Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study)

Yuki Kishimoto, Seishi Terada, Naoya Takeda, Etsuko Oshima, Hajime Honda, Hidenori Yoshida, Osamu Yokota, Yosuke Uchitomi

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Caregiving is often stressful in an aging society. Our research questions were two. First, In Japan, how often does abusive behavior by the caregivers of elders with clinically mild cognitive dysfunction (mild cognitive impairment and clinically mild dementia) occur? Second, what risk factors affect the abusive behavior? We studied 123 Japanese caregivers and care recipients who had been referred to the Memory Clinic at Okayama University Hospital. We used the Japanese version of the modified Conflict Tactics Scale (m-CTS) to measure abusive behaviors. We estimate the prevalence of abusive behavior meeting threshold (m-CTS score of 2 or higher) for abuse case on the modified m-CTS. The prevalence of abusive behavior was 15.4%. Stepwise multiple regression analysis revealed that the sex of caregivers and scores on the Neuropsychiatric Inventory (NPI), Zarit Caregiver Burden scale, and Addenbrooke's Cognitive Examination had significant effects on the m-CTS scores. We demonstrated that in Japan, caregivers of the elderly with even clinically mild cognitive dysfunction exhibit abusive behavior toward them. The severity of the disease might reflect the prevalence of and factors that affect the abusive conflict score.

Original languageEnglish
Pages (from-to)699-704
Number of pages6
JournalPsychiatry Research
Volume209
Issue number3
DOIs
Publication statusPublished - Oct 30 2013

Fingerprint

Caregivers
Japan
Cross-Sectional Studies
Dementia
Cognitive Dysfunction
Regression Analysis
Conflict (Psychology)
Equipment and Supplies
Research

Keywords

  • Abuse
  • Caregiver
  • Dementia
  • Japanese
  • Modified Conflict Tactics Scale

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study). / Kishimoto, Yuki; Terada, Seishi; Takeda, Naoya; Oshima, Etsuko; Honda, Hajime; Yoshida, Hidenori; Yokota, Osamu; Uchitomi, Yosuke.

In: Psychiatry Research, Vol. 209, No. 3, 30.10.2013, p. 699-704.

Research output: Contribution to journalArticle

Kishimoto, Y, Terada, S, Takeda, N, Oshima, E, Honda, H, Yoshida, H, Yokota, O & Uchitomi, Y 2013, 'Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study)', Psychiatry Research, vol. 209, no. 3, pp. 699-704. https://doi.org/10.1016/j.psychres.2013.01.025
Kishimoto, Yuki ; Terada, Seishi ; Takeda, Naoya ; Oshima, Etsuko ; Honda, Hajime ; Yoshida, Hidenori ; Yokota, Osamu ; Uchitomi, Yosuke. / Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study). In: Psychiatry Research. 2013 ; Vol. 209, No. 3. pp. 699-704.
@article{bc1d68d52a50489b8a6f24481c1981fd,
title = "Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study)",
abstract = "Caregiving is often stressful in an aging society. Our research questions were two. First, In Japan, how often does abusive behavior by the caregivers of elders with clinically mild cognitive dysfunction (mild cognitive impairment and clinically mild dementia) occur? Second, what risk factors affect the abusive behavior? We studied 123 Japanese caregivers and care recipients who had been referred to the Memory Clinic at Okayama University Hospital. We used the Japanese version of the modified Conflict Tactics Scale (m-CTS) to measure abusive behaviors. We estimate the prevalence of abusive behavior meeting threshold (m-CTS score of 2 or higher) for abuse case on the modified m-CTS. The prevalence of abusive behavior was 15.4{\%}. Stepwise multiple regression analysis revealed that the sex of caregivers and scores on the Neuropsychiatric Inventory (NPI), Zarit Caregiver Burden scale, and Addenbrooke's Cognitive Examination had significant effects on the m-CTS scores. We demonstrated that in Japan, caregivers of the elderly with even clinically mild cognitive dysfunction exhibit abusive behavior toward them. The severity of the disease might reflect the prevalence of and factors that affect the abusive conflict score.",
keywords = "Abuse, Caregiver, Dementia, Japanese, Modified Conflict Tactics Scale",
author = "Yuki Kishimoto and Seishi Terada and Naoya Takeda and Etsuko Oshima and Hajime Honda and Hidenori Yoshida and Osamu Yokota and Yosuke Uchitomi",
year = "2013",
month = "10",
day = "30",
doi = "10.1016/j.psychres.2013.01.025",
language = "English",
volume = "209",
pages = "699--704",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

TY - JOUR

T1 - Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study)

AU - Kishimoto, Yuki

AU - Terada, Seishi

AU - Takeda, Naoya

AU - Oshima, Etsuko

AU - Honda, Hajime

AU - Yoshida, Hidenori

AU - Yokota, Osamu

AU - Uchitomi, Yosuke

PY - 2013/10/30

Y1 - 2013/10/30

N2 - Caregiving is often stressful in an aging society. Our research questions were two. First, In Japan, how often does abusive behavior by the caregivers of elders with clinically mild cognitive dysfunction (mild cognitive impairment and clinically mild dementia) occur? Second, what risk factors affect the abusive behavior? We studied 123 Japanese caregivers and care recipients who had been referred to the Memory Clinic at Okayama University Hospital. We used the Japanese version of the modified Conflict Tactics Scale (m-CTS) to measure abusive behaviors. We estimate the prevalence of abusive behavior meeting threshold (m-CTS score of 2 or higher) for abuse case on the modified m-CTS. The prevalence of abusive behavior was 15.4%. Stepwise multiple regression analysis revealed that the sex of caregivers and scores on the Neuropsychiatric Inventory (NPI), Zarit Caregiver Burden scale, and Addenbrooke's Cognitive Examination had significant effects on the m-CTS scores. We demonstrated that in Japan, caregivers of the elderly with even clinically mild cognitive dysfunction exhibit abusive behavior toward them. The severity of the disease might reflect the prevalence of and factors that affect the abusive conflict score.

AB - Caregiving is often stressful in an aging society. Our research questions were two. First, In Japan, how often does abusive behavior by the caregivers of elders with clinically mild cognitive dysfunction (mild cognitive impairment and clinically mild dementia) occur? Second, what risk factors affect the abusive behavior? We studied 123 Japanese caregivers and care recipients who had been referred to the Memory Clinic at Okayama University Hospital. We used the Japanese version of the modified Conflict Tactics Scale (m-CTS) to measure abusive behaviors. We estimate the prevalence of abusive behavior meeting threshold (m-CTS score of 2 or higher) for abuse case on the modified m-CTS. The prevalence of abusive behavior was 15.4%. Stepwise multiple regression analysis revealed that the sex of caregivers and scores on the Neuropsychiatric Inventory (NPI), Zarit Caregiver Burden scale, and Addenbrooke's Cognitive Examination had significant effects on the m-CTS scores. We demonstrated that in Japan, caregivers of the elderly with even clinically mild cognitive dysfunction exhibit abusive behavior toward them. The severity of the disease might reflect the prevalence of and factors that affect the abusive conflict score.

KW - Abuse

KW - Caregiver

KW - Dementia

KW - Japanese

KW - Modified Conflict Tactics Scale

UR - http://www.scopus.com/inward/record.url?scp=84885475040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84885475040&partnerID=8YFLogxK

U2 - 10.1016/j.psychres.2013.01.025

DO - 10.1016/j.psychres.2013.01.025

M3 - Article

C2 - 23462386

AN - SCOPUS:84885475040

VL - 209

SP - 699

EP - 704

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

IS - 3

ER -