Caregiver distress associated with behavioral and psychological symptomsin mild Alzheimers disease / Desgaste do cuidador associado a sintomas comportamentais e psicológicos na doença de Alzheimer leve
Dement. neuropsychol
; 4(3)set. 2010.
Article
in En
| LILACS
| ID: lil-560276
Responsible library:
BR15.3
ABSTRACT
The aim of this study was to analyze the relationship between Caregiver Distress and Behavioral and Psychological Symptoms in Dementias (BPSD) in mild Alzheimers disease. Methods:
Fifty patients and caregivers were interviewed using the Neuropsychiatric Inventory (NPI).Results:
96.0% of the patients had at least one BPSD. The mean NPI total score was 19.6 (SD=18.05; range=0-78) whereas the mean Caregiver Distress Index (CDI) total score was 11.5 (SD=10.41; range=0-40). For the individual symptoms, the weighted mean CDI was 2.8 (SD=1.58). All symptom CDI means were higher than 2.0 except for euphoria/elation (m=1.8; SD=1.49). There were correlations between CDI and derived measures (Frequency, Severity, FxS, and Amplitude) for all symptoms, except Disinhibition and Night-time behavior. Correlations ranged between 0.443 and 0.894, with significance at p<0.05.Conclusions:
All the derived measures, including amplitude, were useful in at least some cases. The data suggests that CDI cannot be inferred from symptom presence or profile. Symptoms should be systematically investigated.RESUMO
Analisar as relações entre desgaste do cuidador e Sintomas Comportamentais e Psicológicos nas Demências (SCPD) na doença de Alzheimer leve. Métodos:
Cinquenta pacientes e cuidadores foram entrevistados com o Inventário Neuro-Psiquiátrico (INP).Resultados:
96,0% dos pacientes tinham pelo menos um SCPD. A média do escore total do INP foi 19,6 (dp=18,05; amplitude=0-78). A média do índice de desgaste do cuidador (IDC) foi 11,5 (dp=10,41; amplitude=0-40). Para os sintomas individuais, a média ponderada do IDC foi 2,8 (dp=1,58) (escala 0-5). Exceto para euforia/elação (m=1,8; dp=1,49), as médias dos IDC foram maiores do que 2,0. Foram encontradas correlações entre o IDC e medidas derivadas para todos os sintomas, exceto Desinibição e Sono. As correlações variaram entre 0,443 e 0,894 (p<0,05).Conclusões:
Todas as medidas derivadas foram úteis em algum caso. Os dados sugerem que o IDC não pode ser inferido pela presença ou perfil dos sintomas. Antes, deve ser investigado sistematicamente.Key words
Full text:
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Index:
LILACS
Main subject:
Behavioral Symptoms
/
Caregivers
/
Cognition
/
Dementia
/
Educational Status
/
Alzheimer Disease
Type of study:
Diagnostic_studies
/
Evaluation_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Dement. neuropsychol
Journal subject:
NEUROCIENCIAS
/
NEUROLOGIA
/
PSICOLOGIA
/
PSIQUIATRIA
Year:
2010
Type:
Article