Association between anticipatory grief and problem solving among family caregivers of persons with cognitive impairment

Nicole Fowler, Alexandra S. Hansen, Amber E. Barnato, Linda Garand

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: Measure perceived involvement in medical decision making and determine if anticipatory grief is associated with problem solving among family caregivers of older adults with cognitive impairment. Method: Retrospective analysis of baseline data from a caregiver intervention (n = 73). Multivariable regression models testing the association between caregivers' anticipatory grief, measured by the Anticipatory Grief Scale (AGS), with problem-solving abilities, measured by the Social Problem Solving Inventory-Revised: Short Form (SPSI-R: S). Results: 47/73 (64%) of caregivers reported involvement in medical decision making. Mean AGS was 70.1 (± 14.8) and mean SPSI-R: S was 107.2 (± 11.6). Higher AGS scores were associated with lower positive problem orientation (p =.041) and higher negative problem orientation scores (p =.001) but not other components of problem solving - rational problem solving, avoidance style, and impulsivity/carelessness style. Discussion: Higher anticipatory grief among family caregivers impaired problem solving, which could have negative consequences for their medical decision making responsibilities.

Original languageEnglish (US)
Pages (from-to)493-509
Number of pages17
JournalJournal of Aging and Health
Volume25
Issue number3
DOIs
StatePublished - Apr 2013
Externally publishedYes

Fingerprint

Grief
grief
Caregivers
caregiver
human being
social problem
decision making
Social Problems
Equipment and Supplies
Aptitude
Impulsive Behavior
Cognitive Dysfunction
regression
responsibility
ability
Clinical Decision-Making

Keywords

  • Alzheimer's disease
  • anticipatory grief
  • caregivers
  • dementia
  • medical decision making
  • problem solving

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Community and Home Care

Cite this

Association between anticipatory grief and problem solving among family caregivers of persons with cognitive impairment. / Fowler, Nicole; Hansen, Alexandra S.; Barnato, Amber E.; Garand, Linda.

In: Journal of Aging and Health, Vol. 25, No. 3, 04.2013, p. 493-509.

Research output: Contribution to journalArticle

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