Behavioural and Psychological Symptoms in Dementia (BPSD) and Its Impact on Caregiver Burden

Yahya, Arshad

doi:10.18535/jmscr/v6i6.94

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The Cronbach Alpha Coefficient of the questionnaire was 0.92(Toonsiri, Sunsern, & Lawang, 2011). In Thailand, the questionnaire was used for measuring caregiver burden among caregivers of Alzheimer's and dementia patients at the department of psychiatry in King Chulalongkorn Memorial Hospital(Rakkhamnuan & Lueboonthavatchai, 2012;Silpakit, Silpakit, & Chomchuen, 2014). The ZBI questionnaire was divided cut-offs of total score as follows:(Hébert, Bravo, & Préville, 2000;Rankin, Haut, Keefover, & Franzen, 1994) -Total score was lower than 21little or no burden -Total score varied from 21 to 40mild to moderate burden -Total score ranged from 41 to 60moderate to severe burden -Total score was higher than 61severe burden…”

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The effect of home visit and telephone tracking program on knowledge, caregiver burden and quality of life among dementia caregivers Ratchaburi province Thailand

Magteppong

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Background: Elders with dementia have serious behavioral problems and require extensive care from caregivers. This poses a significant problem for patients' families. Multicomponent interventions have been reported to be more effective than interventions targeting one point of caregiver functioning. This study aims to examine the effect of a home visit and telephone tracking program on knowledge, caregiver burden, and quality of life among dementia caregivers. Methods: This study was a quasi-experimental with two group comparisons during November 2018 July 2019. The participants of this study comprised 62 dementia caregivers (31 participants in intervention and 31 participants in control group) from Ratchaburi Hospital in Ratchaburi Province, Thailand. The intervention group received a home visit and telephone tracking program while the control group received usual care. Data was collected at baseline, immediately after the end of the program, and three months after the end of the program by questionnaires to compare the knowledge, caregiver burden, and quality of life of dementia caregivers. The majority of both groups were female, 41-60 years, daughter of dementia patients and graduated from primary school and high school. The sociodemographic data of dementia caregivers, level of knowledge, caregiver burden, and quality of life among dementia caregivers before receiving the home visit and telephone tracking program are similar between intervention and control group (p > .05). The results indicated the knowledge score and quality of life of intervention group were found significantly higher than control group following the intervention immediately after the end of the program or week 8 (p < .001) and three months after the end of the program or week 20 (p < .001). The caregiver burden score of dementia caregiver in intervention group decreased while the caregiver burden score of dementia caregiver in control increased at week 8 (p < .001). The caregiver burden score of both groups was decreased at week 20. However, there was no statistically significant difference between groups as demonstrated by ANOVA (F (1.58) = 2.394, p = 0.127). Conclusion: The home visit and telephone tracking program had a positive effect on knowledge and quality of life in dementia caregivers. However, the program did not affect caregiver burden. Reducing the caregiver burden should increase the duration of the program and add other activities into the program.

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The effect of home visit and telephone tracking program on knowledge, caregiver burden and quality of life among dementia caregivers Ratchaburi province Thailand

Magteppong

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A Narrative Review of the Management of Behavioral and Psychological Symptoms of Dementia

Nimitha

Tripathi

Chutia

et al. 2021

Global Journal for Research Analysis

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Dementia is a chronic or progressive neurodegenerative condition which is organic in origin. There will be impairment of thinking, memory orientation, comprehension, language, calculation, and judgement. Alzheimer's disease facts and gures in 2021 according to Alzheimer's association shows Alzheimer's disease accounts for 60% to 80% of the total cases. Behavioural and psychological symptoms of dementia also known as neuropsychiatric symptoms are a group of symptoms with behavioural and psychological manifestations. Disturbances include behavioural symptoms like wandering, hoarding, physical aggression, sexually disinhibition, culturally inappropriate behaviour, agitation and psychological symptoms like apathy, depression, anxiety, delusions, and hallucinations, sundowning, elation. Scales like the Neuropsychiatric Inventory, the Behavioural Pathology in Alzheimer Disease rating scale, the Consortium to Establish a Registry for Alzheimer Disease Behaviour Rating Scale for Dementia, Dementia Behaviour Disturbance scale, and the Neurobehavioral Rating Scale can be utilized to recognise BPSD.Neuropsychological assessment also have an important role. Non-pharmacological methodologies contain different sorts of treatment: tactile stimulation, pressure point massage, fragrant healing, light treatment, garden exercises, music therapy, dance therapy, and Snoezelen multisensory therapy, psychological strategies of multicomponent treatment strategies. Broadly focussing on sensory stimulation, social activities, structural activities, behavioural activities, environmental activities, and training programmes. Pharmacological treatment includes antipsychotics, mood stabilizers and antidepressants in treating BPSD, and cholinesterase inhibitors and memantine for the situation of Alzheimer's dementia sedative/hypnotics for sleep issues. Treatment can be further categorized based on individual NPS like agitation, psychosis, apathy, depression, sleep problems and other symptoms. Future treatment which has less evidence as of now includes rTMS, TDCS and Photo biomodulation therapy

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Behavioural and Psychological Symptoms in Dementia (BPSD) and Its Impact on Caregiver Burden

Cited by 2 publications

References 13 publications

The effect of home visit and telephone tracking program on knowledge, caregiver burden and quality of life among dementia caregivers Ratchaburi province Thailand

The effect of home visit and telephone tracking program on knowledge, caregiver burden and quality of life among dementia caregivers Ratchaburi province Thailand

A Narrative Review of the Management of Behavioral and Psychological Symptoms of Dementia

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