TY  - JOUR
VL  - 6
Y1  - 2022/11/22/
EP  - 698
AV  - public
A1  - See, Yi Na
A1  - Khor, Pee Fen
A1  - Koh, Hui Ying
A1  - Leung, Phuong
A1  - Del-Pino-Casado, Rafael
A1  - Orgeta, Vasiliki
IS  - 1
JF  - Journal of Alzheimer?s Disease Reports
SN  - 2542-4823
N1  - © 2021 ? The authors. Published by IOS Press. This is an Open Access article distributed under the terms
of the Creative Commons Attribution-NonCommercial License (CC BY-NC 4.0).
TI  - Anger and dementia caregiving: A systematic review of the effects of anger and hostility on caregivers? physical health
N2  - BACKGROUND: 
Anger is commonly experienced by family caregivers of people living with dementia yet its effect on caregivers? physical health remains unknown.


OBJECTIVE: 
The primary aim of this study was to systematically review current evidence on the effects of anger and hostility on caregivers? physical health.


METHODS: 
We searched Medline, EMBASE, PubMed, and PsycINFO up to January 2022. Two review authors independently extracted data on study characteristics, study quality, and effect sizes of associations of anger and hostility with caregiver health outcomes.


RESULTS: 
We found eight studies examining the effects of anger and hostility on caregivers? physical health reporting on a total of 937 participants, of which four were cross-sectional and four were longitudinal. Overall findings indicated that higher levels of anger and hostility exerted a negative effect on caregivers? physical health. Higher anger control was longitudinally associated with increased weight gain (?=?1.13, p?<?0.001), whereas higher anger out predicted higher glucose dysregulation at long-term follow-up (r?=?0.27, p?<?0.05). Higher levels of caregiver hostility were associated with increased risk of chronic low-grade inflammation long-term (r?=?0.18, p?<?0.05), and increased risk of cognitive decline over time (r?=??0.16, p?<?0.05).

CONCLUSION: 
Our review provides the first systematic synthesis of the evidence demonstrating the harmful effects of anger and hostility on dementia caregivers? health and highlights the need for preventative interventions to support family caregivers experiencing high levels of anger.
SP  - 685
UR  - http://doi.org/10.3233/adr-220040
ID  - discovery10157154
ER  -