WALSH, C.

Self-efficacy for managing dementia may protect against burden and depression in Alzheimer's caregivers

GALLAGHER, D., NI MHAOLAIN, A., CROSBY, L., RYAN, D., LACEY, L., COEN, R., F., WALSH, C., COAKLEY, D., WALSH, J., B., CUNNINGHAM, C., LAWLOR, B., A.
Aging & Mental Health
2011

In a study of eighty-four patient/caregiver dyads with mainly mild to moderate Alzheimer’s disease, Gallagher et al. (2011c) examined the relationship between self-efficacy for dementia management and symptoms of burden and depression among caregivers.

 They found that self-efficacy for symptom management of those with mild to moderate dementia directly impacts on the psychological health of caregivers, while among those with moderate to severe dementia, self-efficacy was more likely to mediate the relationship between the two.  They also found that self-efficacy may act as a buffer against the impact of behavioural symptoms on caregiver depression and burden.

Dependence and caregiver burden in Alzheimer’s disease and mild cognitive impairment (2011a)

Determinants of the desire to institutionalize in Alzheimer's caregivers(2011b)

Determinants of the desire to institutionalize in Alzheimer's caregivers

GALLAGHER, D., NI MHAOLAIN, A., CROSBY, L., RYAN, D., LACEY, L., COEN, R.F., WALSH, C., COAKLEY, D., WALSH, J.B., CUNNINGHAM, C., LAWLOR, B.A.
American Journal of Alzheimer's Disease and Other Dementias
2011

In a second paper from the same study Gallagher et al. (2011b) explored determinants of the desire to institutionalise (DI) among those caring for someone with Alzheimer’s disease.

 They asked whether potentially modifiable caregivers attributes were linked to DI and found that the most significant of these were caregiver burden and depression.  They also found an association between low caregiver self-efficacy and DI, and that caregivers with an emotion focused coping style were less likely to report DI.  The authors conclude that a multifactoral approach should be taken to reduce symptoms of burden and depression among caregivers. 

Dependence and caregiver burden in Alzheimer’s disease and mild cognitive impairment (2011a)

Self-efficacy for managing dementia may protect against burden and depression in Alzheimer's caregivers(2011c)

Dependence and caregiver burden in Alzheimer’s disease and mild cognitive impairment

GALLAGHER, D., NI MHAOLAIN, A., CROSBY, L., RYAN, D., LACEY, L., COEN, R.F., WALSH, C., COAKLEY, D., WALSH, J.B., CUNNINGHAM, C., LAWLOR, B.A.
American Journal of Alzheimer's Disease and Other Dementias
2011

One hundred participants with mostly mild to moderate dementia and their caregivers took part in this study by Gallagher et al (2011a), the objectives of which were to determine the impact of patient dependence on caregiver burden and to determine its value as a predictor of care

giver burden. The authors report functional decline and patient dependence as most predictive of caregiver burden in the earlier stages of dementia while neuropsychiatric or behavioural symptoms were most predictive as dementia progressed.  The authors also comment on the usefulness and easy administration of the dependence scale.

Determinants of the desire to institutionalize in Alzheimer's caregivers(2011b)

Self-efficacy for managing dementia may protect against burden and depression in Alzheimer's caregivers(2011c)

Detecting prodromal Alzheimer’s disease in mild cognitive impairment: utility of the CAMGOG and other neuropsychological predictors

GALLAGHER, D., MHAOLAIN, A., COEN, R., WALSH, C., KILROY, D., BELINSKI, K., BRUCE, I., COAKLEY, D., WALSH, J.B., CUNNINGHAM, C., LAWLOR, B.A
International journal of geriatric psychiatry
2010

Gallagher et al.

(2010) tested the usefulness of the Cambridge cognitive examination (CAMCOG), a well-established and widely used mini-neuropsychological battery, in detecting prodromal Alzheimer’s disease, and in particular which subtests of CAMCOG are predictive of conversion from mild cognitive impairment (MCI) to Alzheimer’s disease. The study compared CAMCOG and its subtests with an extended version of the delayed word recall (DWR) test. They followed 182 patients with MCI over a mean duration of 26 months, during which 75 (41%) converted to Alzheimer’s disease. The study found that tests of episodic memory were most predictive of conversion to Alzheimer’s disease and the composite memory score contained within CAMCOG was superior to tests of other cognitive domains assessed in CAMCOG. While the DWR test achieved the best predictive accuracy of conversion from MCI to Alzheimer’s disease, the CAMCOG composite memory score perfomed similarly well.  

The under-detection of cognitive impairment in Nursing Homes in the Dublin Area: The need for on-going cognitive assessment.

CAHILL, S., DIAZ-PONCE, A., COEN, R.F., WALSH, C.
Age and Ageing
2010

While it is known that the majority of people residing in long-stay care settings are likely to have dementia, it is not known how many actually receive a formal diagnosis of dementia. Cahill et al.

(2010) sought to address this gap, and at the same time test a methodology for detecting dementia among residents in long-stay care settings. A sample of 100 residents drawn from across four different nursing homes in Dublin was screened for cognitive impairment using MMSE and MoCA. One-third of the sample (32) had already received a diagnosis of dementia. However, a large proportion was first identified during the screening as having either a mild, moderate or severe cognitive impairment. Given that some of these residents are likely to have dementia, the study points to the under-detection of dementia in long-stay care settings in ROI and highlights the need for on-going assessment. 

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