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Scandinavian Journal of Public Health
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Abuse is in the eye of the beholder

Reports by family members about abuse of demented persons in home care A total population-based study

Margareta Grafström

Margareta Grafström, Stockholm Gerontology Research Center & Department of Geriatric Medicine, Karolinska Institute, Stockholm, Address: Margareta Grafström Stockholm Gerontology Research Center Dalagatan 9–11 S-11382 Stockholm Sweden

Astrid Nordberg

Astrid Nordberg, Department of Advanced Nursing, University of Umeå, S901 87 Umeå, Sweden. The study was performed at Stockholm Gerontology Research Center, Stockholm

Bengt Winblad

Bengt Winblad, Stockholm Gerontology Research Center & Department of Geriatric Medicine, Karolinska Institute, Stockholm

In a population-based study 219 family members of cognitively impaired elderly (casegroup) and 255 family members of cognitively healthy elderly (control-group) were interviewed about their situation as a caregiver to an old person. Twenty-six family members in the case-group reported abusive behavior in the care of the elderly at home. These family members are compared with 154 family members in the control-group, reporting other coping strategies than abusive. In the abusive group most of the elderly were in a mild stage of dementia, and the family members reported more strain in the care situation. The family members were older, judged their health as deteriorated, and were mostly living together with the dependent elderiy.

Key Words: Care giver burden • elder abuse • spouse abuse • Alzheimer's disease • coping • social isolation • behavior • aggression • irritable mood

Scandinavian Journal of Public Health, Vol. 21, No. 4, 247-255 (1993)
DOI: 10.1177/140349489302100404
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