The Personality Traits of Family Caregivers of Individuals with Dementia: The Effects of Social Anxiety, Social Phobia, and Caregiving Hours
Serra L.1,2, Serpa D.3, Silva L.4
 
 
1 Autonomous University of Lisbon, Portugal
2 Centre of Statistics and its Applications of the University of Lisbon, Portugal
3 Higher Institute of Intercultural and Transdisciplinary Studies of Almada – Piaget Institute of Almada, Portugal
4 NOVA School of Science and Technology – NOVA University Lisbon, Portugal
 
 

Abstract

Background and Aim of Study: Caring for individuals afflicted with dementia engenders substantial demands and responsibilities for caregivers, encompassing the extensive time allocation devoted to the care recipient on a daily basis. Furthermore, the psychological attributes inherent in informal caregivers, encompassing traits like social anxiety and social phobia, can exert an influence on the evolution of their personal dynamics over time. This phenomenon potentially yields repercussions for how caregivers offer guidance and assistance to elderly individuals grappling with dementia, particularly in relation to their fundamental daily activities and instrumental tasks. 
The aim of the study: to analyze the predictive effect of social anxiety and social phobia as psychological characteristics of caregivers, along with the impact of caregiving hours as caregiving-related characteristics, on caregivers’ personality.
Material and Methods: This observational and cross-sectional study comprised a sample of 97 participants serving as primary family caregivers completed a sociodemographic questionnaire, the Big Five Inventory, the Anxiety Scale in Social Interaction Situations, and the Social Phobia Scale.
Results: The findings revealed that social phobia demonstrated significant predictive power for Openness (β=-0.199; p=0.016) and Extraversion (β=-0.136; p=0.024), whereas the daily caregiving hours negatively affected Conscientiousness (β=-0.145; p=0.011), Agreeableness (β=-0.137; p=0.040), Openness (β=-0.210; p=0.011), and Extraversion (β=-0.175; p=0.003). Conversely, social anxiety did not prove to be a significant variable.
Conclusions: The presence of social phobia or higher hours devoted to caregiving for individuals with dementia are factors that impact personality functioning and should be considered in the planning of support programs for family caregivers.

 
 
 

Keywords

personality, informal caregivers, dementia, social phobia, social anxiety

 
 
  

References

Barlow, D. (2003). The nature and development of anxiety and its disorders: Triple vulnerability theory. Eye on Psi Chi, 7(2). https://doi.org/10.24839/1092-0803.Eye7.2.14

Botella, C., Perpiña, C., Baños, R. M., & García-Palacios, A. (2003). Fobia Social. Avances en la psicopatología, la evaluación y el tratamiento psicológico del trastorno ansiedad social [Social phobia. Advances in the psychopathology, evaluation and psychological treatment of social anxiety disorder]. Paidós. https://diposit.ub.edu/dspace/bitstream/2445/6321/1/Fobia%20social.pdf

Boyce, C. J., Wood, A. M., Daly, M., & Sedikides, C. (2015). Personality change following unemployment. Journal of Applied Psychology, 100(4), 991-1011. https://doi.org/10.1037/a0038647

Brito-Costa, S., Bem-Haja, P., Moisão, A., Alberty, A., Castro, F., & Almeida, H. (2015). Psychometric properties of Portuguese version of Big Five Inventory (BFI). International Journal of Developmental and Educational Psychology – INFAD Revista de Psicología, 2(1), 83-94. https://revista.infad.eu/index.php/IJODAEP/article/view/325

Calderón, M. A. B., & Blázquez, F. P. (2014). Modelos explicativos de la fobia social: Una aproximación cognitivoconductual [Explanatory models of social phobia: An approach cognitive-behavioral]. Uaricha, Revista De Psicología, 11(24), 134-147. http://www.revistauaricha.umich.mx/index.php/urp/article/view/82

Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual Review of Psychology, 61, 679-704. https://doi.org/10.1146/annurev.psych.093008.100352

Cloninger, S. (2013). Theories of personality: Understanding persons. Pearson Education. https://worldcat.org/title/940229101

Costa, P. T., & McCrae, R. R. (2008). The revised NEO personality inventory (NEO-PI-R). In Boyle, G. J., Matthews, G., & Saklofske, D. H. (Eds.), The SAGE Handbook of Personality Theory and Assessment: Vol. 2. Personality Measurement and Testing (pp. 179-198). SAGE Publications. https://worldcat.org/title/1017901323

Feixas, G. (2019). Personalidade: Significados pessoais e sentido de identidade [Personality: Personal meanings and sense of identity]. Atlântico Press. https://bibliografia.bnportugal.gov.pt/bnp/bnp.exe/registo?2037045

