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

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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 2diff (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.

Original languageEnglish (US)
Pages (from-to)476-486
Number of pages11
JournalJournal of Women and Aging
Volume35
Issue number5
DOIs
StatePublished - 2023

All Science Journal Classification (ASJC) codes

  • Gender Studies
  • Geriatrics and Gerontology

Fingerprint

Dive into the research topics of 'Gender differences in interactions and depressive symptoms among hospitalized older patients living with dementia'. Together they form a unique fingerprint.

Cite this