title: Association between anticipatory grief and problem solving among family caregivers of persons with cognitive impairment.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Higher anticipatory grief among family caregivers impaired problem solving, which could have negative consequences for their medical decision making responsibilities.
authors: Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, PA 15213, USA. fowlernr@upmc.edu
authors: Nicole R
authors: NR
authors: Fowler
authors: Alexandra S
authors: AS
authors: Hansen
authors: Amber E
authors: AE
authors: Barnato
authors: Linda
authors: L
authors: Garand
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D060825:Cognitive Dysfunction / Q000628:therapy*; D003657:Decision Making; D005260:Female; D006117:Grief; D006801:Humans; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D012189:Retrospective Studies