Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home

Hasegawa, Noriko; Hashimoto, Mamoru; Koyama, Asuka; Ishikawa, Tomohisa; Yatabe, Yusuke; Honda, Kazuki; Yuuki, Seiji; Araki, Kunio; Ikeda, Manabu

doi:10.1016/j.jamda.2014.02.007

Cited by 15 publications

(13 citation statements)

References 23 publications

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“…In our study, patients’ cognitive function was not strongly related to caregivers’ mental QOL. This was consistent with previous studies indicating that the relationship between caregivers’ QOL or depression and patients’ declining cognitive function is weak compared to the relationship between caregivers’ QOL and patients’ BPSD, ADL, and IADL …”

Section: Discussionsupporting

confidence: 93%

Mental health among younger and older caregivers of dementia patients

et al. 2016

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Section: Discussionsupporting

confidence: 93%

Mental health among younger and older caregivers of dementia patients

et al. 2016

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“…Our ndings corroborate previous research that IADL de cits in patients with dementia were associated with more caregiver burden and depression (34,35).In addition to the physical burden of the caregivers, the ADL dependency of the patient is also correlated with the number of care hours, and it has been shown to be the only factor independently associated with missing more hours at work for those who were employed (29).…”

Section: Discussionsupporting

confidence: 90%

Predictors of Caregiver Burden in Aged Caregivers of Demented Older Patients

Tsai

Hwang

Lee

et al. 2020

Preprint

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BackgroundDementia in the oldest-old is projected to increase exponentially as is the burden of their caregivers who may experience unique challenges and suffering. Thus, we aim to investigate which factors are associated with older caregivers’ burden in caring demented outpatients in a multicenter cohort.MethodsPatients and their caregivers, both aged ≧65 years, in the National Dementia Registry Study in Taiwan (T-NDRS) were included in this study. Caregiver burden was measured with the short version of the Zarit Burden Interview (ZBI). The correlations between the ZBI scores and characteristics of caregivers and patients, including severity of dementia, physical comorbidities, instrumental activities of daily living (IADL), neuropsychiatric symptoms assessed by the Neuropsychiatric Inventory (NPI), and family monthly income, were analyzed.ResultsWe recruited 328 aged informal caregiver-patient dyads. The mean age of caregivers was 73.7± 7.0 years, with female predominance (66.8%), and the mean age of patients was 78.8±6.9 years, with male predominance (61.0%). Multivariable linear regression showed that IADLs (β=0.83, p<0.001) and NPI subscores of apathy (β=3.83, p<0.001)and irritability (β=4.25, p<0.001) were positively associated with ZBI scores. The highest family monthly income (β= -10.92, p=0.001) and caregiver age (β= -0.41, p=0.001) were negatively correlated with ZBI scores.ConclusionsOlder caregivers of older demented patients experience a higher care burden when patients had greater impaired functional autonomy and the presence of NPI symptoms of apathy and irritability. Our findings provide the direction to identify risky older caregivers, and we should pay more attention to and provide support for these exhausted caregivers.

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“…In our study, CGs who nursed male CRDs had greater psychological distress than those who nursed female CRDs, which is not consistent with some previous studies [18][19][20][21]. A possible explanation for this discrepancy is the difference in kinship between CGs and CRDs.…”

Section: Discussioncontrasting

confidence: 99%

Psychological Distress in Caregivers for People With Dementia: A Population-Based Analysis of A National Cross-Sectional Study

Sugawara

Yasui‐Furukori

Maruo

et al. 2021

Preprint

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Background: Informal caregivers (CGs), also called family caregivers, play an important role in supporting the well-being of and providing care to older people with dementia. However, taking care of patients with dementia is often stressful and exhausting. To facilitate the sustainable provision of care to people with dementia at home, it is crucial to reduce the burden placed on CGs. The aim of this study was to evaluate the psychological distress experienced by CGs for care recipients with dementia (CRDs) and identify the sociodemographic factors affecting that distress.Methods: We utilized the 2013 Comprehensive Survey of the Living Conditions for CRDs and CGs. Linked data from 643 pairs of CRDs and CGs were extracted. The psychological distress experienced by CGs was measured by Kessler’s Psychological Distress scale (K6) with a cutoff point of 13. Factors predictive of psychological distress were evaluated using multivariable logistic regression analysis with the forward selection method.Results: Overall, the mean age of the CGs was 63.5 ± 11.6 years, and 5.3% (34/643) experienced serious psychological distress. Male sex of CRDs, knowing how to access consulting services, spending almost all day for nursing care, and having subjective symptoms within a few days were associated with having serious psychological distress, while older age, participating in shopping as part of the nursing, and having their own house were related to freedom from serious psychological distress.Conclusions: Clinicians should be aware of the risk factors for psychological distress in CGs and consider providing support to reduce the burden imposed by modifiable factors. Further studies are warranted to examine whether such efforts would improve the mental health of CGs for CRDs.

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Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home

Cited by 15 publications

References 23 publications

Mental health among younger and older caregivers of dementia patients

Mental health among younger and older caregivers of dementia patients

Predictors of Caregiver Burden in Aged Caregivers of Demented Older Patients

Psychological Distress in Caregivers for People With Dementia: A Population-Based Analysis of A National Cross-Sectional Study

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