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Anxiety and depression are associated with coping strategies in caregivers of Alzheimer's disease patients: results from the MÁLAGA-AD study

Published online by Cambridge University Press:  16 February 2012

José María García-Alberca ,
Belén Cruz ,
José Pablo Lara ,
Victoria Garrido ,
Almudena Lara  and
Esther Gris
José María García-Alberca*
Affiliation:
Memory and Alzheimer's Disease Unit, Instituto Andaluz de Neurociencia y Conducta, Málaga, Spain Cognitive Neurophysiology Unit, Centro de Investigaciones Médico-Sanitarias, University of Málaga, Málaga, Spain
Belén Cruz
Affiliation:
Memory and Alzheimer's Disease Unit, Instituto Andaluz de Neurociencia y Conducta, Málaga, Spain
José Pablo Lara
Affiliation:
Cognitive Neurophysiology Unit, Centro de Investigaciones Médico-Sanitarias, University of Málaga, Málaga, Spain
Victoria Garrido
Affiliation:
Memory and Alzheimer's Disease Unit, Instituto Andaluz de Neurociencia y Conducta, Málaga, Spain
Almudena Lara
Affiliation:
Asociación Criptana de Enfermos de Alzheimer, Campo de Criptana, Spain
Esther Gris
Affiliation:
Memory and Alzheimer's Disease Unit, Instituto Andaluz de Neurociencia y Conducta, Málaga, Spain
*
Correspondence should be addressed to: José María García-Alberca, Instituto Andaluz de Neurociencia y Conducta, Alamos, 17. 29012, Malaga, Spain. Phone: +34 952 13 75 46; Fax: + 34 952 21 20 22. Email: jmgalberca@ianec.com.
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Abstract

Background: Caregiving for people with Alzheimer's disease (AD) is highly stressful and has significant negative consequences, such as anxiety and depression. Previous research offers conflicting findings as to whether coping strategies are associated with greater psychological distress or not. We conducted this study with a view to obtaining new data regarding the association of coping strategies and psychological distress in AD caregivers.

Methods: Eighty people with AD and their primary caregivers living in the community were recruited from local health services. Purposive recruitment was carried out to ensure that the sample was representative of people living with dementia in terms of dementia severity, gender, and care setting. We used the State-Trait Anxiety Inventory to measure anxiety, the Beck Depression Inventory to measure depression, and the Coping Strategies Inventory to measure coping strategies.

Results: Most caregivers reported higher anxiety and depression levels. Use of disengagement coping strategies (Wald = 3.35, p = 0.01) and higher caregiver burden (Wald = 4.83, p = 0.02) predicted anxiety on logistic regression. In turn, use of disengagement coping strategies (Wald = 12.48, p = 0.001) and higher caregiver burden (Wald = 6.91, p = 0.009) predicted depression on logistic regression.

Conclusion: These results may be useful for designing treatment interventions that aim to modify the use of coping strategies and thus reduces caregiver anxiety and depression.

Keywords

Alzheimer's diseasecopinganxietydepressioncaregiver burden
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Special Issue 8: Focus on late life depression , August 2012 , pp. 1325 - 1334
Copyright
Copyright © International Psychogeriatric Association 2012

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