Hostname: page-component-7479d7b7d-q6k6v Total loading time: 0 Render date: 2024-07-11T07:42:59.009Z Has data issue: false hasContentIssue false

Dysfunctional Thoughts about Caregiving Questionnaire: psychometric properties of a new measure

Published online by Cambridge University Press:  22 June 2009

Ignacio Montorio*
Affiliation:
Facultad de Psicología, Universidad Autónoma de Madrid, Spain
Andrés Losada
Affiliation:
Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain
María Izal
Affiliation:
Facultad de Psicología, Universidad Autónoma de Madrid, Spain
María Márquez
Affiliation:
Facultad de Psicología, Universidad Autónoma de Madrid, Spain
*
Correspondence should be addressed to: Ignacio Montorio, Facultad de Psicología, Universidad Autónoma de Madrid. 28049 – Madrid, Spain. Phone: + 34 91 4975220; Fax: + 34 91 4975215. Email: ignacio.montorio@uam.es.

Abstract

Background: This study examines the psychometric properties of the Dysfunctional Thoughts about Caregiving Questionnaire (DTCQ).

Methods: DTCQ was administered to 227 dementia family caregivers.

Results: Principal components analyses resulted in a two-factor solution: Perception of Sole Responsibility and Perfectionism. The DTCQ has a strong internal consistency and an adequate temporal stability. The DTCQ score differentiated between depressed and non-depressed caregivers, although only in the female group. Construct validity was also supported by significant relationships between DTCQ scores and global dysfunctional attitudes, social support, seeking social support and number of hours per day engaged in caring. The dysfunctional thoughts about caregiving specify rigid and inappropriate contingencies to guide and assess behavior while acting as cognitive barriers that make healthy care difficult.

