A PILOT STUDY OF EXPRESSED EMOTION AND DEPRESSION IN DEMENTIA CAREGIVERS IN TAIWAN

2.50
Hdl Handle:
http://hdl.handle.net/10755/211702
Type:
Research Study
Title:
A PILOT STUDY OF EXPRESSED EMOTION AND DEPRESSION IN DEMENTIA CAREGIVERS IN TAIWAN
Abstract:
Purpose: The purpose of this study is to explore the feasibility of two of the measurements scaling caregiver EE and patient cognitive status, and to guide the design of a larger study by exploring relationships between caregiver EE to patient and caregiver characteristics in Taiwan. The specific aims are to: 1) test the validity and reliability of the Chinese version of Level of Expressed Emotion (LEE) and Functional Assessment Staging (FAST) scales; 2) describe the distribution of EE in family caregivers of dementia patients and explore the possibility of suitable cut-off point for LEE scale; 3) explore the association between caregiver EE and caregiver demographic characteristics (e.g., gender & types of relationship) level of depression, burden, and perception of health among caregivers of dementia patients; and 4) explore the association between caregiver EE and patient cognition and functional status among dementia patients. Problem statement: Family caregivers of dementia patients face considerable negative effects such as burden, depression, and poor quality of life. Expressed emotion (EE) is defined as the amount of intrusiveness, emotional response, negative attitude towards the illness, and tolerance/expectations conveyed by caregivers toward their patients. EE has been a useful construct for understanding the relationship between family interactions and caregivers’ depression in patients with psychiatric disorders. Reviews of literature yielded very little research investigating the relationship between EE and depression in dementia caregivers in Chinese-speaking populations. In-depth examinations of the relationship between EE and depression in Taiwan are therefore urgently needed. A set of measurements is suggested to establish a concrete base for future Taiwan-based research of this field. Methods: Multiple methods will be used to ensure measures of LEE and FAST translation process will yield a linguistic and cultural equivalent of the original, including: forward translation, backward translation, committee meeting, expert consulting, focus groups, and psychometric testing. Participants (n=25) in the Pingtung region of Taiwan will be recruited to complete the Chinese version of seven scales. All of the participants will complete LEE and FAST scales a second time within one week to test for reliability. Bivariate, multivariate, and multivariate logistic regression will be carried out to address the specific aims. Implications: This study will provide preliminary knowledge about the validity and reliability of testing scales as well as the relationship between EE and health consequences of the targeted sample population. This information will help to establish a foundation for future research with this specific population and provide family caregivers with information about the types of support that are most relevant to them.
Keywords:
Caregivers; Taiwan
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4927
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleA PILOT STUDY OF EXPRESSED EMOTION AND DEPRESSION IN DEMENTIA CAREGIVERS IN TAIWANen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211702-
dc.description.abstractPurpose: The purpose of this study is to explore the feasibility of two of the measurements scaling caregiver EE and patient cognitive status, and to guide the design of a larger study by exploring relationships between caregiver EE to patient and caregiver characteristics in Taiwan. The specific aims are to: 1) test the validity and reliability of the Chinese version of Level of Expressed Emotion (LEE) and Functional Assessment Staging (FAST) scales; 2) describe the distribution of EE in family caregivers of dementia patients and explore the possibility of suitable cut-off point for LEE scale; 3) explore the association between caregiver EE and caregiver demographic characteristics (e.g., gender & types of relationship) level of depression, burden, and perception of health among caregivers of dementia patients; and 4) explore the association between caregiver EE and patient cognition and functional status among dementia patients. Problem statement: Family caregivers of dementia patients face considerable negative effects such as burden, depression, and poor quality of life. Expressed emotion (EE) is defined as the amount of intrusiveness, emotional response, negative attitude towards the illness, and tolerance/expectations conveyed by caregivers toward their patients. EE has been a useful construct for understanding the relationship between family interactions and caregivers’ depression in patients with psychiatric disorders. Reviews of literature yielded very little research investigating the relationship between EE and depression in dementia caregivers in Chinese-speaking populations. In-depth examinations of the relationship between EE and depression in Taiwan are therefore urgently needed. A set of measurements is suggested to establish a concrete base for future Taiwan-based research of this field. Methods: Multiple methods will be used to ensure measures of LEE and FAST translation process will yield a linguistic and cultural equivalent of the original, including: forward translation, backward translation, committee meeting, expert consulting, focus groups, and psychometric testing. Participants (n=25) in the Pingtung region of Taiwan will be recruited to complete the Chinese version of seven scales. All of the participants will complete LEE and FAST scales a second time within one week to test for reliability. Bivariate, multivariate, and multivariate logistic regression will be carried out to address the specific aims. Implications: This study will provide preliminary knowledge about the validity and reliability of testing scales as well as the relationship between EE and health consequences of the targeted sample population. This information will help to establish a foundation for future research with this specific population and provide family caregivers with information about the types of support that are most relevant to them.en_GB
dc.subjectCaregiversen_GB
dc.subjectTaiwanen_GB
dc.date.available2012-02-20T12:09:18Z-
dc.date.issued2012-02-20T12:09:18Z-
dc.date.accessioned2012-02-20T12:09:18Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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