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  • Title: Self-efficacy as a moderator of the relationship between care recipient memory and behavioral problems and caregiver depression in female dementia caregivers.
    Author: Rabinowitz YG, Mausbach BT, Gallagher-Thompson D.
    Journal: Alzheimer Dis Assoc Disord; 2009; 23(4):389-94. PubMed ID: 19935146.
    Abstract:
    PURPOSE: The purpose of the current study was to explore the moderating effect of 3 domains of caregiver self-efficacy on the relationship between exogenous caregiving stressors (care recipient memory and behavioral problems) and depression. DESIGN AND METHODS: Moderator analyses were used to analyze data for 256 caregivers of elder relatives with dementia recruited at the Palo-Alto site of the National REACH (Resources for Enhancing Alzheimer's Caregiver Health) Project. Significant interactions between the stressor and self-efficacy indicated a potential moderating effect. Post hoc analyses were then conducted to determine the nature of the interaction(s). RESULTS: Self-efficacy for managing disruptive behaviors and self-efficacy for controlling upsetting thoughts had a direct effect on depression. Self-efficacy for responding to disruptive behaviors moderated the relationship between care recipient memory and behavioral problems and symptoms of depression. IMPLICATIONS: Self-efficacy may be an important clinical tool for identifying the caregivers who are most vulnerable to depression. Self-efficacy for responding to disruptive behaviors may be especially helpful in identifying caregivers at the greatest risk for depression when care recipient memory and behavior problems are high.
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