interplay in the overall experience. The study employs a multi-method approach to the content, combining multimodal analysis, that is further validated with a semi-structured expert interview. The research thoroughly maps Migration Trail’s functions, including the dynamic interplay of its different multimedia elements. Ultimately, the chapter reflects on the question: To what extent can fictional narratives and the multimedia approach in a fictional production like Migration Trail successfully challenge stereotypical portrayals of migrants? The analysis shows that there is potential to go beyond the dichotomous, typical representation of migrants, but that it can also fall into the trap of repeating the “deservingness” trope that is part of common imaginaries of migration into Europe.

Mental Well-Being of University Students in Social Isolation

2021 ◽  
Vol 28 (1) ◽  
pp. 22-29
Author(s):  
Andrea Lukács
Keyword(s):  
Life Satisfaction ◽  
University Students ◽  
Social Isolation ◽  
Depression Scale ◽  
Perceived Health ◽  
Well Being ◽  
Epidemiological Studies ◽  
Future Prospects ◽  
Wide Range ◽  
Mental Well Being

Abstract. Background: The novel coronavirus disease has caused a worldwide pandemic and has been distressing for the general population including the student population in higher education. Aims: This study assesses the changes in the lives of university students, and finds an association between fear of COVID-19 and mental well-being controlled by demographic and socio-psychological factors. Method: Students from one of the largest universities of Hungary were sampled responding to multidimensional questions about their life situations prior to and after social isolation measures, 4–6 weeks after the COVID-19 outbreak in Hungary. The questionnaire packet included the 8-item version of the Center for Epidemiological Studies-Depression Scale for evaluating mental well-being. Results: Students experienced significant negative changes after 4–6 weeks of confinement in terms of physical activity, relationship with family, friends, studies, financial situation, perceived health, future prospects, and life satisfaction. Desirable changes were observed in smoking habits, cannabis use, and alcohol consumption, including binge drinking. Explanatory variables of favorable mental well-being were younger age, better-perceived health status, higher life satisfaction, and more optimism about future prospects. Limitations: Mental well-being was measured only during social isolation. The pre-pandemic status of the students was reported retrospectively, making it prone to recall bias. Conclusion: Findings suggest that the pandemic with its associated social isolation measures negatively affected students’ everyday life and well-being, however, the fear of the coronavirus did not contribute to it. Higher institutions should offer a wide range of measures to mitigate the downstream mental health consequences of the COVID-19 outbreak in university population.

The Relationship Between Mutuality, Filial Piety, and Depression in Family Caregivers in China

2016 ◽  
Vol 28 (5) ◽  
pp. 455-463 ◽  
Author(s):  
Yuqin Pan ◽  
Patricia S. Jones ◽  
Betty W. Winslow
Keyword(s):  
Filial Piety ◽  
Depression Scale ◽  
Adult Child ◽  
Epidemiological Studies ◽  
Protective Role ◽  
Attitude Scale ◽  
Cross Sectional ◽  
Caregiver Depression ◽  
The Relationship ◽  
Filial Behavior

Purpose. Caregiving to parent stroke survivors in China is increasing and adult child–parent relationships are being challenged. The purpose of this study was to explore whether mutuality and filial piety have a protective role against caregiver depression. Design. A cross-sectional correlational study was conducted with a nonproportional quota sample of 126 caregivers. Surveys were conducted at hospitals or in homes using structured questionnaires: the 15-item Mutuality Scale, the 4-item Filial Attitude Scale, the 9-item Filial Behavior Scale, and the 10-item Center for Epidemiological Studies Depression Scale. Results. Higher mutuality and stronger filial attitudes were significantly associated with less caregiver depression after the covariates were controlled. Mutuality explained 5.5% ( p < .01) and filial attitude explained 4.6% ( p < .01) of the variance in caregiver depression. Conclusion. Mutuality and filial attitude may be protective factors against caregiver depression. Implications for Practice. Supportive strategies can be implemented to enhance mutuality and filial attitude.

scholarly journals Refining the classification of knowledge transfer mechanisms for project-to-project knowledge sharing

