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Predicting anxiety in carers of people with dementia: the role of trait emotional intelligence

Published online by Cambridge University Press:  21 March 2014

Jessica Weaving ,
Vasiliki Orgeta ,
Martin Orrell  and
K. V. Petrides
Jessica Weaving
Affiliation:
Division of Psychiatry, and Research Department of Clinical, Educational, and Health Psychology, University College London, UK
Vasiliki Orgeta*
Affiliation:
Division of Psychiatry, and Research Department of Clinical, Educational, and Health Psychology, University College London, UK
Martin Orrell
Affiliation:
Division of Psychiatry, and Research Department of Clinical, Educational, and Health Psychology, University College London, UK
K. V. Petrides
Affiliation:
Division of Psychiatry, and Research Department of Clinical, Educational, and Health Psychology, University College London, UK
*
Correspondence should be addressed to: Vasiliki Orgeta, Division of Psychiatry, University College London, 67-73 Riding House Street, 2nd Floor, Charles Bell House, London W1W 7EJ. Phone: +0044-020-7679-9294; Fax: +0044-020-7679-9426. Email: [email protected].
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Abstract

Background:

Trait emotional intelligence (trait EI) is a personality dimension related to affect that has been shown to predict psychopathology. The objective of the present study was to examine the predictive validity of trait EI in explaining anxiety symptoms in family carers of people with dementia.

Methods:

A cross-sectional survey was conducted with a convenience sample of 203 dementia family caregivers. We used the Trait Emotional Intelligence Questionnaire – Short Form (TEIQue-SF) to measure trait EI in carers. The predictive validity of the scale in explaining anxiety was tested via regression analysis.

Results:

Bivariate correlational analysis indicated that lower levels of trait EI were related to higher perceived burden, higher anxiety and depression, and poorer self-rated health in carers. Multiple regression analyses indicated that trait EI was a significant predictor of anxiety symptoms after accounting for known factors influencing outcomes for caregivers. Trait EI also showed strong predictive validity in relation to psychosocial outcomes in carers.

Conclusions:

Trait EI plays an important role in predicting anxiety in dementia caregivers. Theoretical models and interventions aimed at carers of people with dementia should take into account aspects of personality.

Keywords

dementia caregiverstrait emotional self-efficacyburdenanxietydepressionpersonalityTEIQue
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 7 , July 2014 , pp. 1201 - 1209
Copyright
Copyright © International Psychogeriatric Association 2014 

