The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Mary Amanda Dew - One of the best experts on this subject based on the ideXlab platform.
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Anticipatory Grief in new family caregivers of persons with mild cognitive impairment and dementia
Alzheimer Disease & Associated Disorders, 2012Co-Authors: Linda Garand, Jennifer H Lingler, Kaitlyn E Deardorf, Steven T Dekosky, Richard Schulz, Charles F Reynolds, Mary Amanda DewAbstract:Anticipatory Grief is the process of experiencing normal phases of bereavement in advance of the loss of a significant person. To date, Anticipatory Grief has been examined in family caregivers to individuals who have had Alzheimer disease (AD) an average of 3 to 6 years. Whether such Grief is manifested early in the disease trajectory (at diagnosis) is unknown. Using a cross-sectional design, we examined differences in the nature and extent of Anticipatory Grief between family caregivers of persons with a new diagnosis of mild cognitive impairment (MCI, n=43) or AD (n=30). We also determined whether Anticipatory Grief levels were associated with caregiver demographics, caregiving burden, depressive symptoms, and marital quality. The mean Anticipatory Grief levels were high in the total sample, with AD caregivers endorsing significantly more Anticipatory Grief than MCI caregivers. In general, AD caregivers endorsed difficulty in functioning, whereas MCI caregivers focused on themes of "missing the person" they once knew. Being a female caregiver, reporting higher levels of objective caregiving burden, and higher depression levels each had independent, statistically significant relationships with Anticipatory Grief. Given these findings, family caregivers of individuals with mild cognitive deficits or a new AD diagnosis may benefit from interventions specifically addressing Anticipatory Grief.
Benjamin T Mast - One of the best experts on this subject based on the ideXlab platform.
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predictors of Anticipatory Grief in dementia caregivers
Clinical Gerontologist, 2010Co-Authors: Caitlin K Holley, Benjamin T MastAbstract:The current study examines several indicators of dementia severity and their relationship to Anticipatory Grief (AG) to investigate which aspects of the caregiving situation may lead to greater levels of AG. Eighty informal dementia caregivers completed interviews and questionnaires assessing their experiences, and regression analyses were used to examine the relationship between primary stressors (disease stage, hours of weekly care, ADL and IADL impairments and behavior problems) and AG. Results revealed that behavior problems were the only variable which was significantly associated with AG, and follow-up analyses revealed that adult child and spouse caregivers responded differently to different types of behavior problems. Overall, the Grief experiences of dementia caregivers appear to be more strongly related to behavioral problems than other indicators of disease severity.
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The Impact of Anticipatory Grief on Caregiver Burden in Dementia Caregivers
The Gerontologist, 2009Co-Authors: Caitlin K Holley, Benjamin T MastAbstract:Purpose: Interest in Anticipatory Grief (AG) has typically focused on terminal diseases such as cancer. However, the issues involved in AG are unique in the context of dementia due to the progressive deterioration of both cognitive and physical abilities. The current study investigated the nature of AG in a sample of dementia caregivers and examined the relationship between AG and caregiver burden. Design and Methods: A total of 80 informal caregivers of individuals with dementia completed interviews and questionnaires assessing their experience of Grief, physical and mental health, aspects of the caregiving situation, and the level of patient impairment. Hierarchical linear regression models were used to examine whether AG is signifi cantly associated with caregiver burden. Results: AG was shown to be signifi cantly and independently associated with caregiver burden in this sample, beyond the effects of known predictors such as background characteristics, behavior problems in the care recipient, and depressive symptoms. Implications: The current results suggest that Grief may be an important yet understudied aspect of the caregiving experience. It is likely that consideration of Grief in future conceptualizations of caregiver burden can lead to better support for caregivers and more accurate predictions of outcomes.
Giora Netzer - One of the best experts on this subject based on the ideXlab platform.
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Anticipatory Grief and impaired problem solving among surrogate decision makers of critically ill patients: A cross-sectional study.