2017 ◽  
Vol 20 (1) ◽  
Author(s):  
Corro Van Waveren ◽  
Leon Oerlemans ◽  
Tinus Pretorius
Keyword(s):  
Knowledge Transfer ◽  
Knowledge Sharing ◽  
Latent Class ◽  
Project Managers ◽  
Wide Range ◽  
Multi Level ◽  
Multi Method Approach ◽  
Transfer Mechanisms ◽  
Method Approach

Background: The complex, unique and temporary nature of projects makes project-to-project knowledge transfer challenging and has attracted attention from both practitioners and academic scholars. This challenging nature of project-to-project knowledge transfer led to the proliferation of a host of tools and instruments (so-called knowledge transfer mechanisms) in which little structure can be discovered making selection by (project) managers a difficult task.Aim: This article aims to deal with this unstructured proliferation of knowledge transfer mechanisms by empirically categorising these transfer mechanisms, thereby reducing the number of mechanisms to groups that share a common characteristic.Setting: The study takes stock of the wide range of knowledge transfer mechanisms available and analyses them in terms of specific characteristics (e.g. explicitness or reach).Methods: A multi-method approach is used in which a multi-level latent class analysis is applied on data collected via an expert panel.Results: Five categories of transfer mechanisms could be empirically established where these mechanisms showed common characteristics.Conclusion: The taxonomy developed will allow organisations and project managers to more efficiently select appropriate transfer mechanisms for use in project-to-project knowledge transfer.

scholarly journals Death Anxiety, Depression, and Coping in Family Caregivers

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Veronica Semenova ◽  
Leann Stadtlander
Keyword(s):  
Family Caregivers ◽  
Death Anxiety ◽  
Death And Dying ◽  
Psychological Impact ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Medical Practitioners ◽  
Demographic Questionnaire ◽  
And Coping ◽  
Anxiety Depression

Along with the increase in elderly patients with chronic and disabling conditions, the number of family caregivers continues to rise. Caregiving has been associated with negative physical and psychological impact on the caregivers’ health, as well as, with higher prevalence rates of depression, anxiety, and a higher risk of mortality. The purpose of this study was to examine if death anxiety would be a significant predictor of depression and coping in the sample of adult family caregivers of adult patients. Participants were 46 family caregivers recruited through caregiver websites. Participants completed the Revised Collett–Lester Fear of Death and Dying Scale, the Center for Epidemiological Studies Depression Scale–Revised, the Ways of Coping Questionnaire, and a demographic questionnaire. Multiple regression analysis identified significant relationships between death anxiety, depression, coping, and duration of caregiver experience. The findings of this study provide medical practitioners and psychologists with enhanced knowledge, facilitating development of interventions to help family caregivers deal with death anxiety and achieving efficient coping.

scholarly journals Mapping the Medieval Wall System of China and Mongolia: A Multi-Method Approach

Land ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. 997
Author(s):  
Michael Storozum ◽  
Dan Golan ◽  
Ido Wachtel ◽  
Zhidong Zhang ◽  
Johannes S. Lotze ◽  
...  
Keyword(s):  
Large Scale ◽  
Western China ◽  
Mountain Range ◽  
Future Studies ◽  
Wide Range ◽  
Northern Mongolia ◽  
Multi Method Approach ◽  
The Comparative Study ◽  
Method Approach ◽  
Wall System

The Medieval Wall System of China and Mongolia is one of the longest wall systems in the world, but its specific chronology, function, and purpose remain ambiguous. Constructed at various points throughout the 10th to 13th centuries CE, this network of walls, forts, and enclosures covers an estimated 4000 km and spans a wide range of ecozones, from the deserts of western China to the steppes of northern Mongolia and the Khingan mountain range. In this article we used historical atlases, topographic maps, and an array of different kinds of data derived from satellite remote sensing, to produce one of the first accurate maps of the Medieval Wall System. Through this large-scale mapping program, we are now able to evaluate previous work that estimates the length of the wall system and different areas of construction. By measuring the structures associated with the wall and the length of the wall itself, we identified at least three different areas of construction along the Medieval Wall System. Future studies may be able to use similar tools to develop more accurate maps of other wall systems throughout Eurasia to further advance the comparative study of ancient wall systems.

