Physical and emotional symptom burden and advanced chronic illness: dyadic concordance

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dc.contributor Kvale, Elizabeth A.
dc.contributor Parton, Jason M.
dc.contributor Scogin, Forrest Ray
dc.contributor.advisor Allen, Rebecca S. Eichorst, Morgan Kay 2017-03-01T16:48:33Z 2017-03-01T16:48:33Z 2013
dc.identifier.other u0015_0000001_0001290
dc.identifier.other Eichorst_alatus_0004M_11646
dc.description Electronic Thesis or Dissertation
dc.description.abstract Over 40 million Americans act as an informal caregiver to someone over the age of 65. While there are many benefits to informal caregiving, research has highlighted associated challenges, such as accurately understanding the care recipient's medical and emotional symptoms. The current study aims to understand symptom reporting of informal caregivers by examining dyadic concordance of physical and emotional symptom reports. In addition to examining baseline correlations with demographic and psychosocial variables, the study examines a reminiscence and creative activity project as a possible intervention to increase concordance. Participants included 45 African American or Caucasian dyads, comprised of one chronically-ill older adult and one caregiver. Pearson correlations and six mixed ANOVAs were performed. Concordance was examined for symptom presence/absence as well as associated symptom distress. Physical and emotional symptom concordance were examined separately. Results indicated only two demographic variables (caregiver income adequacy and care recipient education) significantly related to concordance. Caregiver stress was related to lower concordance as was care recipient negative affect. Higher symptom reports by the care recipient were associated with decreased concordance for physical but not emotional symptoms and distress. Results of the ANOVAs indicated no improvement in concordance for intervention dyads compared to control dyads (N=28). Results are discussed in light of previous research on concordance as well s a model of caregiving stress. Limitations and future directions are discussed.
dc.format.extent 72 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other Psychology
dc.subject.other Behavioral sciences
dc.title Physical and emotional symptom burden and advanced chronic illness: dyadic concordance
dc.type thesis
dc.type text University of Alabama. Dept. of Psychology Psychology The University of Alabama master's M.A.

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