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References

Allegri, R. F. et al. (2006). Neuropsychiatric symptoms as a predictor of caregiver burden in Alzheimer's disease. Neuropsychiatric Disease and Treatment, 2, 105–110.Google ScholarPubMed
Andren, S. and Elmstahl, S. (2007). Relationships between income, subjective health and caregiver burden in caregivers of people with dementia in group living care: a cross-sectional community-based study. International Journal of Nursing Studies, 44, 435–446.Google Scholar
Arora, S. et al. (2011). Emotional intelligence and stress in medical students performing surgical tasks. Academic Medicine, 86, 1311–1317.CrossRefGoogle ScholarPubMed
Baumgarten, M., Battista, R. N., Infante-Rivard, C., Hanley, J. A., Becker, R. and Gauthier, S. (1992). The psychological and physical health of family members caring for an elderly person with dementia. Journal of Clinical Epidemiology, 45, 61–70.Google Scholar
Bjelland, I., Dahl, A. A., Haug, T. T. and Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.CrossRefGoogle ScholarPubMed
Black, W. and Almeida, O. P. (2004). A systematic review of the association between the Behavioral and Psychological Symptoms of Dementia and burden of care. International Psychogeriatrics, 16, 295–315 CrossRefGoogle ScholarPubMed
Campbell, P. et al. (2008). Determinants of burden in those who care for someone with dementia. International Journal of Geriatric Psychiatry, 23, 1078–1085.Google Scholar
Carver, C. S. (1997). You want to measure coping but your protocol's too long: consider the brief COPE. International Journal of Behavioral Medicine, 4, 92–100.Google Scholar
Carver, C. S., Scheier, M. F. and Weintraub, J. K. (1989). Assessing coping strategies: a theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.Google Scholar
Connell, C. M. and Gibson, G. D. (1997). Racial, ethnic, and cultural differences in dementia caregiving: review and analysis. The Gerontologist, 37, 355–364.CrossRefGoogle Scholar
Coolidge, F. L., Segal, D. L., Hook, J. N. and Stewart, S. (2000). Personality disorders and coping among anxious older adults. Journal of Anxiety Disorders, 14, 157–172.Google Scholar
Cooper, C., Balamurali, T. B. C. and Livingston, G. (2007). A systematic review of the prevalence and covariates of anxiety in caregivers of people with dementia. International Psychogeriatrics, 19, 175–195.Google Scholar
Cooper, C., Katona, C., Orrell, M. and Livingston, G. (2006). Coping strategies and anxiety in caregivers of people with Alzheimer's disease: the LASER-AD study. Journal of Affective Disorders, 90, 15–20.Google Scholar
Cooper, A. and Petrides, K. V. (2010). A psychometric analysis of the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) using item response theory. Journal of Personality Assessment, 92, 449–457.CrossRefGoogle ScholarPubMed
Costa, P. T. J. and McCrae, R. R. (1997). Longitudinal stability of adult personality. Handbook of Personality Psychology, 269–290.CrossRefGoogle Scholar
Covinsky, K. E. et al. (2003). Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. Journal of General Internal Medicine, 18, 1006–1014.Google Scholar
Dilworth-Anderson, P., Goodwin, P. Y. and Williams, S. W. (2004). Can culture help explain the physical health effects of caregiving over time among African American caregivers? The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 59, S138–45.Google Scholar
EuroQoL. (1990). EuroQol–a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy, 16, 199–208.Google Scholar
Fortinsky, R. H., Kercher, K. and Burant, C. J. (2002). Measurement and correlates of family caregiver self-efficacy for managing dementia. Aging & Mental Health, 6, 153–160.CrossRefGoogle ScholarPubMed
Gallant, M. P. and Connell, C. M. (2003). Neuroticism and depressive symptoms among spouse caregivers: do health behaviors mediate this relationship? Psychology and Aging, 18, 587–592.Google Scholar
Gallicchio, L., Siddiqi, N., Langenberg, P. and Baumgarten, M. (2002). Gender differences in burden and depression among informal caregivers of demented elders in the community. International Journal of Geriatric Psychiatry, 17, 154–163.Google Scholar
Gonzalez-Abraldes, I., Millan-Calenti, J. C., Lorenzo-Lopez, L. and Maseda, A. (2013). The influence of neuroticism and extraversion on the perceived burden of dementia caregivers: an exploratory study. Archives of Gerontology and Geriatrics, 56, 91–95.CrossRefGoogle ScholarPubMed
Gonzalez-Salvador, M. T., Arango, C., Lyketsos, C. G. and Barba, A. C. (1999). The stress and psychological morbidity of the Alzheimer patient caregiver. International Journal of Geriatric Psychiatry, 14, 701–710.Google Scholar
Greene, J. G., Smith, R., Gardiner, M. and Timbury, G. C. (1982). Measuring behavioural disturbance of elderly demented patients in the community and its effects on relatives: a factor analytic study. Age and Ageing, 11, 121–126.Google Scholar
Hayslip, B., Han, G. and Anderson, C. L. (2008). Predictors of Alzheimer's Disease Caregiver Depression and Burden: What Noncaregiving Adults Can Learn From Active Caregivers. Educational Gerontology, 34, 945–969.CrossRefGoogle Scholar
Haywood, K. L., Garratt, A. M., Dziedzic, K. and Dawes, P. T. (2003). Patient centered assessment of ankylosing spondylitis-specific health related quality of life: evaluation of the Patient Generated Index. The Journal of Rheumatology, 30, 764–773.Google Scholar
Helmes, E., Green, B. and Almeida, P. P. (2005). Individual differences in the experience of burden in caring for relatives with dementia: role of personality and mastery. Australasian Journal on Ageing, 24, 202–206.CrossRefGoogle Scholar
Hong, G. R. and Kim, H. (2008). Family caregiver burden by relationship to care recipient with dementia in Korea. Geriatric Nursing, 29, 267–274.Google Scholar
Hooker, K., Frazier, L. D. and Monahan, D. J. (1994). Personality and coping among caregivers of spouses with dementia. The Gerontologist, 34, 386–392.Google Scholar
Joling, K. J. et al. (2010). Incidence of depression and anxiety in the spouses of patients with dementia: a naturalistic cohort study of recorded morbidity with a 6-year follow-up. The American Journal of Geriatric Psychiatry, 18, 146–153.CrossRefGoogle Scholar
