Psychological and Physiological Health in African American and Caucasian Alzheimer's Caregivers

Psychological and Physiological Health in African American and Caucasian Alzheimer's Caregivers

Author: Lauralyn E. Miles

Publisher:

Published: 2002

Total Pages: 412

ISBN-13:

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The literature suggests that African American (AA) family caregivers (CGs) of patients with Alzheimer's Disease may suffer from less psychological distress due to caregiving than their Caucasian American (CA) counterparts. This study investigated differences in psychological and physiological health in AA and CA CGs. The roles of religious and ethnic factors were also examined in relation to health indices. Responses of 29 AA and 83 CA CGs who had participated in an intervention study on CG health were compared. A subsample of 44 females (half AA, half CA) matched by age was also created. Data were taken from the first two visits of the parent study. In the first visit, a semi-structured interview, staff collected information about demographics, psychological symptoms, social desirability, religious and ethnic experiences, and patient factors. In the second visit, a stress-test protocol, blood pressure was collected using a Finapres monitor while heart rate and heart period variability were collected via electrocardiography. Hypotheses included: (1) depressive symptoms would be lower in AAs than in CAs; (2) correspondingly, AAs would demonstrate reduced sympathoadrenal medullary (SAM) reactivity; (3) a negative relationship would exist between religiousness and health indices in both ethnic groups, but there would be a more pronounced effect in AAs; and (4) higher ethnic identity and acculturation would correspond to lower reactivity on SAM indices in AAs. Statistical analyses, consisting of ANCOVAs and MANCOVAs, revealed partial support for hypotheses. Results for the main and subsample indicated that AAs showed fewer depressive symptoms than CAs (p = .003); AAs demonstrated lower levels of reactivity than CAs on heart period variability (p = .01), but similar levels on systolic and diastolic blood pressure, and heart rate; religiousness had no value in explaining health differences between ethnic groups; and ethnic factors had little value in differentiating outcomes in AAs. It was concluded that AAs may have a buffer to the stress of caregiving, but this mechanism is not well understood. This study aids in furthering the understanding of the risks associated with caregiving in AAs and CAs, and can inform the field about the need for culturally-specific intervention programs.


Ethnicity and the Dementias

Ethnicity and the Dementias

Author: Gwen Yeo

Publisher: Routledge

Published: 2013-05-13

Total Pages: 414

ISBN-13: 1136895612

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In recent years, the literature on the topic of ethnic and racial issues in Alzheimer’s disease and other dementias has increased dramatically. At the same time, the need for cultural competence in all of geriatric care, including dementia care, is increasingly being acknowledged. Researchers and providers are beginning to recognize the impending "ethnogeriatric imperative," as the number of elders from diverse ethnic and cultural backgrounds continues to rise. Ethnicity and the Dementias offers invaluable background information in this area, while also examining how those suffering from dementia and their family members respond or adapt to the challenges that follow. Thoroughly updated and revised from the first edition, the book features contributions from leading clinicians and researchers on the epidemiology of dementias by ethnic population, new information on the assessment of diverse populations, and updates and inclusions of new populations in the management of dementia and working with families. The book is ideal for practitioners, researchers, and policy makers in search of the most current ethnogeriatric findings.


Ethnicity and Dementias

Ethnicity and Dementias

Author: Gwen Yeo

Publisher: Taylor & Francis

Published: 2014-04-04

Total Pages: 284

ISBN-13: 1317822595

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A practical approach for professionals working with people suffering from dementias, this book focuses on dementias, including Alzheimer's disease, from a multi-cultural perspective.


Families Caring for an Aging America

Families Caring for an Aging America

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-11-08

Total Pages: 367

ISBN-13: 0309448093

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Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.


Stress Reduction for Caregivers

Stress Reduction for Caregivers

Author: Jody Olshevski

Publisher: Routledge

Published: 2013-11-12

Total Pages: 154

ISBN-13: 1317771869

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First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.


