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© 1995 Oxford University Press

research-article

Coping by the Carers of Dementia Sufferers

K. SAAD1, J. HARTMAN1, C. BALLARD*,2, M. KURIAN1, C. GRAHAM3 and G. WILCOCK4

1West Midlands Rotational Training Scheme Mindelson Way, Birmingham B15 2QZ
2Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital Mindelson Way, Birmingham B15 2QZ
3Department of Psychiatry, Leicester General Hospital Bristol
4Department of Health Care of the Elderly, Frenchay Hospital Bristol

*Address correspondence to Dr C. Ballard

One hundred and nine of 125 patients from consecutive referrals to a clinical service had an informal carer in contact at least once a week. Thirty-two of the carers had major or minor depression. The active management strategy 'being firm in directing behaviour' was significantly inversely associated with depression amongst carers living with the dementia sufferers, whilst carers who prioritized their daily routines were significantly more likely to be depressed. The active psychological coping strategy 'constructing a larger sense of the illness' was also significantly inversely associated with depression amongst carers living with the patients and 'reduction of expectations' showed a trend in the same direction. There were no significant differences between the coping strategies used by men and women.

The type of coping strategy used by carers has an important relationship with depression. Active practical and psychological strategies were of benefit to carers and this has important treatment implications.

Revision received April 27, 1995.
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