Conclusion: The results of this study showed that such dysfunctional thoughts have a significant relationship to variables identified as mediators in caregiving stress models. The DTCQ has potential uses for both research and clinical purposes.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrews, J. A., Lewinsohn, P. M., Hops, H. and Roberts, R. E. (1993). Psychometric properties of scales for the measurement of psychosocial variables associated with depression in adolescence.Psychological Reports, 73, 10191046.Google ScholarPubMed
Arai, Y., Sugiura, M., Miura, H., Washio, M. and Kudo, K. (2000). Undue concern for others' opinions deters caregivers of impaired elderly from using public services in rural Japan. International Journal of Geriatric Psychiatry, 15, 961968.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: John Wiley and Sons.Google Scholar
Bédard, M., Kuzik, R., Chambers, L., Molloy, D. W., Dubois, S. and Lever, J. A. (2005). Understanding burden differences between men and women caregivers: the contribution of care-recipient problem behaviors. International Psychogeriatrics, 17, 99118.CrossRefGoogle ScholarPubMed
Burgio, L., Stevens, A., Guy, D., Roth, D. L. and Haley, W. E. (2003). Impact of two psychosocial interventions on White and African American family caregivers of individuals with dementia. The Gerontologist, 43, 568579.CrossRefGoogle ScholarPubMed
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, 267283.CrossRefGoogle ScholarPubMed
Cox, C. and Monk, A. (1993). Black and Hispanic caregivers of dementia victims: their needs and implications for services. In Barresi, C. M. and Stull, D. E. (eds.), Ethnic Elderly and Long Term Care (pp. 5767). New York: Springer.Google Scholar
Dilworth-Anderson, P., Goodwin, P. and Williams, S. W. (2004). Can culture explain the physical health effects of caregiving over time among African American caregivers? Journals of Gerontology, Series B, 59, S138S145.CrossRefGoogle ScholarPubMed
Dooley, W. K., Shaffer, D. R., Lance, C. E. and Williamson, G. M. (2007). Informal care can be better than adequate: development and evaluation of the exemplary care scale. Rehabilitation Psychology, 52, 359369.CrossRefGoogle Scholar
Dunham, C. C. and Cannon, J. H. (2008). “They're still in control enough to be in control”: paradox of power in dementia caregiving. Journal of Aging Studies, 22, 4553.CrossRefGoogle ScholarPubMed
Dykman, B. M. and Johll, M. (1998). Dysfunctional attitudes and vulnerability to depressive symptoms: a 14-week longitudinal study. Cognitive Therapy and Research, 22, 337352.CrossRefGoogle Scholar
Gallagher-Thompson, D., Solano, N., Coon, D. and Areán, P. (2003). Recruitment and retention of Latino dementia caregivers in intervention research: issues to face, lessons to learn. The Gerontologist, 43, 4551.CrossRefGoogle ScholarPubMed
Gruetzner, H. (1992). Alzheimer's: A Caregiver's Guide and Sourcebook. New York: John Wiley and Sons.Google Scholar
Imber, S. D. et al. (1990). Mode specific effects among three treatments for depression. Journal of Consulting and Clinical Psychology, 58, 352359.CrossRefGoogle ScholarPubMed
Izal, M., Montorio, I., Sánchez, M., Márquez, M. and Losada, A. (2005). Lawton's ecological model of adaptation and aging revisited: social environment and individual competence among elderly care recipients. Archives of Gerontology and Geriatrics, 41, 129140.CrossRefGoogle Scholar
Knight, B. G., Robinson, G. S., Longmire, C. V. F., Chun, M., Nakao, K. and Kim, J. H. (2002). Cross cultural issues in caregiving for persons with dementia: do families' values reduce burden and distress? Ageing International, 27, 7094.CrossRefGoogle Scholar
Kuiper, N. A., Olinger, L. J. and Air, P. A. (1989). Stressful events, dysfunctional attitudes, coping styles and depression. Personality and Individual Differences, 10, 229237.CrossRefGoogle Scholar
Lawton, M. P., Kleban, M. H., Moss, M., Rovine, M. and Glicksman, A. (1989). Measurement caregiving appraisal. Journals of Gerontology: Psychological Sciences, 44, 6171.CrossRefGoogle ScholarPubMed
Lindoerfer, J. S. (1991). Treatment of families of the neurologically impaired aged. In Dippel, R. L. and Hutton, J. T. (eds.), Caring for the Alzheimer Patient, 2nd edn (pp. 119128). New York: Prometheus Books.Google Scholar
Losada, A. (2005). Influencia de los pensamientos disfuncionales sobre el cuidado en el malestar psicológico de cuidadores de personas mayores con demencia. Resultados de un estudio transversal y de intervención. Unpublished doctoral dissertation. Universidad Autónoma de Madrid, Spain.Google Scholar
Losada, A., MontorioIzal, M. Izal, M. and Márquez, M. (2006a). Estudio e intervención sobre el malestar psicológico de los cuidadores de personas con demencia. El papel de los pensamientos disfuncionales. Madrid: IMSERSO.Google Scholar
Losada, A., Montorio, I., Knight, B. G., Márquez, M. and Izal, M. (2006b). Explanation of caregivers distress from the cognitive model: the role of dysfunctional thoughts. Psicología Conductual, 14, 115128.Google Scholar
Márquez-González, M., Losada, A., Izal, M., Pérez-Rojo, G. and Montorio, G. (2007). Modification of dysfunctional thoughts about caregiving in dementia family caregivers: description and outcomes of an intervention programme. Aging and Mental Health, 11, 616625.CrossRefGoogle ScholarPubMed
McNaughton, M. E., Patterson, T. L., Smith, T. L. and Grant, I. (1995). The relationship among stress, depression, locus of control, irrational beliefs, social support, and health in Alzheimer's disease caregivers. Journal of Nervous and Mental Disease, 183, 7885.CrossRefGoogle ScholarPubMed
Mittelman, M. S, Epstein, C. and Pierzchala, A. (2003). Counseling the Alzheimer Caregiver. Chicago: American Medical Association.Google Scholar
Muela, J. A., Torres, C. J. and Peláez, E. M. (2001). La evaluación de la asertividad como predictor de carga en cuidadores de enfermos de Alzheimer. Revista Española de Geriatría y Gerontología, 36, 4145.CrossRefGoogle Scholar
Pearlin, L. I., Mullan, J. T., Semple, S. and Skaff, M. (1990). Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist, 30, 583594.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.CrossRefGoogle Scholar
Reig, A., Ribera, D. and Miquel, J. (1991). Psychological support and daily stress in non-institutionalized elderly. Psychological Assessment, 7, 191200.Google Scholar
Ruiz, M., Campillo, M., Monfort, J., Pardo, A., Rejas, J. and Soto, J. (2005). Adaptación al castellano y validación del cuestionario Arthritis Treatment Satisfaction Questionnaire. Medicina Clínica, 125, 8492.CrossRefGoogle Scholar
Stebbins, P. and Pakenham, K. I. (2001). Irrational schematic beliefs and psychological distress in caregivers of people with traumatic brain injury. Rehabilitation Psychology, 46, 178194.CrossRefGoogle Scholar
Vitaliano, P. P., Zhang, J. and Scalan, J. M. (2003). Is caregiving hazardous to one's physical health? A meta-analysis. Psychological Bulletin, 129, 946972.CrossRefGoogle ScholarPubMed
Zarit, S. H. and Zarit, J. M. (1982). Families under stress: interventions for caregivers of senile dementia patients. Psychotherapy: Theory, Research and Practice, 19, 461471.CrossRefGoogle Scholar