Intensive & critical care nursing, 2018Co-Authors: D.r. Glick, Melissa Motta, Debra L. Wiegand, Patrick Range, Robert M. Reed, Avelino C. Verceles, Nirav G. Shah, Giora NetzerAbstract:Abstract Objectives Anticipatory Grief, the experience of Grief before the death of a mourned individual, is common among people with seriously ill loved ones and associated with impaired social problem solving. We sought to evaluate Anticipatory Grief in the Intensive Care Unit setting. Research methodology/design Cross-sectional study of surrogate decision-makers of patients admitted to an intensive care unit, incorporating survey methodology. Setting Intensive care units at a tertiary care centre. Main outcome measures Surrogates completed a 78-question, self-administered questionnaire consisting of demographic and clinical data, as well as three validated instruments: Anticipatory Grief Scale (AGS), Hospital Anxiety and Depression Scale (HADS), and Social Problem Solving Inventory Revised Short Form (SPSI-R:S). Main results Surveys were completed by 50 surrogate decision-makers, among whom Anticipatory Grief was elevated and associated with anxiety and depression. Anticipatory Grief was also significantly associated with worsened overall problem solving (Spearman’s Rho −0.32, p value 0.02). Surrogates with loved ones who were older or admitted to a trauma unit experienced Anticipatory Grief at lower levels. Prior admission and Charlson Comorbidity Index scores were not associated with Anticipatory Grief. Conclusion Levels of Anticipatory Grief in the intensive care unit are high and associated with concurrent anxiety and depression. Association of Anticipatory Grief with worsened social problem solving may worsen decision making ability in surrogates.
Linda Garand - One of the best experts on this subject based on the ideXlab platform.
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association between Anticipatory Grief and problem solving among family caregivers of persons with cognitive impairment
Journal of Aging and Health, 2013Co-Authors: Nicole R Fowler, Alexandra S Hansen, Amber E Barnato, Linda GarandAbstract:Objective: Measure perceived involvement in medical decision making and determine if Anticipatory Grief is associated with problem solving among family caregivers of older adults with cognitive impairment. Method: Retrospective analysis of baseline data from a caregiver intervention (n = 73). Multivariable regression models testing the association between caregivers’ Anticipatory Grief, measured by the Anticipatory Grief Scale (AGS), with problem-solving abilities, measured by the Social Problem Solving Inventory-Revised: Short Form (SPSI-R: S). Results: 47/73 (64%) of caregivers reported involvement in medical decision making. Mean AGS was 70.1 (± 14.8) and mean SPSI-R: S was 107.2 (± 11.6). Higher AGS scores were associated with lower positive problem orientation (p = .041) and higher negative problem orientation scores (p = .001) but not other components of problem solving—rational problem solving, avoidance style, and impulsivity/carelessness style. Discussion: Higher Anticipatory Grief among family c...
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Anticipatory Grief in new family caregivers of persons with mild cognitive impairment and dementia
Alzheimer Disease & Associated Disorders, 2012Co-Authors: Linda Garand, Jennifer H Lingler, Kaitlyn E Deardorf, Steven T Dekosky, Richard Schulz, Charles F Reynolds, Mary Amanda DewAbstract:Anticipatory Grief is the process of experiencing normal phases of bereavement in advance of the loss of a significant person. To date, Anticipatory Grief has been examined in family caregivers to individuals who have had Alzheimer disease (AD) an average of 3 to 6 years. Whether such Grief is manifested early in the disease trajectory (at diagnosis) is unknown. Using a cross-sectional design, we examined differences in the nature and extent of Anticipatory Grief between family caregivers of persons with a new diagnosis of mild cognitive impairment (MCI, n=43) or AD (n=30). We also determined whether Anticipatory Grief levels were associated with caregiver demographics, caregiving burden, depressive symptoms, and marital quality. The mean Anticipatory Grief levels were high in the total sample, with AD caregivers endorsing significantly more Anticipatory Grief than MCI caregivers. In general, AD caregivers endorsed difficulty in functioning, whereas MCI caregivers focused on themes of "missing the person" they once knew. Being a female caregiver, reporting higher levels of objective caregiving burden, and higher depression levels each had independent, statistically significant relationships with Anticipatory Grief. Given these findings, family caregivers of individuals with mild cognitive deficits or a new AD diagnosis may benefit from interventions specifically addressing Anticipatory Grief.
