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Impact of disease, cognitive and behavioural factors on caregiver outcome in amyotrophic lateral sclerosis

Watermeyer, T.J. and Brown, R.G. and Sidle, K.C.L. and Oliver, D.J. and Allen, C. and Karlsson, J. and Ellis, C. and Shaw, C.E. and Al-Chalabi, A. and Goldstein, L.H. (2015) Impact of disease, cognitive and behavioural factors on caregiver outcome in amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 16 (5-6). pp. 316-323. DOI: 10.3109/21678421.2015.1051990

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Abstract

Up to 50% of patients with amyotrophic lateral sclerosis (ALS) show mild to moderate cognitive-behavioural change alongside their progressive functional impairment. This study examines the relative impact of patients� disease symptoms, behavioural change and current executive function and social cognition abilities on psychosocial outcomes in spouse caregivers of people with ALS. Thirty-five spouse caregivers rated their own levels of depression and anxiety, subjective burden and marital satisfaction. Caregivers also rated their partner�s everyday behaviour. The patients were assessed for disease severity and cognitive function, with composite scores derived for executive function and social cognition. Regression analyses revealed that caregiver burden was predicted by the severity of patients� limb involvement and behavioural problems. Depression was predicted by patients� limb involvement, while behavioural problems and patient age predicted caregiver anxiety. Current marital satisfaction was predicted by patient behavioural problems beyond the level of pre-illness marital satisfaction. In conclusion, the study highlights the potential impact of ALS patients� functional impairment and behavioural change on ALS caregivers� psychosocial functioning. Clinical communication with ALS families should emphasise both physical and psychological challenges presented by the disease.

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > School of Psychology
Date Deposited: 19 Dec 2015 03:29
Last Modified: 19 Dec 2015 03:29
ISSN: 2167-8421
URI: http://e.bangor.ac.uk/id/eprint/5993
Identification Number: DOI: 10.3109/21678421.2015.1051990
Publisher: Taylor and Francis
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