Suicidal Behavior in German Adolescents

2015 ◽  
Vol 43 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Joana Straub ◽  
Ferdinand Keller ◽  
Nina Sproeber ◽  
Michael G. Koelch ◽  
Paul L. Plener
Keyword(s):  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Present Sample ◽  
Manic Symptoms ◽  
Symptoms Of Depression ◽  
Adolescent Sample ◽  
History Of ◽  
Sum Scores

Objective: Research in adults has identified an association between bipolar disorder and suicidal behavior. This relationship, however, has been insufficiently investigated in adolescents to date. Methods: 1,117 adolescents from 13 German schools (mean age = 14.83, SD = .63; 52.7% females) completed an extended German version of the Center for Epidemiological Studies Depression Scale (CES-D), which assesses depressive and manic symptoms during the last week, as well as the Self-Harm Behavior Questionnaire (SHBQ) for the assessment of lifetime suicidal behavior. Results: In the present sample 39.4% of the girls and 23.1% of the boys reported lifetime suicidal thoughts and 7.1% of the girls as well as 3.9% of the boys a lifetime history of suicide attempts. 18.7% of the adolescent sample revealed elevated symptoms of depression and 9% elevated levels of mania symptoms. Elevated sum scores of depression and mania were associated with a higher number of suicidal ideations and suicide attempts. A block-wise regression analysis revealed that sum scores of depression and mania predicted suicidal ideations best. Concerning suicide attempts, the best predictors were age as well as depression and mania sum scores. Conclusions: Suicidal behavior was reported more often when adolescents demonstrate symptoms of mania as well as symptoms of depression than when they demonstrate only depressive symptoms. The presence of bipolar symptoms in adolescents should alert clinicians to the heightened possibility of suicidal behavior.

Zur Anwendung der CES-D bei älteren Menschen: Dimensionsstruktur und Meßartefakte

Diagnostica ◽  
2000 ◽  
Vol 46 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Herbert Matschinger ◽  
Astrid Schork ◽  
Steffi G. Riedel-Heller ◽  
Matthias C. Angermeyer
Keyword(s):  
Mental State ◽  
Latent Class ◽  
Mini Mental State Examination ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Partial Credit ◽  
Examination Score ◽  
State Examination

Zusammenfassung. Beim Einsatz der Center for Epidemiological Studies Depression Scale (CES-D) stellt sich das Problem der Dimensionalität des Instruments, dessen Lösung durch die Konfundierung eines Teilkonstruktes (“Wohlbefinden”) mit Besonderheiten der Itemformulierung Schwierigkeiten bereitet, da Antwortartefakte zu erwarten sind. Dimensionsstruktur und Eignung der CES-D zur Erfassung der Depression bei älteren Menschen wurden an einer Stichprobe von 663 über 75-jährigen Teilnehmern der “Leipziger Langzeitstudie in der Altenbevölkerung” untersucht. Da sich die Annahme der Gültigkeit eines partial-credit-Rasch-Modells sowohl für die Gesamtstichprobe als auch für eine Teilpopulation als zu restriktiv erwies, wurde ein 3- bzw. 4-Klassen-latent-class-Modell für geordnete Kategorien berechnet und die 4-Klassen-Lösung als den Daten angemessen interpretiert: Drei Klassen zeigten sich im Sinne des Konstrukts “Depression” geordnet, eine Klasse enthielt jene Respondenten, deren Antwortmuster auf ein Antwortartefakt hinwiesen. In dieser Befragtenklasse wird der Depressionsgrad offensichtlich überschätzt. Zusammenhänge mit Alter und Mini-Mental-State-Examination-Score werden dargestellt. Nach unseren Ergebnissen muß die CES-D in einer Altenbevölkerung mit Vorsicht eingesetzt werden, der Summenscore sollte nicht verwendet werden.

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