Joling, K. J. et al. (2012). Does a family meetings intervention prevent depression and anxiety in family caregivers of dementia patients? A randomized trial. PloS One, 7, e30936.CrossRefGoogle ScholarPubMed
Koerner, S. S., Kenyon, D. B. and Shirai, Y. (2009). Caregiving for elder relatives: which caregivers experience personal benefits/gains?. Archives of Gerontology and Geriatrics, 48, 238–245.Google Scholar
Li, R., Cooper, C., Bradley, J., Shulman, A. and Livingston, G. (2012). Coping strategies and psychological morbidity in family carers of people with dementia: a systematic review and meta-analysis. Journal of Affective Disorders, 139, 1–11.Google Scholar
Lockenhoff, C. E., Duberstein, P. R., Friedman, B. and Costa, P. T. Jr. (2011). Five-factor personality traits and subjective health among caregivers: the role of caregiver strain and self-efficacy. Psychology and Aging, 26, 592–604.Google Scholar
Macran, S., Weatherly, H. and Kind, P. (2003). Measuring population health: a comparison of three generic health status measures. Medical Care, 41, 218–231.Google Scholar
Mahoney, R., Regan, C., Katona, C. and Livingston, G. (2005). Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD study. The American Journal of Geriatric Psychiatry, 13, 795–801.Google Scholar
Mark, G. M. and Smith, A. P. (2008). Stress models: a review and suggested new direction. In Houdmont, J. and Leka, S., (eds.), Occupational Health Psychology (pp. 111–144). Nottingham: Nottingham University Press.Google Scholar
Martins, A., Ramalho, N. and Morin, E. (2010). A comprehensive meta-analysis of the relationship between emotional intelligence and health. Personality and Individual Differences, 49, 554–564.Google Scholar
McCullagh, E., Brigstocke, G., Donaldson, N. and Kalra, L. (2005). Determinants of caregiving burden and quality of life in caregivers of stroke patients. Stroke, 36, 2181–2186.CrossRefGoogle ScholarPubMed
Melo, G., Maroco, J. and de Mendonca, A. (2011). Influence of personality on caregiver's burden, depression and distress related to the BPSD. International Journal of Geriatric Psychiatry, 26, 1275–1282.Google Scholar
Mikolajczak, M. and Luminet, O. (2008). Trait emotional intelligence and the cognitive appraisal of stressful events: an exploratory study. Personality and Individual Differences, 44, 1445–1453.Google Scholar
Mikolajczak, M., Luminet, O. and Menil, C. (2006). Predicting resistance to stress: incremental validity of trait emotional intelligence over alexithymia and optimism. Psicothema, 18 Suppl, 79–88.Google Scholar
Mikolajczak, M., Menil, C. and Luminet, O. (2007). Explaining the protective effect of trait emotional intelligence regarding occupational stress: Exploration of emotional labour processes. Journal of Research in Personality, 41, 1107–1117.Google Scholar
Mikolajczak, M., Petrides, K. V., Coumans, N. and Luminet, O. (2009). The moderating effect of trait emotional intelligence on mood deterioration following laboratory-induced stress. International Journal of Clinical and Health Psychology, 9, 455–477.Google Scholar
Nordtug, B., Krokstad, S. and Holen, A. (2011). Personality features, caring burden and mental health of cohabitants of partners with chronic obstructive pulmonary disease or dementia. Aging Ment Health, 15, 318–326.CrossRefGoogle ScholarPubMed
Pearlin, L. I., Mullan, J. T., Semple, S. J. and Skaff, M. M. (1990). Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist, 30, 583–594.CrossRefGoogle ScholarPubMed
Petrides, K. and Furnham, A. (2006). The role of trait emotional intelligence in a gender-specific model of organisational variables. Journal of Applied Social Psychology, 36, 552–569.CrossRefGoogle Scholar
Petrides, K., Pita, R. and Kokkinaki, F. (2007). The location of trait emotional intelligence in personality factor space. British Journal of Psychology, 98, 273–289.Google Scholar
Pinquart, M. and Sorensen, S. (2005). Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis. The Gerontologist, 45, 90–106.Google Scholar
Schulz, R. and Martire, L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American Journal of Geriatric Psychiatry, 12, 240–249.CrossRefGoogle ScholarPubMed
Schulz, R., O'Brien, A. T., Bookwala, J. and Fleissner, K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. The Gerontologist, 35, 771–791.Google Scholar
Schutte, N. S., Malouff, J. M., Thorsteinsson, E. B., Bhullar, N. and Rooke, S. E. (2007). A meta-analytic investigation of the relationship between emotional intelligence and health. Personality and Individual Differences, 42, 921–933.Google Scholar
Schulz, R. et al. (2008). Dementia patient suffering and caregiver depression. Alzheimer Disease and Associated Disorders, 22, 170–176.Google Scholar
Shurgot, G. R. and Knight, B. G. (2005). Influence of neuroticism, ethnicity, familism, and social support on perceived burden in dementia caregivers: pilot test of the transactional stress and social support model. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 60, P331–P334.Google Scholar
Skaff, M. M. and Pearlin, L. I. (1992). Caregiving: role engulfment and the loss of self. The Gerontologist, 32, 656–664.Google Scholar
Smith, S. G., Turner, B., Pati, J., Petrides, K. V., Sevdalis, N. and Green, J. S. (2012). Psychological impairment in patients urgently referred for prostate and bladder cancer investigations: the role of trait emotional intelligence and perceived social support. Supportive Care in Cancer, 20, 699–704.Google Scholar
Spielberger, C. D., Gorsuch, R. L., Lushene, R. E., Vagg, P. R. and Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory STAI (Form Y). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Tremont, G. (2011). Family caregiving in dementia. Medicine and Health, Rhode Island, 94, 36–38.Google Scholar
Vitaliano, P. P., Young, H. M. and Russo, J. (1991a). Burden: A review of measures used among caregivers of individuals with dementia. The gerontologist, 31, 67–75.Google Scholar
Vitaliano, P. P., Russo, J., Young, H. M., Teri, L. and Maiuro, R. D. (1991b). Predictors of burden in spouse caregivers of individuals with Alzheimer's disease. Psychology and Aging, 6, 392–402.Google Scholar
Zarit, S. H., Reever, K. E. and Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist, 20, 649–655.Google Scholar
Zigmond, A. S. and Snaith, R. P. (1983). The Hospital Anxiety And Depression Scale. Acta Psychologica Scandinavica, 67, 361–370.Google Scholar