AGGRESSION AND VIOLENCE IN COMMUNITY BASED AD FAMILIES

基于社区的广告系列中的攻击和暴力

• 批准号: 2748556
• 负责人: GREGORY J PAVEZA
• 金额: $ 31.33万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-08-15 至 2000-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2748556
• 关键词: Alzheimer's disease; aggression; behavioral /social science research tag; caregivers; clinical research; conflict; disease /disorder proneness /risk; family structure /dynamics; human subject; interview; mental health epidemiology; psychological tests; questionnaires; violence

DESCRIPTION (Adapted from applicant's abstract): Three years of support are requested to conduct an epidemiologic retrospective study of Alzheimer families to identify individual, family and interactive factors that are associated with changes in conflict resolution, including the development of aggressive and violent behavior among individuals with AD, and family members providing care to those persons. In addition to describing antecedent factors and conditions of these behaviors, the proposed research will concentrate and define factors that place both caregivers and AD patients at risk for the more severe forms of violent behavior as well as those factors that prohibit the development of the more severe forms of violence. The proposed research plan has four specific aims: (1) to describe how changes in conflict resolution occur in Alzheimer families with the progression of AD; (2) to determine specific rates of occurrence for various forms of conflict resolution, with an emphasis on the rates of aggressive, violent, and severely violent behavior; (3) to determine specific patient and caregiver characteristics that place families at risk for aggression and violence; (4) to specify characteristics that tend to prohibit the development of violence or aggression in families caring for a member with AD. Patient and caregiver participants for the proposed project will be solicited from six of the Memory Disorder Clinics funded through the State of Florida's Alzheimer Disease Initiative and will include all persons (and designated caregivers) diagnosed with AD according to NINCDS/ADRDA criteria or a diagnosis of Primary Degenerative Dementia of the Alzheimer's Type according to DSM-III-R or Dementia of the Alzheimer's Type according to DSM-IV or with mixed AD and vascular dementia, with an initial diagnosis of AD or mixed AD made at least one year prior to being contacted for the study. Data on 1,500 families will be collected using a 1) Caregiver Mailed Questionnaire designed to collect basic information about the family's demographics, the caregiver's experience with the caregiving role, and perceptions of the care-recipient's behavior; 2) Caregiver Face-to-Face Interview designed to obtain additional information about the caregiver including sensitive information about aggression and abuse; and 3) Patient Face-to-Face Interview designed to obtain information about the patients' own perceptions of their functioning levels of aggression and abuse in the caregiving relationship. Data analytic techniques are designed to address the specific aims of this research. Analytic methods will include path analysis, discriminate function analysis, and multiple logistic regression. These techniques will allow us to determine the characteristics that are both risk and protective factors for aggressive and violent behavior in families caring for members with AD.

描述（改编自申请人的摘要）：三年的支持是 要求对阿尔茨海默病进行流行病学回顾性研究 家庭识别个人、家庭和互动因素 与冲突解决方式的变化有关，包括发展 AD 患者及其家人的攻击性和暴力行为 成员为这些人提供护理。 除了描述之外 这些行为的先决因素和条件，拟议的研究 将集中并定义将护理人员和 AD 放在一起的因素 面临更严重暴力行为风险的患者以及 那些阻碍更严重形式发展的因素 暴力。 拟议的研究计划有四个具体目标：（1）描述如何 阿尔茨海默病家庭的冲突解决方式发生了变化 AD 的进展； (2) 确定各种情况的具体发生率 冲突解决的形式，重点是侵略性、 暴力和严重暴力行为； (3)确定具体患者 以及使家庭面临攻击风险的照顾者特征 暴力; (4) 明确可能禁止的特征 照顾患有以下疾病的成员的家庭中出现暴力或攻击行为 广告。 拟议项目的患者和护理人员参与者将 征集自六家由国家资助的记忆障碍诊所 佛罗里达州阿尔茨海默病倡议的成员，将包括所有人（以及 根据 NINCDS/ADRDA 标准诊断患有 AD 的指定护理人员） 或阿尔茨海默氏型原发性退行性痴呆的诊断 根据 DSM-III-R 或阿尔茨海默病型痴呆根据 DSM-IV 或混合 AD 和血管性痴呆，初步诊断为 AD 或混合 AD 至少在联系之前一年制作 学习。 将使用 1) 邮寄的护理人员收集 1,500 个家庭的数据 问卷旨在收集家庭基本信息 人口统计数据、护理人员担任护理角色的经验，以及 对受照顾者行为的看法； 2) 面对面的护理人员 旨在获取有关护理人员的更多信息的访谈 包括有关攻击和虐待的敏感信息； 3) 病人 面对面访谈旨在获取有关患者的信息 自己对自己的攻击和虐待行为水平的看法 照顾关系。 数据分析技术旨在解决 本研究的具体目的。 分析方法将包括路径 分析、判别函数分析和多元逻辑回归。 这些技术将使我们能够确定 攻击性和暴力行为的风险因素和保护因素 照顾 AD 成员的家庭。