Psychiatry Investig.
2018 Jul;15(7):677-686. 10.30773/pi.2018.04.23.
Prevalence and Risk Factors of Abusive Behaviors in the Caregivers of People with Dementia in Korea
- Affiliations
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- 1Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. kwkimmd@snu.ac.kr
- 2Department of Psychiatry, Mirae Hospital, Gimje, Republic of Korea.
- 3Department of Psychiatry, Dongguk Medical Center, Gyeongju, Republic of Korea.
- 4Department of Psychiatry, Gyeongsang National University School of Medicine, Jinju, Republic of Korea.
- 5Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
- 6Department of Psychiatry, Chungnam National University Hospital, Daejeon, Republic of Korea.
- 7Department of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, Republic of Korea.
- 8Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Medical Center, Seoul, Republic of Korea.
- 9Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Chungju Hospital, Chungju, Republic of Korea.
- 10Department of Neuropsychiatry, Jeju National University Hospital, Jeju, Republic of Korea.
- 11Department of Psychiatry, Inha University Hospital, Incheon, Republic of Korea.
- 12Department of Neuropsychiatry, Kyunggi Provincial Hospital for the Elderly, Yongin, Republic of Korea.
- 13Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
- 14Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.
- 15Department of Neuropsychiatry, Inje University Sanggye Paik Hospital, Seoul, Republic of Korea.
- 16Department of Psychiatry, Dankook University Hospital, Cheonan, Republic of Korea.
- 17Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
- 18Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, Republic of Korea.
- 19National Institute of Dementia, Seongnam, Republic of Korea.
- KMID: 2428831
- DOI: http://doi.org/10.30773/pi.2018.04.23
Abstract
OBJECTIVE
We investigated the prevalence and risk factors of physically abusive behaviors (PhAB) and psychologically abusive behaviors (PsAB) towards people with dementia (PWD) in family caregivers, and compared their prevalences between East Asian and Western countries.
METHODS
We estimated the prevalence and risk factors of PhAB and PsAB in 467 Korean pairs of community-dwelling PWD and their primary family caregivers. We evaluated abusive behaviors using the Modified Conflict Tactics Scale. In addition, we compared the prevalence of abusive behaviors between Asian and Western countries through a meta-analysis on 12 studies including the current one.
RESULTS
More than a half of the caregivers reported PsAB and about one out of seven caregivers admitted PhAB within past three months. PsAB and PhAB were slightly more prevalent in East Asian countries than in Western countries. Non-Alzheimer type and moderate to severe behavioral and psychological symptoms of dementia were associated with the risk of PhAB but not with the risk of PsAB. Severe care burden and low income were associated with the risk of PhAB and PsAB.
CONCLUSION
PhAB and PsAB were as prevalent in the family caregivers of PWD in Asian countries including Korea as in Western countries. Prevention strategies should be implemented according to the type of abusive behaviors.
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