Caregiver Reports: A Systematic Method of Comparison with Clinical Impressions

We describe one method for comparing clinician and caregiver perspectives on dementia patients, avoiding classifying perspective either as correct (a "gold standard"). Sixty-two individuals (31 patients with formal diagnoses of dementia and each patient's primary caregiver) served as...

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Bibliographic Details
Published in:Clinical gerontologist 2004, Vol.27 (4), p.53-70
Main Authors: Battista, Matthew A., Pate, Debra Sue, Hierholzer, Robert, Howsepian, A. A., Mogelof, Jeffrey
Format: Article
Language:English
Subjects:
Alzheimer's Disease
Assessment
Biological and medical sciences
caregiver
Caregiver Burden
caregiver-clinician congruence
Caregivers
Carers
Cognitive Functioning
Dementia
Diagnosis
Elderly
Elderly people
Families
Geriatrics
Health professionals
Medical sciences
Physicians
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Senility
USA
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Summary:We describe one method for comparing clinician and caregiver perspectives on dementia patients, avoiding classifying perspective either as correct (a "gold standard"). Sixty-two individuals (31 patients with formal diagnoses of dementia and each patient's primary caregiver) served as study participants. Caregivers completed questionnaires about their perceived caregiver burden, their mood state and various aspects of patients' functioning. For comparison purposes, both clinicians and caregivers completed ratings and rankings of dementia-related problems in 4 domains of functioning. A majority of clinician-caregiver comparisons were incongruent, predominately for patients with a moderate degree of dementia. Overall caregiver burden (r = .63, p < .05) and care-giver mood state (F(1,29) = 7.14, p < .05) were both significantly related to clinician-caregiver incongruence.
ISSN:0731-7115
1545-2301
DOI:10.1300/J018v27n04_06