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Associations between pleasant events, activity restriction, stressors, and blood pressure in caregivers of persons with dementia

Published online by Cambridge University Press:  17 June 2021

Carlos Vara-García Open the ORCID record for Carlos Vara-García [Opens in a new window] ,
Rosa Romero-Moreno Open the ORCID record for Rosa Romero-Moreno [Opens in a new window] ,
Roland von Känel Open the ORCID record for Roland von Känel [Opens in a new window] ,
Brent Mausbach Open the ORCID record for Brent Mausbach [Opens in a new window] ,
Javier Olazarán Open the ORCID record for Javier Olazarán [Opens in a new window] ,
María del Sequeros Pedroso-Chaparro Open the ORCID record for María del Sequeros Pedroso-Chaparro [Opens in a new window] ,
Maria Márquez-González Open the ORCID record for Maria Márquez-González [Opens in a new window]  and
Andrés Losada-Baltar Open the ORCID record for Andrés Losada-Baltar [Opens in a new window]
Carlos Vara-García*
Affiliation:
Universidad Rey Juan Carlos, Department of Psychology, Alcorcón, Spain
Rosa Romero-Moreno
Affiliation:
Universidad Rey Juan Carlos, Department of Psychology, Alcorcón, Spain
Roland von Känel
Affiliation:
University Hospital Zurich, Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, Zurich, Switzerland
Brent Mausbach
Affiliation:
University of California, San Diego, Department of Psychiatry, La Jolla, USA
Javier Olazarán
Affiliation:
Hospital General Universitario Gregorio Marañón, Department of Neurology, Madrid, Spain
María del Sequeros Pedroso-Chaparro
Affiliation:
Universidad Rey Juan Carlos, Department of Psychology, Alcorcón, Spain
Maria Márquez-González
Affiliation:
Universidad Autónoma de Madrid, Department of Biological and Health Psychology, Madrid, Spain
Andrés Losada-Baltar
Affiliation:
Universidad Rey Juan Carlos, Department of Psychology, Alcorcón, Spain
*
Correspondence should be addressed to: Carlos Vara García, Campus de Ciencias de la Salud, Universidad Rey Juan Carlos, Departamental II, Avenida de Atenas, s/n, 28922 Alcorcón, Spain. Phone: +34 610 28 16 99. Email [email protected]
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Abstract

Objectives:

Caring for a relative with dementia is associated with adverse consequences for cardiovascular health. Cognitive and behavioral factors, such as high perceived activity restriction and low frequency of pleasant events have been found to be associated with higher levels of blood pressure, but the role these variables play in the stress and coping process remains understudied. The objective of this study is to analyze the associations between behavioral and psychological symptoms of dementia, activity restriction, frequency of pleasant events, and mean arterial pressure.

Design:

Face-to-face interviews and cross-sectional analyses.

Setting:

Social services, healthcare centers, and adult day services of Comunidad de Madrid, Spain.

Participants:

One hundred and two family caregivers of a spouse or parent with dementia.

Measurements:

Apart from various sociodemographic and health-related variables, behavioral and psychological symptoms of dementia, activity restriction, and frequency of leisure activities were assessed. In addition, measurement of blood pressure levels was conducted through an electronic sphygmomanometer.

Results:

The obtained model suggests that there is a significant indirect association between behavioral and psychological symptoms of dementia and mean arterial pressure through activity restriction and frequency of pleasant events.

Conclusions:

The findings of this study provide preliminary support for a potential indirect effect between behavioral and psychological symptoms of dementia and blood pressure, through the effects of behavioral and psychological symptoms of dementia on the caregivers’ levels of activity restriction and frequency of pleasant activities. Our manuscript provides additional support for the pleasant events and activity restriction model (Mausbach et al., 2011; Chattillion et al., 2013), by highlighting the importance of considering caregiving stressors as a source of caregivers’ activity restriction in the theoretical framework of the model.

Keywords

behavioral and psychological symptoms of dementiacarers
Type
Original Research Article
Information
International Psychogeriatrics , Volume 34 , Special Issue 3: Issue Theme: Positive Psychiatry Factors and Health , March 2022 , pp. 275 - 285
Copyright
© International Psychogeriatric Association 2021

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