Flores-Mendoza, C., & Colom, R. (Eds.). (2006). Introdução à psicologia das diferenças individuais [Introduction to the psychology of individual differences]. Artmed. https://dialnet.unirioja.es/servlet/libro?codigo=552277

Hajek, A., & Konig, H.-H. (2018). Informal caregiving and personality: Results of a population based longitudinal study in Germany. PLoS ONE, 13(9), Article e0203586 https://doi.org/10.1371/journal. pone.0203586

Ji, W., Sang, C., Zhang, X., Zhu, K., & Bo, L. (2022). Personality, preoperative anxiety, and postoperative outcomes: A review. International Journal of Environmental Research and Public Health, 19, Article 12162. https://doi.org/10.3390/ijerph191912162

Kaplan, S. C., Levinson, C. A., Rodebaugh, T. L., Menatti, A., & Weeks, J. W. (2015). Social anxiety and the big five personality traits: The interactive relationship of trust and openness. Cognitive Behaviour Therapy, 44(3), 212-222. https://doi.org/10.1080/16506073.2015.1008032

Karaaslan, O., Kantekin, Y., Hacımusalar, Y., & Dağıstan, H. (2020). Anxiety sensitivities, anxiety and depression levels, and personality traits of patients with chronic subjective tinnitus: a case-control study. International Journal of Psychiatry in Clinical, 24(3), 264-269. https://doi.org/10.1080/13651501.2020.1757117

Kessler, R. C. (2003). The impairments caused by social phobia in the general population: implications for intervention. Acta Psychiatrica Scandinavica, 108(s417), 19-27. http://doi.org/10.1034/j.1600-0447.108.s417.2.x

Kim, H., Kim, S., Kim, J., Kim, S., Shin, I., Shim, H., Hwang, J., Chung, I., & Yoon, J. (2016). Influence of caregiver personality on the burden of family caregivers of terminally ill cancer patients. Palliative and Supportive Care, 14, 5-12.  https://doi:10.1017/S1478951515000073

Melo, G., Marôco, J., Lima-Basto, M., & Mendonça, A. (2016). Personality of the caregiver influences the use of strategies to deal with the behavior of persons with dementia. Geriatric Nursing, 38(1), 63-69. https://doi.org/10.1016/j.gerinurse.2016.08.001

Melo, G., Marôco, J., & Mendonça, A. (2011). Influence of personality on caregiver’s burden, depression and distress related to the BPSD. International Journal of Geriatric and Psychiatry, 26(12), 1275-1282. https://doi.org/10.1002/gps.2677

Morais, L. V., Cippra, J. A. S., & Loureiro, S. R. (2008). Functional impairment of persons with social anxiety disorder: A review. Revista de Psiquiatria do Rio Grande do Sul, 30(1 suppl). https://doi.org/10.1590/S0101-81082008000200007

Norton, M. C., Clark, C., Fauth, E. B., Piercy, K. W., Pfister, R., Green, R., Corcoran, C. D., Rabins, P. V., Lyketsos, C. G., & Tschanz, J. T. (2013). Caregiver personality predicts rate of cognitive decline in a community sample of persons with Alzheimer’s disease. The cache county dementia progression study. International Psychogeriatrics, 25(10), 1629-1637. https://doi.org/10.1017/S1041610213001105

Pedroso de Lima, M., Gonçalves, E., Salgueira, A., Gonzalez, A.-J., Costa, J. J., Costa, M. J., & Costa, P. (2014). A versão portuguesa do NEO-FFI: Caracterização em função da idade, género e escolaridade [The Portuguese version of the NEO-FFI: Age, gender and education characterization]. PSICOLOGIA, 28(2), 1-10. https://doi.org/10.17575/rpsicol.v28i2.534

Pellecchia, G., Moroni, F., Colle, L., Semerari, A., Carcione, A., Fera, T., Fiore, D., Nicolò, G., Pedone, R., & Procacci, M. (2018). Avoidant personality disorder and social phobia: Does mindreading make the difference? Comprehensive Psychiatry, 80, 163-169. https://doi.org/10.1016/j.comppsych.2017.09.011

Pinto-Gouveia, J., & Salvador, M. (2001, September 11-15). The social interaction anxiety scale and the social phobia scale in the Portuguese population [Poster presentation]. XXXI Annual Congress of European Association for Behavioural and Cognitive Therapies. Istanbul, Turkey. https://eabct.eu/

Rabins, P. V., Fitting, M. D., Eastham, J., & Fetting, J. (1990). The emotional impact of caring for the chronically ill. Psychosomatic Medicine, 31(3), 331-336. https://doi.org/10.1016/S0033-3182(90)72171-8

Schultz, D. P., & Schultz, S. E. (2021). Teorias da personalidade [Theories of personality]. Cengage Learning Edições Ltda. https://worldcat.org/title/1269023698?oclcNum=1269023698

