Health-related quality of life and self-efficacy of managing behavior problems for family caregivers of vascular dementia and Alzheimer's disease patients

Li-Min Kuo, Huei Ling Huang, Wen Chuin Hsu, Yea Ing L Shyu

Research output: Contribution to journalArticle

9 Citations (Scopus)


Background: Little is known about the differences in patients' behavioral problems and health outcomes of family caregivers of patients with vascular dementia (VaD) and Alzheimer's disease (AD).

Methods: A secondary analysis of baseline data on a subsample of caregiverdementia patient dyads in a randomized clinical trial.

Results: Family caregivers of VaD patients reported higher self-efficacy than caregivers of AD patients in handling verbally nonaggressive and verbally aggressive behaviors. Caregivers of VaD patients had poorer health-related quality of life (HRQoL) than caregivers of AD patients considering role disability due to physical health problems, bodily pain, social function, and physical component summary. Greater self-efficacy was associated with better mental health-related outcomes for family caregivers of VaD patients, and better self-care ability of VaD patients was associated with better caregiver mental health-related outcomes. Caring for a patient with more severe dementia predicted poor physical health-related outcomes in role disability due to physical health problems, but better overall mental health (mental component summary) for caregivers.

Conclusion: This study is the first to examine and compare the behavioral problems of AD and VaD patients in a Chinese population, along with their family caregivers' self-efficacy and health outcomes. Family caregivers of patients with VaD might warrant specific attention to their HRQoL, with interventions developed to enhance their self-efficacy.

Original languageEnglish
Pages (from-to)310-320
Number of pages11
JournalDementia and Geriatric Cognitive Disorders
Publication statusPublished - Nov 7 2014
Externally publishedYes



  • Alzheimer's disease
  • Depression
  • Family caregiver
  • Health-related quality of life
  • Self-efficacy
  • Vascular dementia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Geriatrics and Gerontology
  • Cognitive Neuroscience
  • Medicine(all)

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