Caitlin K Holley - One of the best experts on this subject based on the ideXlab platform.
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predictors of Anticipatory Grief in dementia caregivers
Clinical Gerontologist, 2010Co-Authors: Caitlin K Holley, Benjamin T MastAbstract:The current study examines several indicators of dementia severity and their relationship to Anticipatory Grief (AG) to investigate which aspects of the caregiving situation may lead to greater levels of AG. Eighty informal dementia caregivers completed interviews and questionnaires assessing their experiences, and regression analyses were used to examine the relationship between primary stressors (disease stage, hours of weekly care, ADL and IADL impairments and behavior problems) and AG. Results revealed that behavior problems were the only variable which was significantly associated with AG, and follow-up analyses revealed that adult child and spouse caregivers responded differently to different types of behavior problems. Overall, the Grief experiences of dementia caregivers appear to be more strongly related to behavioral problems than other indicators of disease severity.
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The Impact of Anticipatory Grief on Caregiver Burden in Dementia Caregivers
The Gerontologist, 2009Co-Authors: Caitlin K Holley, Benjamin T MastAbstract:Purpose: Interest in Anticipatory Grief (AG) has typically focused on terminal diseases such as cancer. However, the issues involved in AG are unique in the context of dementia due to the progressive deterioration of both cognitive and physical abilities. The current study investigated the nature of AG in a sample of dementia caregivers and examined the relationship between AG and caregiver burden. Design and Methods: A total of 80 informal caregivers of individuals with dementia completed interviews and questionnaires assessing their experience of Grief, physical and mental health, aspects of the caregiving situation, and the level of patient impairment. Hierarchical linear regression models were used to examine whether AG is signifi cantly associated with caregiver burden. Results: AG was shown to be signifi cantly and independently associated with caregiver burden in this sample, beyond the effects of known predictors such as background characteristics, behavior problems in the care recipient, and depressive symptoms. Implications: The current results suggest that Grief may be an important yet understudied aspect of the caregiving experience. It is likely that consideration of Grief in future conceptualizations of caregiver burden can lead to better support for caregivers and more accurate predictions of outcomes.
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Anticipatory Grief in the context of dementia caregiving
2009Co-Authors: Caitlin K HolleyAbstract:The current study investigated the nature of Anticipatory Grief in a sample of dementia caregivers, and examined the relationship between Anticipatory Grief and caregiver burden. Anticipatory Grief can be described as one's reaction to the impending death of a loved one, in addition to responses to other previously endured, ongoing, and anticipated losses. Interest in Anticipatory Grief has been inconsistent, and has typically focused on terminal diseases such as cancer. However, the issues involved in Anticipatory Grief are unique in the context of dementia due to the progressive deterioration of both cognitive and physical abilities. A total of 80 informal caregivers of individuals with dementia completed interviews and questionnaires assessing his or her experience of Grief, physical and mental health, aspects of the caregiving situation, and the severity of patient impairment. Results reveal that Anticipatory Grief is strongly related to burden and its correlates, including depression, well-being, social support, and behavior problems in the care recipient. Anticipatory Grief is shown to be a significant and independent predictor of caregiver burden in this sample, beyond the effects of known predictors such as background characteristics, primary stressors, and depressive symptoms. The current results suggest that Grief may be an important yet understudied aspect of the caregiving experience. The nature of Anticipatory Grief in dementia caregivers is described, and recommendations for future research directions, including longitudinal examination of Anticipatory Grief, are provided.