PMID- 19391171 OWN - NLM STAT- MEDLINE DCOM- 20110111 LR - 20221207 IS - 1099-1166 (Electronic) IS - 0885-6230 (Linking) VI - 24 IP - 12 DP - 2009 Dec TI - Differences in psychological morbidity among Australian and Chinese caregivers of persons with dementia in residential care. PG - 1343-51 LID - 10.1002/gps.2264 [doi] AB - OBJECTIVE: The aim of the present study was to determine the effects of culture on caregiver psychological morbidity among informal caregivers of institutionalised persons with dementia in three different populations: (1) Shanghai, (2) Australian-Chinese and (3) Australian mainstream (non-Chinese). METHODS: Caregivers and residents with dementia were recruited from (1) a dementia hospital in Shanghai, (2) three ethno-specific Chinese nursing homes in Sydney and (3) four mainstream nursing homes in Sydney. Psychological morbidity was assessed using the Geriatric Depression Scale, mental health component (MHC) of the RAND-36 Health Status Inventory and a guilt scale. RESULTS: There were no significant differences between the three groups as measured by the guilt scale and MHC. Shanghai caregivers had higher mean depression scores than Australian-Chinese caregivers (p < 0.001), who in turn had higher mean depression scores than Australian mainstream caregivers (p = 0.015). Higher depression scores were found to be inversely associated with the caregiver's education level and physical health status, and associated with increased frequency of nursing home visits, but not with levels of behavioural and psychological symptoms of dementia (BPSD). CONCLUSION: Levels of depression in caregivers of institutionalised persons with dementia differ by culture and country of residence. CI - Copyright (c) 2009 John Wiley & Sons, Ltd. FAU - Wu, Helen Zong Ying AU - Wu HZ AD - Primary Dementia Collaborative Research Centre, University of New South Wales, 45 Beach Street, Coogee, Australia. helenwzy@hotmail.com FAU - Low, Lee-Fay AU - Low LF FAU - Xiao, Shifu AU - Xiao S FAU - Brodaty, Henry AU - Brodaty H LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - England TA - Int J Geriatr Psychiatry JT - International journal of geriatric psychiatry JID - 8710629 SB - IM MH - Aged MH - Analysis of Variance MH - Asian People/*psychology MH - Australia/epidemiology MH - Caregivers/*psychology MH - China/epidemiology MH - *Cross-Cultural Comparison MH - Dementia/*nursing/psychology MH - Depressive Disorder/*epidemiology MH - Female MH - Guilt MH - Humans MH - Male MH - Middle Aged MH - Nursing Homes MH - White People/*psychology EDAT- 2009/04/25 09:00 MHDA- 2011/01/12 06:00 CRDT- 2009/04/25 09:00 PHST- 2009/04/25 09:00 [entrez] PHST- 2009/04/25 09:00 [pubmed] PHST- 2011/01/12 06:00 [medline] AID - 10.1002/gps.2264 [doi] PST - ppublish SO - Int J Geriatr Psychiatry. 2009 Dec;24(12):1343-51. doi: 10.1002/gps.2264.