Serra, L., Contador, I., Fernández-Calvo, B., Ruisoto, P., Jenaro, C., Flores, N., Ramos, F., & Rivera-Navarro, J. (2018). Resilience and social support as protective factors against abuse of patients with dementia: A study on family caregivers. International Journal of Geriatric Psychiatric, 33, 1132-1138. https://doi.org/10.1002/gps.4905

Silva, A. L., Teixeira, H. J., Teixeira, M.J.C., & Freitas, S. (2013). The needs of informal caregivers of elderly people living at home: An integrative review. Scandinavian Journal of Caring Sciences, 27(4), 792-803. https://doi.org/10.1111/scs.12019

Suso-Ribera, C., Martínez-Borba, V., Viciano, A., Cano-García, F. J., & García-Palacios, A. (2019). Empathic accuracy in chronic pain: Exploring patient and informal caregiver differences and their personality correlates. Medicina, 55(9), Article 539. https://doi.org/10.3390/medicina55090539

Swinkels, J. C., Van Groenou, M. I. B., Boer, A., & Van Tilburg, T. G. (2019). Male and female partner-caregivers’ burden: Does it get worse over time? The Gerontologist, 59(6), 1103-1111. https://doi.org/10.1093/geront/gny132

Tavares, T. J. P. C., Lindolpho, M. C., Silva, B. M. C., Carvalho, R. V. C., Silva, M. G., M., & Caldas, C. P. (2020). Influence of the personality of family caregivers of elderly people with Alzheimer on family functionality. Research, Society and Development, 9(9), Article e97996725. https://doi.org/10.33448/rsd-v9i9.6725

Tew, E. H., Naismith, S. L., Pereira, M., & Lewis, S. J. (2013). Quality of life in Parkinson’s disease caregivers: the contribution of personality traits. BioMed Research International, 2013, Article 151872. https://doi.org/10.1155/2013/151872

Vugt, M. E., Stevens, F., Aalten, P., Lousberg, R., Jaspers, N., Winkens, I., Jolles, J., & Verhey, F. (2004). Do caregiver management strategies influence patient behaviour in dementia? International Journal Geriatric Psychiatry, 19(1), 85-92. https://doi.org/10.1002/gps.1044

Wittchen, H. U., & Fehm, L. (2001). Epidemiology, patterns of comorbidity, and associated disabilities of social phobia. Psychiatric Clinics of North America, 24(4), 617-641. https://doi.org/10.1016/S0193-953X(05)70254-9

World Health Organization. (2015, March 17). Opening remarks at the first WHO Ministerial Conference on Global Action against Dementia. https://www.who.int/director-general/speeches/detail/opening-remarks-at-the-first-who-ministerial-conference-on-global-action-against-dementia

 

 

 

  
 

 

Information about the authors:

Serra Lidia (Corresponding Author) – https://orcid.org/0000-0003-2612-3335; This email address is being protected from spambots. You need JavaScript enabled to view it.; Doctor in Neuropsychology, Professor, Autonomous University of Lisbon; Centre of Statistics and its Applications of the University of Lisbon, Lisbon, Portugal.

Serpa Danielahttps://orcid.org/0009-0002-1423-6930; Master’s degree in Clinical and Health Psychology, Higher Institute of Intercultural and Transdisciplinary Studies of Almada – Piaget Institute of Almada, Portugal.

Silva Luíshttps://orcid.org/0000-0001-9811-0571; Doctor in Human Kinetics – Motor Behavior, Investigator, NOVA School of Science and Technology – NOVA University Lisbon, Caparica, Portugal.

 
 
 
Cite this article as:

APA


Serra, L., Serpa, D., & Silva, L. (2023). The personality traits of family caregivers of individuals with dementia: The effects of social anxiety, social phobia, and caregiving hours. International Journal of Science Annals, 6(2), 32-38. https://doi.org/10.26697/ijsa.2023.2.3

Harvard


Serra, L., Serpa, D., & Silva, L. 2023. "The personality traits of family caregivers of individuals with dementia: The effects of social anxiety, social phobia, and caregiving hours". International Journal of Science Annals, [online] 6(2), pp. 32-38. viewed 25 December 2023, https://culturehealth.org/ijsa_archive/ijsa.2023.2.3.pdf

Vancouver


Serra L., Serpa D., & Silva L. The personality traits of family caregivers of individuals with dementia: The effects of social anxiety, social phobia, and caregiving hours. International Journal of Science Annals [Internet]. 2023 [cited 25 December 2023]; 6(2): 32-38. Available from: https://culturehealth.org/ijsa_archive/ijsa.2023.2.3.pdf https://doi.org/10.26697/ijsa.2023.2.3

Copyright © 2018 – 2024 International Journal of Science Annals, its licensors, and contributors.
All Rights Reserved DOI: https://doi.org/10.26697/ijsa