Quality of End-of-Life Care for Older Adults with Dementia during the COVID-19 Pandemic

Nakanishi, Miharu; Ogawa, Asao; Sakai, Mai; Yoshii, Hatsumi; Yamasaki, Syudo; Nishida, Atsushi

doi:10.1016/j.jamda.2023.03.001

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…Specifically, depressive symptoms in older adults with mild cognitive impairment did not change significantly, 11 but worsened in another study 12,13 . In long‐term care residents, having dementia may be a protective factor against depression 14 ; conversely, participants with dementia increased depressive symptoms 15,16 …”

Section: Introductionmentioning

confidence: 94%

“…While, the socio‐cultural, economic, and psychological risk factors associated with depression in older adults have been identified, 10 the cognitive risk factors for depression have been insufficiently and inconsistently studied longitudinally 11–16 . Specifically, depressive symptoms in older adults with mild cognitive impairment did not change significantly, 11 but worsened in another study 12,13 .…”

Section: Introductionmentioning

confidence: 99%

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Association depressive symptoms with memory function and social capital before and during COVID‐19 in community‐dwelling older adults in rural Japan: A retrospective study with a longitudinal data

Kunitake,

Imamura,

Kunitake

et al. 2024

Int J Geriat Psychiatry

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ObjectivesThis study aimed to investigate the impact of memory function and social capital on depressive symptoms during the COVID‐19 pandemic among older adults in rural Japan.MethodsA retrospective study with longitudinal data was conducted during COVID‐19 from May 2021 to November 2021 (T2) in Kurogawa, Japan. The candidate population for this study was 145 with the following requirements: (1) older individuals aged 65 years or above who were registered in the Kurogawa study, and (2) those with previous data (from November 2016 to February 2020; T1 as pre‐pandemic). Memory function was assessed using the Wechsler Memory Scale‐Revised Logical Memory II delayed recall part A (LM II‐DR). Depressive symptoms were assessed using the Japanese version of the 15‐item Geriatric Depression Scale (GDS‐15). Social capital was evaluated through civic participation, social cohesion, and reciprocity. Fear of the COVID‐19 infection (FCV‐19S) was evaluated.ResultsThe final analysis included 96 participants (mean age = 81.0 years, SD = 4.8) Multivariate analysis for GDS‐15 score by Mixed Model Repeated Measures (MMRM) revealed significant associations between LM II‐DR (β = −0.13, 95% CI: −0.21–0.05, p = 0.002) and FCV‐19S during COVID‐19 (β = 0.08, 95% CI: 0.01–0.15, p = 0.02) with GDS‐15 score. However, civic participation, social cohesion and reciprocity were not associated with GDS‐15 score.ConclusionsAmong older adults in rural Japan, memory function and fear of the COVID‐19 infection were significantly associated with depressive symptoms in MMRM analysis. However, social capital was not associated with depressive symptoms. This highlights the need to address memory function and fear of the COVID‐19 infection in interventions for older adults during crises like the COVID‐19 pandemic.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Association depressive symptoms with memory function and social capital before and during COVID‐19 in community‐dwelling older adults in rural Japan: A retrospective study with a longitudinal data

Kunitake,

Imamura,

Kunitake

et al. 2024

Int J Geriat Psychiatry

View full text Add to dashboard Cite

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“…The COVID‐19 pandemic, caused by the novel coronavirus SARS‐CoV‐2, led to unprecedented challenges in many LMICs, particularly for vulnerable populations such as older adults and those with neurodegenerative diseases. People living with dementia are at high risk of depression, isolation, and behavioral changes, which may have been exacerbated by the COVID‐19 pandemic (Nakanishi et al., 2023). Prior studies have demonstrated that caregiver burden increased during the pandemic among informal caregivers of patients with PD (Hattori et al., 2023; Suzuki et al., 2021) and dementia in studies in India (Mukherjee et al., 2022), Thailand (Wongmek et al., 2023), Hong Kong (Fong et al., 2021), and across the United States (Mitchell et al., 2023; Yan et al., 2023).…”

Section: Introductionmentioning

confidence: 99%

Mental health impact of the COVID‐19 pandemic on patients with neurodegenerative diseases and perceived family caregiver burden in Lima, Peru

Diaz,

Bailey,

Garcia

et al. 2024

Brain and Behavior

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BackgroundNeurodegenerative diseases lead to difficulties with functional activities. In Peru, most caregivers are family members. Little is known about the COVID‐19 pandemic's effect on caregivers in Peru.MethodsThis was a cross‐sectional, prospective study of family caregivers of dependent patients with dementia or Parkinson's Disease in Lima, Peru. A caregiver burden and mental health questionnaire was administered to the caregiver.ResultsWe enrolled 48 caregivers (65% females, mean ± SD age 49.0 ± 12.3 years); 70% of patients had dementia. Nearly 40% of caregivers reported having full‐time jobs, and 82% felt overwhelmed with almost 75% dedicating more time to caregiving during the pandemic. Caregivers perceived patients felt lonelier (52%), had an increase in hallucinations (50%), or forgetfulness (71%) compared to pre‐pandemic.ConclusionsOur study highlights that perceived caregiver burden and patient behavioral symptoms may have been exacerbated during the pandemic. In countries such as Peru, more caregiving resources and interventions are needed.

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Revolutionizing Alzheimer's treatment: Harnessing human serum albumin for targeted drug delivery and therapy advancements

Shastri,

Raj,

Lee

2024

Ageing Research Reviews

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Quality of End-of-Life Care for Older Adults with Dementia during the COVID-19 Pandemic

Cited by 4 publications

References 28 publications

Association depressive symptoms with memory function and social capital before and during COVID‐19 in community‐dwelling older adults in rural Japan: A retrospective study with a longitudinal data

Association depressive symptoms with memory function and social capital before and during COVID‐19 in community‐dwelling older adults in rural Japan: A retrospective study with a longitudinal data

Mental health impact of the COVID‐19 pandemic on patients with neurodegenerative diseases and perceived family caregiver burden in Lima, Peru

Revolutionizing Alzheimer's treatment: Harnessing human serum albumin for targeted drug delivery and therapy advancements

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