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Related Experiment Videos

The relationship between dementia and elder abuse

A C Coyne1, W E Reichman, L J Berbig

  • 1COPSA Institute for Alzheimer's Disease and Related Disorders, UMDNJ-CMHC, Piscataway 08855-1392.

The American Journal of Psychiatry
|April 1, 1993
PubMed
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Caregivers of dementia patients experiencing high burden and depression are more likely to perpetrate abuse. Patient-directed abuse further increases the risk of reciprocal abusive behaviors.

Area of Science:

  • Gerontology
  • Psychiatry
  • Social Science

Background:

  • Dementia and cognitive impairment in the elderly are associated with increased risk of physical abuse.
  • Understanding the dynamics of abuse between dementia patients and their caregivers is crucial.

Purpose of the Study:

  • To examine the relationship between dementia and abusive behaviors in a cohort of patients and their caregivers.
  • To identify factors associated with abusive behavior in dementia caregiving.

Main Methods:

  • Anonymous questionnaires were distributed to 1,000 caregivers of dementia patients.
  • Caregivers reported on patient and caregiver demographics, occurrence of abuse, and completed the Zarit Burden Interview and Zung Self-Rating Depression Scale.

Main Results:

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  • Of 342 respondents, 11.9% reported physically abusing the patient; these caregivers had higher burden and depression scores.
  • 33.1% of caregivers reported experiencing abuse from the patient.
  • Caregivers abused by patients were more likely to direct abuse back toward the patient.

Conclusions:

  • Abuse in dementia caregiving is linked to the significant psychological and physical demands on family members.
  • High caregiver burden and depression are risk factors for perpetrating abuse.
  • Reciprocal abuse occurs when caregivers experience abuse from patients.