title: Examining the influence of family dynamics on quality of care by informal caregivers of patients with Alzheimer's dementia in Argentina.
abstract: OBJECTIVE
  This study examined the pattern of family dynamics of Argentinian individuals with dementia that most heavily influences the quality of care provided by family caregivers (CGs).
  
  
  METHODS
  One hundred and two CGs of individuals with Alzheimer's disease in Argentina participated in this study. The majority (75%) were female, with an average age of 57.8 years (standard deviation = 13.5) and had spent a median of 48 months (interquartile range [IQR]: 36.00-60.00) providing care to their family member with dementia, devoting a median of 60 hours (IQR: 50.00-80.00) per week to these duties. Caregivers completed Spanish versions of instruments assessing their family dynamics and quality-of-care provision.
  
  
  RESULTS
  Hierarchical regression analyses suggested that higher quality of informal care (Provide and Respect) was related to greater levels of empathy and reduced levels of overall dysfunction in CGs' families. Higher quality of care-Provide was also related to shorter duration of time (in months) spent providing care.
  
  
  CONCLUSIONS
  Dementia CG interventions in Latino populations would likely benefit from addressing difficulties experienced when providing care for a prolonged period of time, as well as programming or techniques to improve family dynamics, especially family empathy and general functioning, given the strong reciprocal influence of these factors on CG quality of care.
authors.affiliation: Department of Methods and Experimental Psychology, University of Deusto, Bilbao, Spain.
authors.forename: Ivan
authors.initials: I
authors.lastname: Panyavin
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Trujillo
authors.affiliation: Instituto de Neurociencias de San Lucas, Rosario, Argentina.
authors.forename: Silvina Victoria
authors.initials: SV
authors.lastname: Peralta
authors.affiliation: Instituto de Neurociencias de San Lucas, Rosario, Argentina.
authors.forename: Miriam E
authors.initials: ME
authors.lastname: Stolfi
authors.affiliation: Instituto de Neurociencias de San Lucas, Rosario, Argentina.
authors.forename: Eliana
authors.initials: E
authors.lastname: Morelli
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Perrin
authors.affiliation: Department of Methods and Experimental Psychology, University of Deusto, Bilbao, Spain.
authors.forename: Javier Peña
authors.initials: JP
authors.lastname: Lasa
authors.affiliation: Department of Methods and Experimental Psychology, University of Deusto, Bilbao, Spain Ikerbasque, Basque Foundations for Science, Bilbao, Spain jcarango@deusto.es.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Arango-Lasprilla
mesh_terms: D000328:Adult; D000544:Alzheimer Disease / Q000208:ethnology / Q000451:nursing*; D001118:Argentina / Q000208:ethnology; D017028:Caregivers / Q000523:psychology*; D004645:Empathy; D005195:Family Relations / Q000208:ethnology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care
keywords: Latin America; caregivers; dementia; family dynamics; quality of care
references.citation: Gerontologist. 1986 Jun;26(3):253-9
references.pmid: 3721232
references.citation: Alzheimers Dement. 2012 Nov;8(6):564-73
references.pmid: 23102127
references.citation: J Pers. 1996 Dec;64(4):775-813
references.pmid: 8956513
references.citation: Psychosom Med. 1991 Jul-Aug;53(4):345-62
references.pmid: 1656478
references.citation: Am J Alzheimers Dis Other Demen. 2014 Feb;29(1):67-75
references.pmid: 24164928
references.citation: Aging Ment Health. 2012;16(4):486-99
references.pmid: 22296313
references.citation: Scand J Public Health. 2000 Mar;28(1):23-31
references.pmid: 10817311
references.citation: Am J Prev Med. 2003 Feb;24(2):113-9
references.pmid: 12568816
references.citation: Gerontologist. 2011 Jun;51(3):321-31
references.pmid: 21135026
references.citation: Brain Inj. 2013;27(11):1287-93
references.pmid: 24020441
references.citation: Alzheimers Dement. 2013 Jan;9(1):1-11.e3
references.pmid: 23305821
references.citation: Br J Med Psychol. 1988 Sep;61 ( Pt 3):231-6
