The effects of caregiver characteristics on behavioral and psychological symptoms of dementia of patients with dementia

Lin, Pei-Chao; Lin, Hui-Tzu; Yang, Yu-Hsiang; Yang, Yuan‐Han

doi:10.1080/13607863.2020.1857693

Cited by 12 publications

(12 citation statements)

References 25 publications

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“…Past medical history of orthopedic disease ( p = 0.0020), eye disease ( p = 0.0001), genitourinary disease ( p = 0.0474), dementia ( p < 0.0001), psychiatric disorder ( p < 0.0001) and intellectual disability ( p = 0.0094) were associated with increased risks of having BPSD [19]. Other study also has indicated the environmental factors such as noise, overstimulation, isolation, inadequate temperature, change of routine practice, as well as the characteristics of caregiver were all associated with the BPSD [20, 21]. All these reported factors related to having BPSD, possibly will be becoming the limitations of using virtual reality (VR) intervention for reminiscence, especially in the hearing and vision impairment.…”

Section: Behavioral and Psychological Symptoms Of Dementia (Bpsd)mentioning

confidence: 99%

“…If studies addressing BPSD performed in qualified institutes where well-trained health professionals are involved for a better outcome [26]. On contrary, the characteristics of these caregivers will be related to the presentation of BPSD, especially in non-institutionalized demented patients [21] that possibly will make the same interventions, NP-I, to have different outcomes due to the caregiver's characteristics in recognizing and reporting these BPSD.…”

Section: Np-i To Bpsdmentioning

confidence: 99%

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Application of virtual reality for dementia management

Yang

Situmeang

Ong

et al. 2022

Brain Science Advances

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Age is recognized as the major factors of dementia, especially in for Alzheimer’s disease (AD). Given to the aged population, the increased number of demented population has been receiving a great impact in our society. Unfortunately, so far, no cured medicines have been demonstrated to provide effective treatment in AD. The combination of pharmacological and non-pharmacological interventions has been proposed to manage dementia with potential benefits especially in decreasing caregiver’s burden and behavior, as well as psychological problems of demented patients. Recently, giving to the glorious development in digital technologies, the virtual reality, one of the non-pharmacological interventions has been used extensively in dementia managements for its strengths which can be adapted in accordance with the heterogeneous needs from demented patients and their caregivers. However, various study designs and other reasons made these results difficult to be interpreted. In this review our goal is to provide a better understanding for these points.

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Section: Behavioral and Psychological Symptoms Of Dementia (Bpsd)mentioning

confidence: 99%

Section: Np-i To Bpsdmentioning

confidence: 99%

Application of virtual reality for dementia management

Yang

Situmeang

Ong

et al. 2022

Brain Science Advances

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“… 10 , 11 , 12 , 13 However, even though the disease trajectory starts well before the dementia stage, there are no studies on these outcomes available in the pre‐dementia stage of AD. 13 , 14 , 15 , 16 Furthermore, biomarker support of diagnosis is lacking in most studies, rendering unclear whether findings are specific for AD. In addition, review studies have highlighted the need to further examine the factors that contribute to depression and quality of life in care partners of those with AD, as insight into these factors helps inform the development of support services that help care partners maintain a good quality of life and manage the emotional demands of caring for an AD patient.…”

Section: Introductionmentioning

confidence: 99%

Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease

Mank

Maurik

Rijnhart

et al. 2023

Alz & Dem Diag Ass & Dis Mo

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Introduction We evaluated determinants associated with care partner outcomes along the Alzheimer's disease (AD) stages. Methods We included n = 270 care partners of amyloid‐positive patients in the pre‐dementia and dementia stages of AD. Using linear regression analysis, we examined determinants of four care partner outcomes: informal care time, caregiver distress, depression, and quality of life (QoL). Results More behavioral symptoms and functional impairment in patients were associated with more informal care time and depressive symptoms in care partners. More behavioral symptoms were related with more caregiver distress. Spouse care partners spent more time on informal care and QoL was lower in female care partners. Behavioral problems and subtle functional impairment of the patient predisposed for worse care partner outcomes already in the pre‐dementia stages. Discussion Both patient and care partner determinants contribute to the care partner outcomes, already in early disease stages. This study provides red flags for high care partner burden.

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“…BPSD can place a heavy burden on families and caregivers. The presence of these symptoms related to AD is commonly assessed using the Neuropsychiatric Inventory Questionnaire (NPI-Q) [4, 5]. The NPI-Q assesses 12 neuropsychiatric domains, and it includes two subdomains that provide a severity score (1–3) and a distress score (0–5), the scores of which are generally multiplied together to provide a total NPI-Q score.…”

Section: Introductionmentioning

confidence: 99%

Neuropsychiatric Inventory Questionnaire Associated with Cognitive Function, Age, and Duration of Education in Patients with Alzheimer’s Disease

Honjo

Kawasaki

Nagai

et al. 2022

Dement Geriatr Cogn Disord

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Introduction: Alzheimer’s disease (AD) is the most common cognitive disease, and behavioral and psychological symptoms of dementia (BPSD) can place a heavy burden on families. The presence of these symptoms related to AD is commonly assessed using the Neuropsychiatric Inventory Questionnaire (NPI-Q). This study sought to clarify the relationship between scores on the 12-domain NPI-Q and individual factors in patients with AD. Methods: Participants were 218 new outpatients with AD at five memory clinics. Cognitive function was assessed using the Revised Hasegawa Dementia Scale (HDS-R) and Mini-Mental State Examination (MMSE). We examined which individual factors were associated with the total NPI-Q score and the number of domains. We also examined which domains were associated with the factors identified. Results: A higher total NPI score was significantly associated with lower scores on both cognitive assessments and a longer duration of education. Exhibiting symptoms on a greater number of domains was significantly associated with lower scores on both cognitive assessments, longer duration of education, and advanced age. The nighttime disturbances domain was significantly associated with lower scores on both cognitive assessments and advanced age. The delusions domain was significantly associated with lower education. Conclusions: BPSD may appear more easily with reduced quality of life and ongoing dissatisfaction. Effective individualized services are important for patients with AD, and therefore, we should account for age, cognitive function, and duration of education in the services provided.

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The effects of caregiver characteristics on behavioral and psychological symptoms of dementia of patients with dementia

Cited by 12 publications

References 25 publications

Application of virtual reality for dementia management

Application of virtual reality for dementia management

Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease

Neuropsychiatric Inventory Questionnaire Associated with Cognitive Function, Age, and Duration of Education in Patients with Alzheimer’s Disease

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