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Moderating Effects of Coping Styles and Irrational Beliefs on the Relationship between Caregiver’s Stress and Cognitive and Daily Living Functioning in the Elderly with Dementia

Abstract

This study explored whether there are moderating effects of caregiver's coping styles and irrational beliefs on the relationship between the cognitive or daily living functions of the elderly with dementia and their caregivers’ stress. Tests were administered to 204 elderly with dementia who were being treated at hospitals and sanatoriums in Daegu, Ulsan, or Gyeongbuk provinces in Korea, and their 204 caregivers. The Mini Mental State Examination-Korea (MMSE-K), Seoul-Activities of Daily Living (S-ADL), and Seoul-Instrumental Activities of Daily Living (S-IADL) were administered on the elderly with dementia, while the Stress Response Inventory (SRI), Stress Coping Checklist, and Thoughts Questionnaire (TQ) were administered on their family caregivers. The collected data were analyzed using descriptive statistics, reliability analysis, partial correlation analysis, hierarchical multiple regression analysis and the t-test. The findings revealed that the cognitive function and daily living abilities of the elderly with dementia was significantly correlated with caregiver's stress. Among the caregivers’ coping styles, only problem-centered coping style functioned as a moderator. Further, irrational beliefs functioned as a moderating variable only with respect to basic daily living activities of the elderly with dementia. These findings revealed that some interventions need to be implemented to tackle the stress copings and irrational beliefs of caregivers of the elderly with dementia. However, these findings resulted from the relatively small samples in korea, it needs to be replicated with the more larger sample in the future.

keywords
elderly with dementia, caregiver, stress, coping, irrational beliefs, 치매노인, 부양자, 스트레스, 대처, 비합리적 신념

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