references.pmid: 3179245
references.citation: Psychol Aging. 2011 Sep;26(3):584-91
references.pmid: 21417536
references.citation: Fam Process. 1990 Sep;29(3):245-54
references.pmid: 2209828
references.citation: Gerontologist. 1992 Oct;32(5):648-55
references.pmid: 1427277
references.citation: Brain Inj. 2010;24(7-8):1017-26
references.pmid: 20545455
references.citation: J Gerontol B Psychol Sci Soc Sci. 2004 May;59(3):S173-80
references.pmid: 15118023
references.citation: Gerontologist. 2002 Jun;42(3):356-72
references.pmid: 12040138
references.citation: Am J Geriatr Psychiatry. 2005 Sep;13(9):795-801
references.pmid: 16166409
references.citation: Gerontologist. 1993 Aug;33(4):534-41
references.pmid: 8375684
references.citation: Rehabil Psychol. 2012 Nov;57(4):301-7
references.pmid: 23181579
references.citation: Gerontologist. 2006 Feb;46(1):97-105
references.pmid: 16452289
references.citation: Med Care. 1969 Sep-Oct;7(5):385-94
references.pmid: 5356801
references.citation: Int J Geriatr Psychiatry. 2004 Jun;19(6):533-7
references.pmid: 15211531
references.citation: Alzheimers Dement. 2013 Mar;9(2):208-45
references.pmid: 23507120
references.citation: Rehabil Psychol. 2009 May;54(2):173-81
references.pmid: 19469607
references.citation: Aging Ment Health. 2010 Mar;14(2):220-31
references.pmid: 20336554
references.citation: Psychol Aging. 1989 Dec;4(4):393-401
references.pmid: 2515873
references.citation: J Aging Health. 2001 Feb;13(1):47-71
references.pmid: 11503847
references.citation: Aging Ment Health. 2006 Jan;10(1):69-76
references.pmid: 16338817
references.citation: Gerontologist. 2013 Dec;53(6):998-1008
references.pmid: 23371974
references.citation: Am J Geriatr Psychiatry. 2004 May-Jun;12(3):240-9
references.pmid: 15126224
references.citation: Fam Syst Health. 2014 Mar;32(1):53-66
references.pmid: 24417652
references.citation: Alzheimers Dement. 2013 Jan;9(1):63-75.e2
references.pmid: 23305823
references.citation: Aging Ment Health. 2000 Aug;4(3):200-9
references.pmid: 18548132
references.citation: Int Psychogeriatr. 2004 Sep;16(3):295-315
references.pmid: 15559754
references.citation: Gerontologist. 1991 Dec;31(6):770-7
references.pmid: 1800250
references.citation: J Transcult Nurs. 2005 Apr;16(2):163-70
references.pmid: 15764640
references.citation: J Psychosom Res. 1999 Mar;46(3):215-27
references.pmid: 10193912
references.citation: Psychol Aging. 2003 Sep;18(3):593-601
references.pmid: 14518818
references.citation: Dement Geriatr Cogn Disord. 2006;21(3):170-4
references.pmid: 16397397
references.citation: Int J Geriatr Psychiatry. 2004 Feb;19(2):170-7
references.pmid: 14758582
references.citation: Dialogues Clin Neurosci. 2009;11(2):217-28
references.pmid: 19585957
references.citation: Scand J Caring Sci. 2004 Jun;18(2):111-9
references.pmid: 15147473
references.citation: Arch Gerontol Geriatr. 2005 Jul-Aug;41(1):81-94
references.pmid: 15911041
references.citation: Int J Rehabil Res. 1999 Dec;22(4):317-20
references.pmid: 10669982
references.citation: Gerontologist. 1995 Dec;35(6):771-91
references.pmid: 8557205
references.citation: Health Psychol. 2002 Mar;21(2):167-76
references.pmid: 11950107
references.citation: Psychol Aging. 2003 Sep;18(3):361-74
references.pmid: 14518800
references.citation: Fam Process. 2015 Mar;54(1):82-93
references.pmid: 24920469
references.citation: J Adv Nurs. 2007 Jun;58(5):446-57
references.pmid: 17442030
references.citation: Gerontologist. 2009 Feb;49(1):57-67
references.pmid: 19363004
references.citation: Gerontologist. 1999 Apr;39(2):177-85
references.pmid: 10224714
references.citation: J Consult Clin Psychol. 1996 Feb;64(1):121-9
references.pmid: 8907091
references.citation: Gerontologist. 2011 Jun;51(3):332-42
references.pmid: 21350038
references.citation: Gerontologist. 1986 Jun;26(3):260-6
references.pmid: 3721233
references.citation: J Am Geriatr Soc. 2004 Jul;52(7):1077-84
references.pmid: 15209644
references.citation: Gerontologist. 1999 Apr;39(2):159-66
references.pmid: 10224712
references.citation: J Gerontol B Psychol Sci Soc Sci. 1998 Sep;53(5):S267-77
references.pmid: 9750575
references.citation: Psychol Sci. 2009 Apr;20(4):488-94
references.pmid: 19320860