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Biomedical subjects

E M Brody

Publications and source records attributed to E M Brody.

At least 19 recordsLinked to original sources
PubMed1992

Differential effects of daughters' marital status on their parent care experiences.

This study compared the parent care experiences of five groups of daughters (N = 492) (married, remarried, separated/divorced, widowed, and never married). Data include demographic characteristics and measures of depression, positive affect, personality strength, health, social support, relationship quality, caregiving burden, caregiving mastery, and caregiving satisfaction. Women with husbands had more socio-emotional and instrumental support, much higher incomes, less financial strain from caregiving, and less depression. They felt their own particular marital status made caregiving easier than did the three groups of not-married women.

Adult↗
PubMed1991

Caregiving daughters' perceptions of their own and their mothers' personalities.

This research explores differences between caregiving daughters' perceptions of their own and their mothers' personalities. A sample of caregiving daughters (N = 150) rated themselves and their mothers on the same 17 personality attributes. Daughters generally rated their mothers more negatively than themselves. Within this pattern of generally negative evaluations, varying types of impairment function differently. Functional impairment is not related to assessments of mothers' personalities, whereas psychological and cognitive impairments are.

Aged↗
PubMed1990

Mental health of sons and daughters of the institutionalized aged.

Predictors of depression in a study of 331 adult children whose parents resided in nursing homes were respondent's poor health, time pressures, viewing the parent as demanding, and lack of involvement with IADL tasks. Emotional effects specific to parent's situation were predicted by poor health, negative perceptions of nursing home staff, upsetting visits, time pressures, and being female and young. Predictors of depression and emotional effects between sons and daughters are compared.

Adult↗
PubMed1989

A controlled study of respite service for caregivers of Alzheimer's patients.

After a baseline interview of 642 caregivers of aged Alzheimer's disease victims, half were offered formal respite care. Over 12 months, families with respite care maintained their impaired relative significantly longer in the community (22 days). Although respite was ineffective for caregiver burden and mental health, satisfaction was very high. Although not a strong intervention, respite care can increase caregivers' quality of life.

Aged↗
PubMed1989

Caregiving daughters and their local siblings: perceptions, strains, and interactions.

Daughters who are principal caregivers to disabled elderly mothers are compared with their geographically proximate sisters and brothers as to the amount of help each group provides, the effects of care they experience, and the problems and benefits of the siblings' interactions about the caregiving situations. Caregivers reported the most and brothers the least service provision and strain; sisters fell in between, and also equaled caregivers in strain from intersibling problems. Negative intersibling interactions are associated with less emotional closeness in the families and the mothers' greater care needs.

Aged↗
PubMed1984

What should adult children do for elderly parents? Opinions and preferences of three generations of women.

Three generations of women (N = 403) were surveyed to discover their opinions about appropriate filial behavior toward elderly parents and their personal preferences among various providers of services that they might need in old age. Opinions were elicited by a vignette focused on what hypothetical adult children with differing situational characteristics should do to help meet the needs of their dependent widowed mother. Preferences were obtained from subjects' rankings of six potential providers (representing formal and informal support systems) for eight types of services. In the responses to the vignette, adjustment of family schedules and help with costs of professional health care were seen as appropriate for adult children, but adjustment of work schedules and sharing of households were not. For themselves, the women preferred adult children as providers of emotional support and financial management but not of income. The middle generation was least in favor of receiving financial support or instrumental help from children, preferring formal services for such assistance.

Adolescent↗
PubMed1984

Predictors of falls among institutionalized women with Alzheimer's disease.

Falls among elderly residents are a major concern of facilities caring for the aged. A group of institutionalized women with senile dementia of the Alzheimer type (N = 60; mean age 83) were studied longitudinally and evaluated annually on 21 variables of physical, social, emotional, self-care, and cognitive functioning. A substudy of falls they experienced used data from two such annual evaluations. Clinical ratings by the interdisciplinary team estimated 1) the women's changes in function during the preceding year and 2) the current levels of the women's functioning. Separate regressions for each of the two years returned identical significant patterns indicating that ratings of physical vigor were significantly related to number of falls. Those women who had been among the most vigorous in the group but who had shown significant declines in the preceding year were the most vulnerable to falls; women who had been rated as the least vigorous but whose levels of vigor had been stable during the year tended to have fewer falls. Falling therefore appears to be related to the process of decline in vigor among those in the group whose levels of vigor were higher initially. There were corresponding significant declines in emotional and cognitive scales.

Accidents↗
PubMed1984

Senile dementia: public policy and adequate institutional care.

Increasing costs of institutional care for the aged have occasioned a variety of government cost containment measures. People with senile dementia of the Alzheimer's type (SDAT) will be the principal group to suffer from cutbacks. SDAT patients are usually eligible for Intermediate Care Facilities (ICFs), rather than Skilled Nursing Facilities (SNFs) and therefore for lower reimbursement. Because such patients require heavy care and are the ones most likely to be Medicaid-dependent, nursing homes are being provided with incentives to prevent admissions. At the same time, community services to aid overburdened caregivers are grossly inadequate. Costs to other parts of the health systems are increased by backups in acute hospitals when nursing home beds cannot be found. SDAT and Medicaid eligibility are the principal causes of such "administratively necessary" backup days, but in the main Diagnostic Related Groups (DRGs) may close even that temporary resource. Thus, virtually all avenues of care are shrinking for those who need them most.

Aged↗
PubMed1983

What older people do about their day-to-day mental and physical health symptoms.

In four detailed "yesterday" interviews, old people (n = 132) were studied to identify their day-to-day mental and physical symptoms. Previous reports have described the nature, frequency, and severity of the symptoms reported. This paper describes the actions taken by old people to alleviate discomfort from their symptoms. Some action was taken to treat four fifths of the complaints but virtually none of the symptoms were reported to health care professionals. Among the authors' findings are that about 20 per cent of the drug doses taken by the interviewees could not be identified and the remaining 80 per cent were divided equally between prescription drugs and over-the-counter medications. It is evident that there is a world of day-to-day health experiences and practices of which health care professionals are unaware. Sensitive questioning is needed to elicit information about that world from elderly patients, who in turn are often in considerable need of health education from professional sources.

Aged↗