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Elder abuse and dementia--a pilot study

C Cooney1, A Mortimer

  • 1Section of Old Age Psychiatry, Institute of Psychiatry, London, England.

The International Journal of Social Psychiatry
|January 1, 1995
PubMed
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Many dementia caregivers admit to abuse, with verbal abuse being most common. Risk factors include social isolation, poor relationships, and caregiver distress, highlighting the need for targeted support for dementia carers.

Area of Science:

  • Gerontology
  • Psychiatry
  • Social Work

Background:

  • Dementia caregiving presents significant challenges.
  • Abuse and neglect of dementia sufferers by caregivers is a recognized concern.

Purpose of the Study:

  • To identify the prevalence of verbal abuse, physical abuse, and neglect by dementia caregivers.
  • To analyze risk factors associated with different forms of caregiver abuse.

Main Methods:

  • Anonymous postal questionnaire distributed to 200 members of a dementia caregiver support organization.
  • Analysis of risk factors in caregivers and care recipients for admitted abuse.

Main Results:

  • 55% of caregivers reported engaging in some form of abuse, with verbal abuse being most frequent.

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  • Verbal abuse correlated with poor premorbid relationships and caregiver social isolation.
  • Caregiver psychological distress (high GHQ scores) and longer care duration were linked to physical abuse.

    • Conclusions:

    • Different categories of abuse in dementia caregiving have distinct correlates.
    • Findings underscore the need for interventions addressing caregiver isolation, distress, and relationship dynamics.