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Psychiatry Investig. 2018 Jul;15(7):677-686. doi: 10.30773/pi.2018.04.23. Epub 2018 Jul 4.

Prevalence and Risk Factors of Abusive Behaviors in the Caregivers of People with Dementia in Korea.

Author information

1
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
2
Department of Psychiatry, Mirae Hospital, Gimje, Republic of Korea.
3
Department of Psychiatry, Dongguk Medical Center, Gyeongju, Republic of Korea.
4
Department of Psychiatry, Gyeongsang National University School of Medicine, Jinju, Republic of Korea.
5
Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
6
Department of Psychiatry, Chungnam National University Hospital, Daejeon, Republic of Korea.
7
Department of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, Republic of Korea.
8
Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Medical Center, Seoul, Republic of Korea.
9
Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Chungju Hospital, Chungju, Republic of Korea.
10
Department of Neuropsychiatry, Jeju National University Hospital, Jeju, Republic of Korea.
11
Department of Psychiatry, Inha University Hospital, Incheon, Republic of Korea.
12
Department of Neuropsychiatry, Kyunggi Provincial Hospital for the Elderly, Yongin, Republic of Korea.
13
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
14
Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.
15
Department of Neuropsychiatry, Inje University Sanggye Paik Hospital, Seoul, Republic of Korea.
16
Department of Psychiatry, Dankook University Hospital, Cheonan, Republic of Korea.
17
Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
18
Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, Republic of Korea.
19
National Institute of Dementia, Seongnam, Republic of Korea.

Abstract

Objective:

We investigated the prevalence and risk factors of physically abusive behaviors (PhAB) and psychologically abusive behaviors (PsAB) towards people with dementia (PWD) in family caregivers, and compared their prevalences between East Asian and Western countries.

Methods:

We estimated the prevalence and risk factors of PhAB and PsAB in 467 Korean pairs of community-dwelling PWD and their primary family caregivers. We evaluated abusive behaviors using the Modified Conflict Tactics Scale. In addition, we compared the prevalence of abusive behaviors between Asian and Western countries through a meta-analysis on 12 studies including the current one.

Results:

More than a half of the caregivers reported PsAB and about one out of seven caregivers admitted PhAB within past three months. PsAB and PhAB were slightly more prevalent in East Asian countries than in Western countries. Non-Alzheimer type and moderate to severe behavioral and psychological symptoms of dementia were associated with the risk of PhAB but not with the risk of PsAB. Severe care burden and low income were associated with the risk of PhAB and PsAB.

Conclusion:

PhAB and PsAB were as prevalent in the family caregivers of PWD in Asian countries including Korea as in Western countries. Prevention strategies should be implemented according to the type of abusive behaviors.

KEYWORDS:

Prevalence; Risk factors; dementia; Abuse

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