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Title: The role of knowledge in anxiety and coping in carers of people with dementia
Author: Duce, Louise Elizabeth.
ISNI:       0000 0001 3433 4883
Awarding Body: University of Birmingham
Current Institution: University of Birmingham
Date of Award: 2002
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VOLUME 1 This volume comprises a review of the literature surrounding caring for family members with dementia and an empirical study investigating the impact of knowledge on carer burden and anxiety and also to investigate whether coping style affected the relationship between knowledge and anxiety or burden. The literature review examines the prevalence of dementia and the nature of the caregiving role. The theoretical basis for understanding the caregiving experience is considered and an overview of the extensive literature investigating emotional and physical health consequences to caregiving along with factors affecting caregiver stress is given. Furthermore, the information needs of carers and the effects of dementia knowledge on carer stress are considered and possible areas for further research are discussed. The empirical study aims to explore the impact of knowledge on carer burden and anxiety and also to investigate whether coping style affected the relationship between knowledge and anxiety or burden. Information about dementia is not always well delivered to caregivers despite the fact that a good grasp of knowledge is important for accurate appraisals. The possibility that increasing knowledge about dementia may increase carer anxiety needs to be investigated further. A cross-sectional, questionnaire-based design was used. Participants were 47 family caregivers of people with dementia living in the community. Pearson's correlations were used to examine the relationships between carers' knowledge of dementia, anxiety, strain and coping. Student's t-tests were used to compare levels of anxiety, carer strain and level of knowledge across demographic variables.No association between carer anxiety and knowledge were found. Use of avoidant coping strategies was positively correlated to carer anxiety and burden. Anxiety and burden were significantly correlated. Use of active behavioural coping was related to level of overall knowledge and is specifically related to biomedical knowledge of dementia The overall conclusions were that it is possible that the relationship between knowledge and carer outcomes does exist, but were not found due to methodological flaws in the main study. However, the predicted relationship between knowledge and carer outcomes may be more complex, insofar as, knowledge may inform carers' subjective interpretations of problem behaviours that have been consistently linked with carer distress. VOLUME ll Four Clinical Practice Reports (CPR) are presented in this volume. CPR 1 details the sleep problems of a 2 year old and formulates the difficulties from 3 different perspectives. CPR 2 describes a service evaluation of a self-esteem group. The obsessive compulsive symptoms of a 65 year old gentleman and the subsequent intervention is outlined in CPR3. CPR4 presents an anxiety management intervention for a man with moderate learning disabilities. An oral presentation was delivered for CPR 5 and an abstract is given.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Clinical psychology Psychology Medicine