Gender differences in interactions and depressive symptoms among hospitalized older patients living with dementia

Anju Paudel; Jacqueline Ann Mogle; Ashley Kuzmik; Barbara Resnick; Rhonda BeLue; Elizabeth Galik; Wen Liu; Liza Behrens; Ying-Ling Jao; Marie Boltz

doi:10.1080/08952841.2022.2146972

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Gender differences in interactions and depressive symptoms among hospitalized older patients living with dementia

Journal article

Open access

Peer reviewed

Gender differences in interactions and depressive symptoms among hospitalized older patients living with dementia

Anju Paudel, Jacqueline Ann Mogle, Ashley Kuzmik, Barbara Resnick, Rhonda BeLue, Elizabeth Galik, Wen Liu, Liza Behrens, Ying-Ling Jao and Marie Boltz

Journal of women & aging, Vol.35(5), pp.475-486

2023

DOI: 10.1080/08952841.2022.2146972

PMCID: PMC10710315

PMID: 36433792

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https://pmc.ncbi.nlm.nih.gov/articles/PMC10710315/pdf/nihms-1947450.pdfView

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Abstract

Alzheimer's disease or a related dementia (ADRD) disproportionately affects women with two-thirds of individuals with ADRD comprised of women. This study examined gender-related differences in the quality of staff-patient interactions and depressive symptoms among hospitalized older patients living with dementia. This secondary analysis utilized baseline data of 140 hospitalized older patients with dementia who participated in the final cohort of a randomized controlled trial (ClinicalTrials.gov identifier: NCT03046121) implementing Family centered Function-focused Care (Fam-FFC). On average, the participants (male = 46.1%, female = 52.9%) were 81.43 years old (SD = 8.29), had positive interactions with staff and lower depressive symptoms based on Quality of Interaction Schedule (QUIS) scores and Cornell Scale for Depression in Dementia (CSDD) scores, respectively. Although males had more positive interactions (male = 6.06, SD = 1.13; female = 5.59, SD = 1.51) and lesser depressive symptoms (male = 7.52, SD = 4.77; female = 8.03, SD = 6.25) than females, no statistically significant gender differences were observed in linear models with appropriate covariates or multivariant analysis of covariant (MANCOVA). However, the multigroup regression conducted to further probe marginally significant moderation effect of gender and pain on staff-patient interactions demonstrated that greater pain was significantly related to lower quality or less positive staff-patient interactions for females compared to males (χ 2 diff (1) = 4.84, p = .03). Continued evaluation of gender differences is warranted to inform care delivery and interventions to improve care for hospitalized older patients with dementia.

Dementia

depressive symptoms

gender

hospitalized older adults

staff-patient interactions

Details

Title: Subtitle: Gender differences in interactions and depressive symptoms among hospitalized older patients living with dementia
Creators: Anju Paudel - Pennsylvania State University
Jacqueline Ann Mogle - Pennsylvania State University
Ashley Kuzmik - Pennsylvania State University
Barbara Resnick - University of Maryland, Baltimore
Rhonda BeLue - The University of Texas at San Antonio
Elizabeth Galik - University of Maryland, Baltimore
Wen Liu - University of Iowa
Liza Behrens - Pennsylvania State University
Ying-Ling Jao - Pennsylvania State University
Marie Boltz - Pennsylvania State University
Resource Type: Journal article
Publication Details: Journal of women & aging, Vol.35(5), pp.475-486
DOI: 10.1080/08952841.2022.2146972
PMID: 36433792
PMCID: PMC10710315
NLM abbreviation: J Women Aging
ISSN: 0895-2841
eISSN: 1540-7322
Publisher: Routledge
Grant note: name: National Institutes of Health/National Institute on Aging, award: R01AG054425, R01AG054425-04S1
Language: English
Electronic publication date: 11/26/2022
Date published: 2023
Academic Unit: Nursing
Record Identifier: 9984370639402771

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