title: The Relationship Between "What We Believe" and "How We Care" Among Daughters Caring for a Parent With Dementia.
abstract: This study attempted to better understand factors associated with relationship conflict between daughters and their parents with dementia. We examined data from 77 daughters self-identified as primary caregivers of a parent with dementia to test the hypothesis that daughters' belief that a parent with dementia can control their symptoms is associated with more conflict, defined as high expressed emotion (EE). Participants completed self-report questionnaires assessing beliefs about parents' ability to control symptoms, stress, relationship conflict, parent agitation, and cognitive status. Results indicated that greater intensity of daughters' belief that their parent can control dementia-related symptoms was associated with more relationship conflict or "high EE" (β = 0.57, P < .001). Daughters' beliefs about parental behavior may contribute to caregiver stress and exacerbate negative behaviors exhibited by individuals with dementia. Educating caregivers about parental behaviors and examining factors underlying caregiver interpretations of these behaviors hold promise for reducing caregiver stress.
authors.affiliation: 1 VA New York Harbor Healthcare System, New York, NY, USA.|2 Department of Psychiatry, New York University, New York, NY, USA.
authors.forename: Cory K
authors.initials: CK
authors.lastname: Chen
authors.affiliation: 1 VA New York Harbor Healthcare System, New York, NY, USA.
authors.forename: Karima
authors.initials: K
authors.lastname: Clayton
authors.affiliation: 1 VA New York Harbor Healthcare System, New York, NY, USA.|3 Department of Medicine, New York University, New York, NY, USA.
authors.forename: Joshua
authors.initials: J
authors.lastname: Chodosh
mesh_terms: D000328:Adult; D032721:Adult Children / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003704:Dementia / Q000451:nursing*; D019260:Expressed Emotion; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009679:Nuclear Family / Q000523:psychology*; D010287:Parent-Child Relations
keywords: attribution; conflict; dementia; expressed emotion; family caregivers