Paz-Rodríguez F, Sánchez-Guzmán MA

Language: Spanish
References: 26
Page: 205-214
PDF size: 196.49 Kb.

ABSTRACT

Introduction: Chronic neurological diseases may be risk factors for suffering or exerting violence between caregivers and patients. Objective: To describe the predictors of violence for dyads of four neurological diseases. Methods: Cross-sectional study conducted between December 2009 and March 2011. Purposive sample: 185 user’s dyads of a third-care referral center (INNN). We evaluated 49 patients with Parkinson’s disease, 44 with cerebrovascular diseases, 45 with multiple sclerosis and 47 with epilepsy. A survey was designed to explore the dependent variable (self-reported violence) and associated variables: psychological stressors (depression and anxiety, quality of life, social support, perceived control, hostility and aid, economic violence, and abuse in the childhood), caregiver variables (burden, age, education, care and time daycare hours) and patients’ characteristics (age, education, functional status, cognitive status, and time to disease). We performed nonparametric statistics and multiple regressions. Results: A total of 32.4% of caregivers and 33.5% of patients reported violence. The predictors of violence in caregivers were: perceived aggressive behavior and control from the patient, patient suffering of economic and violence burden. In the patient the predictors of violence were: economic violence suffering, caregiver’s perceived aggressive behavior, poor quality of life, exerting control over the caregiver, experiencing violence in childhood, longer disease and age and childhood maltreatment in the caregiver. Global (patient-caregiver) predictors in dyads were: aggressive patients, both perceived control and attention burden. The variable reported greater explanatory weight: patient perception of aggression. Conclusions: Perceiving hostile behavior, burden control and patient’s aggression are predictors of violence in dyadic interaction.

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