Cognitive performance, burden and stress in aged caregivers of older adults with and without cognitive impairment

Abstract

ABSTRACT. There is an increasing number of aged people who provide care for other older people. Commonly existing burden and stress can change the forms of cognitive performance depending on the context of the aged caregivers. Objective: To compare the cognitive performance, burden and stress of aged caregivers of older adults with and without signs of cognitive impairment. Methods: A cross-sectional and quantitative study conducted with 205 aged caregivers of older adults with signs of cognitive impairment and 113 aged caregivers of older adults without signs of cognitive impairment treated in Primary Health Care. They were evaluated for sociodemographic characteristics, cognition, burden, and stress. Descriptive (Kolmogorov-Smirnov test) and comparative (Student's t-test and Pearson's χ² test) analyses were performed. Results: Aged caregivers of older adults with signs of cognitive impairment were older, had lower schooling levels, and a higher percentage of daily care hours compared to the aged caregivers of older adults without signs of cognitive impairment. Regarding cognitive performance, the means were lower for all domains. In addition, this same group had higher scores, with a statistically significant difference for perceived stress and burden. Conclusion: Aged caregivers of older adults with signs of cognitive impairment showed lower cognitive performance, as well as higher burden and stress levels. These findings guide the planning of interventions with aged caregivers in the Primary Health Care.

Is Formal Social Participation Associated with Cognitive Function in Middle-Aged and Older Adults? A Systematic Review with Meta-Analysis of Longitudinal Studies

“…Scientific evidence links cognitive decline with a higher risk of progressing to mild cognitive impairment and dementia [1], elevated mortality risk among older adults [2,3], increased comorbidities [4], and lower quality of life due to daily activity limitations [1]. This decline is also associated with greater healthcare resource utilization [5] and places a significant burden on family members, particularly caregivers, who are more prone to depression, stress, and worse cognitive function [6,7]. Therefore, understanding the mechanisms capable of minimizing or postponing cognitive decline is key to improving older adults' and families' quality of life and alleviating healthcare system strain.…”