Pain in persons with dementia and the direct and indirect impacts on caregiver burden

Natalie G. Regier; Janiece L. Taylor; Sarah L. Szanton; Patricia A. Parmelee; Nancy Perrin; Minhui Liu; Emerald Jenkins; Nancy A. Hodgson; Laura N. Gitlin

doi:10.1016/j.gerinurse.2021.01.007

Pain in persons with dementia and the direct and indirect impacts on caregiver burden

Natalie G. Regier, Janiece L. Taylor, Sarah L. Szanton, Patricia A. Parmelee, Nancy Perrin, Minhui Liu, Emerald Jenkins, Nancy A. Hodgson, Laura N. Gitlin

School of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: Unresolved pain is related to neuropsychiatric symptoms (NPS) in persons living with dementia (PLWD), and an increase in NPS is distressing for PLWD and their caregivers. Hence, we examined whether pain in PLWD was related to caregiver burden and whether caregiver upset with NPS mediated this relationship. Method: We examined, cross-sectionally, the relationships among pain in PLWD, caregiver burden, and upset with NPS. Data from 272 PLWD and their caregivers who participated in the Advancing Caregiver Training (ACT) trial were analyzed using structural equation modeling (SEM). Results: Model fit was satisfactory, and caregiver upset with NPS fully mediated the association between pain in PLWD and caregiver burden. Conclusion: Caregiver upset with NPS helps explain the relationship between pain in PLWD and burden in their caregivers. Pain and NPS are amenable to modification, as is caregiver burden, suggesting great opportunity to impact the lives of PLWD and their caregivers.

Original language	English (US)
Pages (from-to)	366-371
Number of pages	6
Journal	Geriatric Nursing
Volume	42
Issue number	2
DOIs	https://doi.org/10.1016/j.gerinurse.2021.01.007
State	Published - Mar 1 2021

Keywords

Caregiver burden
Caregiver upset
Dementia
Neuropsychiatric symptoms
Pain

ASJC Scopus subject areas

Gerontology

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10.1016/j.gerinurse.2021.01.007

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title = "Pain in persons with dementia and the direct and indirect impacts on caregiver burden",

abstract = "Objectives: Unresolved pain is related to neuropsychiatric symptoms (NPS) in persons living with dementia (PLWD), and an increase in NPS is distressing for PLWD and their caregivers. Hence, we examined whether pain in PLWD was related to caregiver burden and whether caregiver upset with NPS mediated this relationship. Method: We examined, cross-sectionally, the relationships among pain in PLWD, caregiver burden, and upset with NPS. Data from 272 PLWD and their caregivers who participated in the Advancing Caregiver Training (ACT) trial were analyzed using structural equation modeling (SEM). Results: Model fit was satisfactory, and caregiver upset with NPS fully mediated the association between pain in PLWD and caregiver burden. Conclusion: Caregiver upset with NPS helps explain the relationship between pain in PLWD and burden in their caregivers. Pain and NPS are amenable to modification, as is caregiver burden, suggesting great opportunity to impact the lives of PLWD and their caregivers.",

keywords = "Caregiver burden, Caregiver upset, Dementia, Neuropsychiatric symptoms, Pain",

author = "Regier, {Natalie G.} and Taylor, {Janiece L.} and Szanton, {Sarah L.} and Parmelee, {Patricia A.} and Nancy Perrin and Minhui Liu and Emerald Jenkins and Hodgson, {Nancy A.} and Gitlin, {Laura N.}",

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year = "2021",

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doi = "10.1016/j.gerinurse.2021.01.007",

language = "English (US)",

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AU - Regier, Natalie G.

AU - Taylor, Janiece L.

AU - Szanton, Sarah L.

AU - Parmelee, Patricia A.

AU - Perrin, Nancy

AU - Liu, Minhui

AU - Jenkins, Emerald

AU - Hodgson, Nancy A.

AU - Gitlin, Laura N.

PY - 2021/3/1

Y1 - 2021/3/1

N2 - Objectives: Unresolved pain is related to neuropsychiatric symptoms (NPS) in persons living with dementia (PLWD), and an increase in NPS is distressing for PLWD and their caregivers. Hence, we examined whether pain in PLWD was related to caregiver burden and whether caregiver upset with NPS mediated this relationship. Method: We examined, cross-sectionally, the relationships among pain in PLWD, caregiver burden, and upset with NPS. Data from 272 PLWD and their caregivers who participated in the Advancing Caregiver Training (ACT) trial were analyzed using structural equation modeling (SEM). Results: Model fit was satisfactory, and caregiver upset with NPS fully mediated the association between pain in PLWD and caregiver burden. Conclusion: Caregiver upset with NPS helps explain the relationship between pain in PLWD and burden in their caregivers. Pain and NPS are amenable to modification, as is caregiver burden, suggesting great opportunity to impact the lives of PLWD and their caregivers.

AB - Objectives: Unresolved pain is related to neuropsychiatric symptoms (NPS) in persons living with dementia (PLWD), and an increase in NPS is distressing for PLWD and their caregivers. Hence, we examined whether pain in PLWD was related to caregiver burden and whether caregiver upset with NPS mediated this relationship. Method: We examined, cross-sectionally, the relationships among pain in PLWD, caregiver burden, and upset with NPS. Data from 272 PLWD and their caregivers who participated in the Advancing Caregiver Training (ACT) trial were analyzed using structural equation modeling (SEM). Results: Model fit was satisfactory, and caregiver upset with NPS fully mediated the association between pain in PLWD and caregiver burden. Conclusion: Caregiver upset with NPS helps explain the relationship between pain in PLWD and burden in their caregivers. Pain and NPS are amenable to modification, as is caregiver burden, suggesting great opportunity to impact the lives of PLWD and their caregivers.

KW - Caregiver burden

KW - Caregiver upset

KW - Dementia

KW - Neuropsychiatric symptoms

KW - Pain

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Pain in persons with dementia and the direct and indirect impacts on caregiver burden

Abstract

Keywords

ASJC Scopus subject areas

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