Caregivers’ beliefs about dementia: findings from the IDEAL study

Abstract

Objective: Informal caregivers of people with dementia develop their own beliefs about the condition, referred to as Dementia Representations (DRs), as they try to make sense of the changes they are observing. The first aim of this study was to provide a profile of the types of DRs held by caregivers. The second aim was to examine the impact of caregivers’ DRs on their well-being, satisfaction with life (SwL) and caregiving stress.

Methods: Participants were 1264 informal caregivers of people in the mild-to-moderate stages of dementia from time-point 1 of the IDEAL cohort study.

Measures: DRs were measured using questionnaire items covering: Identity, Cause, Control, and Timeline.

Results: Almost half (49.2%) of caregivers used a diagnostic term to describe the person’s condition, although 93.4% of caregivers stated they were aware of the diagnosis. Higher well-being, SwL, and lower caregiving stress were associated with the use of an identity term relating to specific symptoms of dementia, attributing the cause to ageing or not knowing the cause, and believing the condition would stay the same. Lower well-being, SwL, and higher caregiving stress were associated with believing there was little that could be done to control the effects of the condition.

Conclusion: Healthcare professionals should assess and gain an understanding of caregivers’ DRs in order to provide more tailored information and support.     

Seeking Clarity in a Linguistic Fog: Moderators of the Workplace Aggression-Strain Relationship

This study used cross-sectional data from 579 nurses to examine main and interaction effects of workplace aggression and theoretical nuances on employee strain. Perceived intensity of aggression and intention attributions by the target, power of the perpetrator in relation to the target, and perceived visibility of aggression by the target all served to exacerbate various relationships of workplace aggression with depression, physical symptoms, job satisfaction, and accidental contagious disease exposure. Three-way interactions reveal that these moderators may have complex roles in workplace aggression–strain research. This research supports a model where workplace aggression and its distinct moderators jointly impact employee strain and provide clarity to questions left unanswered due to term fragmentation and measurement overlap that currently obscure how mechanisms underlying workplace aggression constructs impact employee strains.     

Replicating and Extending Past Personality/Job Satisfaction Meta-Analyses

A meta-analysis summarizing results of 187 studies reporting cross-sectional and longitudinal relationships between job satisfaction and personality is described. The Big Five factor of Neuroticism related most strongly and negatively to job satisfaction (?.25), with the other factors ranging from .16 (Conscientiousness) to ?.02 (Openness to Experience). Job satisfaction was positively related to internal locus of control (LOC), positive affectivity, and Type A (achievement striving). Results showed negative relationships with external LOC, trait anger, Machiavellianism, negative affectivity/trait anxiety, and Type A (global and impatience/irritability). Job satisfaction had a very weak, negative correlation with narcissism that was indistinguishable from zero. These relationships were similar, although the effect sizes were generally not as strong, when examined in a longitudinal context. The distinctiveness of Extraversion and positive affectivity, as well as that of global and composite measures of job satisfaction, are discussed.     

Situational Content Moderates the Association Between the Big Five Personality Traits and Behavioral Effectiveness

It has been suggested that self-regulatory goal processes are pervasive and powerful determinants of human behavior. Behavior, in turn, is thought to influence both emotions and cognitions to affect future self-set goals. Although determinants and consequences of self-set goals have been examined independently in past research, there is a paucity of theoretical integration across motivational theories. In this article, major elements from social-cog- nitive and attribution theories-and some elements from expectancy and con- trol theories-are integrated with goal theory to develop a cyclical model of self-set goals. In the development and discussion of this model, we present ar- guments for (a) how self-set goals are chosen, (b) how self-set goals affect subsequent behavior, and (c) how self-set goals change over time. Hypotheses are proposed, theoretical implications are discussed, and future research di- rections are suggested.     

Sexual abuse as a theme in group-analytic therapy

The group-analytic approach, which emphasises the individual in a network of group relationships, is described with reference to the subject of sexual abuse in childhood. Three different National Health Service psychotherapy groups run by the author provide contrasting examples of how the theme, originating in an individual participant, was manifested in the dynamics of the group-as-a-whole. The therapeutic significance to the individual and the group is explored.     

Tracking Children’s Print-Processing Skill Across Grades 1–3: Implications for Reading Assessment and Instruction

Grounded in the simple view of reading, this study tracked the development of print-processing skill in high-, average-, and low-achieving readers at six time points across grades 1–3. Results showed large between-group differences in sight vocabulary, oral reading accuracy, and oral reading rate that remained stable from beginning of first grade to end of third grade. While the average group consistently met pre-set instructional-level criteria for oral reading accuracy and rate, the low group did not. Implications for assessment and instruction are provided.     

Perceptions of Spirituality and Spiritual Care in Occupational Therapy Practice

Occupational therapists view human occupation as active engagement in that which brings meaning to the life of the patient. Spirituality is understood to be one important construct in the creation of meaning in the lives of human beings. This study examined the attitudes toward the use of spiritual care in occupational therapy. The study sample consisted of 310 occupational therapists. Data were collected through the use of a secure web-based survey tool. Analysis was conducted to determine the significance of relationships between several important constructs (e.g., education, theory base, definition of spirituality) and perceptions regarding the use of spiritual care.     

Factors Predicting the Inclusion of Lesbian,Gay, and Bisexual Affirmative Content Taught in Couple and Family Therapy Courses

Abstract

This study explored the relationship between Couple and Family Therapy (CFT) faculty members’ Lesbian, Gay, and Bisexual (LGB) clinical competence and the level of LGB affirmative therapy content they teach in their courses. Hierarchical regression analyses of 117 faculty in accredited CFT programs suggest that faculty members’ own reported competence to work with LGB clients predicted their inclusion of LGB affirmative course content in the courses they teach. Important gender effects also emerged suggesting that women faculty are more likely than men to teach LGB affirmative course material. Results suggest important implications for CFT faculty, training programs, and accreditation standards.     

Reactions to Others' Selfish Actions in the Absence of Tangible Consequences

This research assessed the role of perceived selfishness in people's reactions to events without tangible consequences. In Experiment 1, participants were assigned to complete a boring task by another person who gave a selfish, legitimizing, or exculpatory explanation for the decision. However, half of the participants knew that the other's decision was irrelevant and that they would complete the task regardless of the person's decision. In a second experiment, participants were told that the decision was irrelevant either before or after learning that the other person assigned them to do the boring task. Both studies showed that participants who received a selfish explanation responded strongly to the other person whether or not the person's decision had tangible consequences for them.