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The aim of this study is twofold. First, to assess the level of agreement between radiographic damage and functional disability in older people with osteoarthritis. And second, to assess the role of coping skills and sensory pain parameters as sources of disagreement between these variables. To achieve this objective we assess, in a sample of 104 older people with osteoarthritis, the following variables: functional capacity, radiographic damage, pain coping strategies, pain intensity, pain frequency and pain duration. The results show a non-linear relationship between radiographic damage and functional disability, modified by the levels of the two variables. There was maximum agreement between low levels of radiographic damage and of functional impairment, whilst agreement decreased for moderate and high levels of radiographic damage. Certain coping strategies may help to explain this disparity.
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.
This article reviews the significance of the Geriatric Depression Scale (GDS) to practitioners and researchers in clinical gerontology, more than 10 years after the scale was introduced to the scientific community. This report summarizes findings from the most relevant validation studies in which this self-report for assessing depression in elderly people has been tested. Included is discussion of the use of the GDS with specific populations (elderly medical inpatients, nursing home residents, and dementia populations), with description of the scale's psychometric properties and its utility when used with them. This article also provides data on the use of the GDS from more recent studies, including additional information on psychometric properties, influence of source bias, and the international dissemination of the GDS. We conclude that the GDS is a relevant self-report for the assessment of depression in the elderly, given its advantage over other self-reports that are not as easily administered to this age group, its utility in the detection of depression, and its adequate psychometric properties. However, the GDS does not maintain its validity in demented populations because it fails to identify depression in persons with mild to moderate dementia. Finally, some suggestions for future research are made.
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