Mental Health Care in the African-American Community

Mental Health Care in the African-American Community

Author: Sadye Logan

Publisher: Routledge

Published: 2013-01-11

Total Pages: 428

ISBN-13: 1136430032

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Over the course of an African American’s lifetime, mental health care needs change according to an individual’s unique interactions with his or her environment. Mental Health Care in the African-American Community uses this perspective to provide a deeper analysis of factors and issues affecting the mental health of African Americans. This comprehensive text provides a current and historical analysis of the impact of mental health research, policy, community, and clinical practice from a life course perspective. Stressing evidence-based practice as an expanded way to think and talk about individualizing and translating evidence into a given practice situation, this valuable book provides a social work context for all helping professions. Mental Health Care in the African-American Community provides the helping community with non-traditional, expanded ways of thinking and intervening in the mental health needs and care of African Americans. Organized logically, this complex subject presents data in a user-friendly way that engages the reader, and provides chapter summaries and suggested group/classroom activities to facilitate understanding. This text is extensively referenced and includes figures and tables to clearly illustrate data. Topics in Mental Health Care in the African-American Community include: a historical overview of African Americans’ mental health care a conceptual and theoretical framework for African Americans’ mental health current issues affecting mental health intervention for African Americans mental health in group homes and foster care depression substance abuse poverty ADHD suicide mental health in elderly African Americans mental health policy rural African American mental health needs kinship care multiethnic families and children much, much more! Mental Health Care in the African-American Community is a valuable textbook for practitioners; administrators; researchers; policymakers; educators; and students in social work, psychology, mental health services, case management, and community planning.


Reducing the Impact of Dementia in America

Reducing the Impact of Dementia in America

Author: National Academies of Sciences Engineering and Medicine

Publisher:

Published: 2022-04-26

Total Pages:

ISBN-13: 9780309495035

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As the largest generation in U.S. history - the population born in the two decades immediately following World War II - enters the age of risk for cognitive impairment, growing numbers of people will experience dementia (including Alzheimer's disease and related dementias). By one estimate, nearly 14 million people in the United States will be living with dementia by 2060. Like other hardships, the experience of living with dementia can bring unexpected moments of intimacy, growth, and compassion, but these diseases also affect people's capacity to work and carry out other activities and alter their relationships with loved ones, friends, and coworkers. Those who live with and care for individuals experiencing these diseases face challenges that include physical and emotional stress, difficult changes and losses in their relationships with life partners, loss of income, and interrupted connections to other activities and friends. From a societal perspective, these diseases place substantial demands on communities and on the institutions and government entities that support people living with dementia and their families, including the health care system, the providers of direct care, and others. Nevertheless, research in the social and behavioral sciences points to possibilities for preventing or slowing the development of dementia and for substantially reducing its social and economic impacts. At the request of the National Institute on Aging of the U.S. Department of Health and Human Services, Reducing the Impact of Dementia in America assesses the contributions of research in the social and behavioral sciences and identifies a research agenda for the coming decade. This report offers a blueprint for the next decade of behavioral and social science research to reduce the negative impact of dementia for America's diverse population. Reducing the Impact of Dementia in America calls for research that addresses the causes and solutions for disparities in both developing dementia and receiving adequate treatment and support. It calls for research that sets goals meaningful not just for scientists but for people living with dementia and those who support them as well. By 2030, an estimated 8.5 million Americans will have Alzheimer's disease and many more will have other forms of dementia. Through identifying priorities social and behavioral science research and recommending ways in which they can be pursued in a coordinated fashion, Reducing the Impact of Dementia in America will help produce research that improves the lives of all those affected by dementia.


Profiles in Caregiving

Profiles in Caregiving

Author: Carol S. Aneshensel

Publisher: Elsevier

Published: 1995-09-15

Total Pages: 406

ISBN-13: 0080539831

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Given medical advances and greater understanding of healthful living habits, people are living longer lives. Proportionally speaking, a greater percentage of the population is elderly. Despite medical advances, there is still no cure for dementia, and as elderly individuals succumb to Alzheimer's Disease or related dementia, more and more people are having to care their elderly parents and /or siblings. Profiles in Caregiving is practical source of information for anyone who teaches caregiving, acts as a caregiver, or studies caregiving. This book discusses recent research on stress factors associated with caregiving, and what factors impact on successful versus non-successful adaptation to the care-giving role. This is an expanding field in gerontology, and is also of interest to personality and social psychologists studying stress and interpersonal relations. Although there are many books on the cause and treatment of dementia, there has been a book that provides a research investigation into the factors associated with effective caregiving to dementia patients. - Conceptualizes caregiving as a multistage career whose impact on the caregiver continues to be felt after in-home care has ceased - Based upon a longitudinal survey of a demographically diverse sample of principal caregivers over a three-year period - Identifies caregivers who are most at-risk for adverse adaptation to the role - Describes preventative and clinical intervention strategies - Identifies post-care risk and issues - Identifies antecedents to successful adaptation - State of the art analytic techniques - Graphic presentation of empirical findings - Renowned multidisciplinary research team