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BioMed Research International
Volume 2017 (2017), Article ID 3458372, 15 pages
Clinical Study

Validation of the Italian Version of the Caregiver Abuse Screen among Family Caregivers of Older People with Alzheimer’s Disease

1Centre for Socioeconomic Research on Ageing, National Institute of Health and Science on Ageing (INRCA), 60124 Ancona, Italy
2Scientific Direction, National Institute of Health and Science on Ageing (INRCA), 60124 Ancona, Italy
3Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
4Epidemiological Observatory, National Institute of Health and Science on Ageing (INRCA), 60124 Ancona, Italy

Correspondence should be addressed to Maria Gabriella Melchiorre

Received 9 October 2016; Revised 20 November 2016; Accepted 27 December 2016; Published 7 February 2017

Academic Editor: Xinqi Dong

Copyright © 2017 Maria Gabriella Melchiorre et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Elder abuse is often a hidden phenomenon and, in many cases, screening practices are difficult to implement among older people with dementia. The Caregiver Abuse Screen (CASE) is a useful tool which is administered to family caregivers for detecting their potential abusive behavior. Objectives. To validate the Italian version of the CASE tool in the context of family caregiving of older people with Alzheimer’s disease (AD) and to identify risk factors for elder abuse in Italy. Methods. The CASE test was administered to 438 caregivers, recruited in the Up-Tech study. Validity and reliability were evaluated using Spearman’s correlation coefficients, principal-component analysis, and Cronbach’s alphas. The association between the CASE and other variables potentially associated with elder abuse was also analyzed. Results. The factor analysis suggested the presence of a single factor, with a strong internal consistency (Cronbach’s alpha = 0.86). CASE score was strongly correlated with well-known risk factors of abuse. At multivariate level, main factors associated with CASE total score were caregiver burden and AD-related behavioral disturbances. Conclusions. The Italian version of the CASE is a reliable and consistent screening tool for tackling the risk of being or becoming perpetrators of abuse by family caregivers of people with AD.