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Worry about Performance: Unravelling the Relationship between 'Doing More' and 'Doing Better'
1Louise Heyzer, Department of Geriatric Medicine, Tan Tock Seng Hospital, Annex 2 , Level 3, 11 Jalan Tan Tock Seng, Novena, Singapore 308433,
The Journal of Nutrition, Health & Aging
|October 24, 2019
Summary
Caregiver worry about performance (WaP) in older adults with cognitive impairment is linked to caregiver characteristics. Adult children exhibiting disruptive behaviors and high WaP may need early intervention.
Area of Science:
- Gerontology
- Psychiatry
- Caregiver Studies
Background:
- Worry about caregiver performance (WaP) is a recognized aspect of caregiver burden.
- Understanding WaP variations is crucial for supporting caregivers of older adults with cognitive impairment.
Purpose of the Study:
- To examine caregiver and care recipient characteristics differentiating concordant and discordant WaP groups.
- To explore WaP subgroups within 'doing more' and 'doing better' caregiver categories.
Main Methods:
- Retrospective study of 936 community-dwelling older adult/caregiver dyads.
- Categorization into concordant (high/low WaP) and discordant ('doing more'/'doing better') groups.
- Statistical analysis of caregiver and patient characteristics.
Main Results:
- Spousal relationship and fewer care recipient neuropsychiatric symptoms predicted concordant low WaP.
- Discordant groups were mainly adult children; no significant differences found between them.
- In the 'doing more' group, high WaP caregivers reported higher distress (ZBI) and neuropsychiatric symptoms (NPI-Q), particularly depression.
Conclusions:
- Caregiver characteristics, specifically being an adult child, are associated with disruptive behaviors in the 'doing more' high WaP discordant group.
- Identifying high WaP subgroups is essential for targeted interventions.
- The 'doing more' high WaP subgroup warrants further attention and early support.
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