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Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta- analysis
- Authors:
- PINQUART Martin, SÖRENSEN Silvia
- Journal article citation:
- Journals of Gerontology Series B Psychological Sciences and Social Sciences, 58(2), 2003, pp.112-128.
- Publisher:
- The Gerontological Society of America
The relationships between the different variables which impact on the psychological well being of carers of elderly people are examined in a meta-analysis of 228 publications. The analysis focuses on the relationship between caregiver uplifts, burdens and depression, and caregiving-related stressors. It finds that care recipients’ behaviour problems are more strongly associated with caregiver burden and depression than any other variable including physical or cognitive impairments, duration of caregiving and number of caregiving tasks. The size of the relationship varied by sample characteristics, including dementia versus non-dementia care recipients, adult children versus spouses and convenience versus population samples.
A systematic review of cognitive decline in the general elderly population
- Authors:
- PARK Helen L., O'CONNELL Janice O., THOMSON Richard G.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(12), December 2003, pp.1121-1134.
- Publisher:
- Wiley
The aim was to establish the rate of age-related cognitive decline in the general elderly population. Systematic review of studies of cognitive decline in the general elderly population. Medline, Embase and PsycINFO databases were searched using an adapted version of McMaster's aetiology, causation and harm strategies and the Cochrane Dementia and Cognitive Impairment Group strategy. Grey literature was explored and experts contacted. A second observer was involved at all stages and quality appraisal of included studies was performed. Included studies were representative, community-based, cohort studies of people aged over 60, incorporating individuals with dementia. Identification of 5990 abstracts and retrieval of 163 full texts led to inclusion of 19 papers. Heterogeneity made narrative review the appropriate method of data synthesis. Some degree of cognitive impairment with increasing age was found in all studies, although the extent varied. The prevalence of cognitive impairment and the rate of decline increased with age. Studies were of variable quality. Cognitive decline is almost universal in the general elderly population and increases with age. Improved communication between researchers and between clinicians to identify a core minimum data set of neuropsychological tests that could be used in different populations would support consistent study design and meta-analysis, helping to quantify the true rate of cognitive decline in the elderly and assisting diagnosis in clinical practice.
What counts as evidence? The communication of information about older people between health and social care professionals
- Authors:
- POWELL Jackie, et al
- Journal article citation:
- Research Policy and Planning, 21(3), 2003, pp.1-11.
- Publisher:
- Social Services Research Group
Draws on a study to provide an evidence base for strategies and effectiveness of the transfer of information about older people between health and social care practitioners at the health and social care interface. Reports on the development of a systematic approach to the review of the related research literature and presents some key findings. Goes on to discuss some methodological issues arising from a review covering both health and social care research. By locating this systematic review within the wider debate on evidence-based practice, considers the nature and scope of this form of evidence alongside other forms of evidence and their use in professional practice. Concludes with some observations regarding the relevance of the findings from this study for both practice and further research.