{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:13:01Z","timestamp":1790748781787,"version":"4.1.0"},"reference-count":94,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,10,5]],"date-time":"2016-10-05T00:00:00Z","timestamp":1475625600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2016,11,19]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The progressive mobilization of spouse caregivers who take care of a\u00a0person with dementia (PWD) can lead to situations of distress.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The current study sought to investigate the influence of the characteristics of the caregiving context on spousal caregiver distress.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    125 spousal caregivers participated in this study. The characteristics of the caregiving context were assessed using questionnaires. We examined a\u00a0moderated-mediator model\n                    <jats:italic toggle=\"yes\">(Step 1)<\/jats:italic>\n                    in which we hypothesized that PWD and caregiver characteristics and dyadic determinants contribute to spousal caregiver distress. This model was compared based on the age at onset of the disease and the gender of the caregiver\n                    <jats:italic toggle=\"yes\">(Step 2).<\/jats:italic>\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The model revealed that poor self-rated health and a\u00a0lack of family support accentuated spousal caregiver distress, whereas the feeling of being prepared and level of confidence decreased spousal caregiver distress. Moreover, the quality of couple adjustment affected spousal caregiver distress, and this effect was mediated by the severity of the PWD\u2019s symptoms. Regarding the age at onset of the disease, the path between Couple Adjustment and the Care recipient\u2019s impairments was more important for caregivers of person with early-onset dementia (PEOD). Female caregivers who reported poor self-rated health experienced greater distress.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    It would be interesting to create a\u00a0support program that would incorporate these three areas of intervention regarding the progression of the disease: first, \u201cpreparedness modules\u201d; second, \u201cdyadic modules\u201d (especially for caregivers of PEOD); and third, \u201cfamily modules\u201d. Specific attention should be given to female caregivers who report poor self-rated health.\n                  <\/jats:p>","DOI":"10.3233\/jad-160558","type":"journal-article","created":{"date-parts":[[2016,10,7]],"date-time":"2016-10-07T10:36:37Z","timestamp":1475836597000},"page":"703-716","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["Modeling the Distress of Spousal Caregivers of People with Dementia"],"prefix":"10.1177","volume":"55","author":[{"given":"Emilie","family":"Wawrziczny","sequence":"first","affiliation":[{"name":"University of Lille","place":["France"]},{"name":"Roubaix Hospital","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Berna","sequence":"additional","affiliation":[{"name":"University of 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