Caregiver burden and coping strategies in caregivers of patients with Alzheimer's disease.

BACKGROUND: Alzheimer's disease (AD) causes considerable distress in caregivers who are continuously required to deal with requests from patients. Coping strategies play a fundamental role in modulating the psychologic impact of the disease, although their role is still debated. The present study aims to evaluate the burden and anxiety experienced by caregivers, the effectiveness of adopted coping strategies, and their relationships with burden and anxiety. METHODS: Eighty-six caregivers received the Caregiver Burden Inventory (CBI) and the State-Trait Anxiety Inventory (STAI Y-1 and Y-2). The coping strategies were assessed by means of the Coping Inventory for Stressful Situations (CISS), according to the model proposed by Endler and Parker in 1990. RESULTS: The CBI scores (overall and single sections) were extremely high and correlated with dementia severity. Women, as well as older caregivers, showed higher scores. The trait anxiety (STAI-Y-2) correlated with the CBI overall score. The CISS showed that caregivers mainly adopted task-focused strategies. Women mainly adopted emotion-focused strategies and this style was related to a higher level of distress. CONCLUSION: AD is associated with high distress among caregivers. The burden strongly correlates with dementia severity and is higher in women and in elderly subjects. Chronic anxiety affects caregivers who mainly rely on emotion-oriented coping strategies. The findings suggest providing support to families of patients with AD through tailored strategies aimed to reshape the dysfunctional coping styles.

Coping strategies and cognitive functioning in elderly people from a rural community in Italy.

Stressful situations may contribute to pathological states in elderly people facing harmful events. This study investigated the relationships between adopting appropriate coping strategies, transforming circumstances to personal preferences or adjusting personal preferences to situational constraints, and the efficiency of cognitive functioning in an elderly sample of 121 residents drawn from a rural community in southern Italy. They were administered the Mini-Mental State Examination, the Tenacious Goal Pursuit, Flexible Goal Adjustment, and Coping Inventory for Stressful Situations. Intercorrelations of scores suggested that facing stressful situations is somewhat associated with efficient cognitive functioning and coping strategies that ensure a wide range of solutions.

Age differences in mental scanning of locomotor maps.

PURPOSE: To investigate whether the metric quality of mental spatial representations of the environment changes with aging, by means of mental scanning of locomotor space. METHOD: Twenty young adults (age 21.1-30.8) and 20 old adults (age 60.4-76.4) were submitted to a battery of psychometric tests to assess the effects of aging on general cognitive functions and specific visuo-spatial abilities, and to determine which cognitive factors correlated with scanning performance. The mental scanning task followed. Participants firstly had to learn a path comprising six positions by walking and observing these; secondly, they had to use mental imagery to scan from a first to a second position, according to different distances. RESULTS: Aging reduces the validity of the metric information incorporated by mental spatial representations. Attentional and working memory resources, ability to manipulate spatial information and a general factor of abstract visuo-spatial reasoning strongly correlated with scanning performance. Finally, aging seemed to have a selective effect on cognitive functioning. CONCLUSIONS: Age differences emerge when demanding storage and processing of information are simultaneously required, as predicted by the Limited Resources view of aged cognition.