A systematic review of the association between the Behavioral and Psychological Symptoms of Dementia and burden of care

Black, Warwick; Almeida, Osvaldo P.

doi:10.1017/s1041610204000468

Cited by 263 publications

(232 citation statements)

References 60 publications

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“…They find overall evidence that behavioral problems (e.g., disruptive and aggressive behavior), physical and cognitive impairment, and the time spent on caregiving place a burden on the caregiver and increase symptoms of depression, with behavioral problems being particularly important when caring for demented care 23 recipients. This finding is supported by Black and Almeida's (2004) review of associations between behavioral and psychological symptoms of dementia and the burden on caregivers.…”

Section: Psychological Healthsupporting

confidence: 53%

Impacts of Informal Caregiving on Caregiver Employment, Health, and Family

2015

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. www.econstor.eu Terms of use: Documents in D I S C U S S I O N P A P E R S E R I E S ABSTRACTImpacts of Informal Caregiving on Caregiver Employment, Health, and Family *As the aging population increases, the demand for informal caregiving is becoming an ever more important concern for researchers and policy-makers alike. To shed light on the implications of informal caregiving, this paper reviews current research on its impact on three areas of caregivers' lives: employment, health, and family. Because the literature is inherently interdisciplinary, the research designs, sampling procedures, and statistical methods used are heterogeneous. Nevertheless, we are still able to draw several conclusions: first, despite the prevalence of informal caregiving and its primary association with lower levels of employment, the affected labor force is seemingly small. Second, such caregiving tends to lower the quality of the caregiver's psychological health, which also has a negative impact on physical health outcomes. Third, the implications for family life remain under investigated. The research findings also differ strongly among subgroups, although they do suggest that female, spousal, and intense caregivers tend to be the most affected by caregiving.JEL Classification: E26, J14, J46

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Section: Psychological Healthsupporting

confidence: 53%

Impacts of Informal Caregiving on Caregiver Employment, Health, and Family

2015

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“…A tradition of managing behavior pharmacologically may be an explanation. It is not surprising that imposed mental workload correlated with antipsychotic medication, as such a correlation has previously been shown between staff workload and behavioral problems (Black and Almeida, 2004). All these four associated factors, however, raise the question of whether the patients are treated for their own sake, or for that of the staff.…”

Section: Discussionmentioning

confidence: 98%

“…Some of the symptoms increase the difficulty of caring for the person with dementia, and there is a correlation between BPSD and burden of care, and even with caregiver depression (Black and Almeida, 2004).…”

Section: Introductionmentioning

confidence: 99%

Relationship between antipsychotic drug use and behavioral and psychological symptoms of dementia in old people with cognitive impairment living in geriatric care

Lövheim

Sandman

Kallin

et al. 2006

Int. Psychogeriatr.

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Relationship between antipsychotic drug use and behavioral and psychological symptoms of dementia in old people with cognitive impairment living in geriatric care.. International psychogeriatrics, ABSTRACTBackground: Behavioral and psychological symptoms of dementia (BPSD) commonly occur among cognitively impaired people in geriatric care. BPSD are often managed with antipsychotic drugs, despite the associated serious health risks. The aim of the present study was to discover factors associated with the use of antipsychotics.

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“…Others have found that subjective caregiver perceptions of problems, satisfaction with and amount of social support, available resources, coping skills, and feelings of self-efficacy are important predictors of caregiver depression and stress [20,21]. Similarly, there is evidence that subjective caregiver factors may be more important than patient factors to the prediction of nursing home placement [22,23].Caregivers who were high in burden reported several areas of family dysfunction that distinguished them from those caregivers low in burden. We found that burden was associated with perceived ineffective communication among family members.…”

mentioning

confidence: 99%

Unique Contribution of Family Functioning in Caregivers of Patients with Mild to Moderate Dementia

Tremont

Davis

Bishop³

2006

Dement Geriatr Cogn Disord

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The relationship between family functioning and dementia caregiving is complex. The present study examined the interrelationships between family functioning, caregiver burden, and patient characteristics. Participants were 72 live-in, family caregivers of patients with mild (n = 47) or moderate dementia (n = 25). Caregivers completed measures of burden, family functioning, depression, and anxiety. Ratings of patients’ memory/behavior problems and patients’ activities of daily living were also collected. Results indicated that higher levels of caregiver burden were significantly associated with increased caregiver depression and anxiety, greater frequency of memory and behavior problems in the dementia patient, worse activities of daily living, and poorer family functioning. Even after controlling for caregiver depression, caregiver anxiety, and frequency of memory/behavior problems in dementia patients, poorer family functioning continued to be associated with higher levels of caregiver burden. Caregivers with high levels of burden reported greater family dysfunction in communication and roles, regardless of their relationship to the patient (i.e., spouse or child). These findings suggest that including a family systems component in caregiver interventions may be beneficial in reducing burden in these very distressed individuals.

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A systematic review of the association between the Behavioral and Psychological Symptoms of Dementia and burden of care

Cited by 263 publications

References 60 publications

Impacts of Informal Caregiving on Caregiver Employment, Health, and Family

Impacts of Informal Caregiving on Caregiver Employment, Health, and Family

Relationship between antipsychotic drug use and behavioral and psychological symptoms of dementia in old people with cognitive impairment living in geriatric care

Unique Contribution of Family Functioning in Caregivers of Patients with Mild to Moderate Dementia

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