Caregiver burden associated with behavioral and psychological symptoms of dementia (BPSD) in Taiwanese elderly

被引：125

作者：

Huang, Si-Sheng ^{[2
,3
,4
,5
]}

Lee, Meng-Chih ^{[6
,7
,8
]}

Liao, Yi-Cheng ^{[3
]}

Wang, Wen-Fu ^{[9
]}

Lai, Te-Jen ^{[1
,7
,8
]}

机构：

[1] Chung Shan Med Univ Hosp, Dept Psychiat, Taichung 402, Taiwan

[2] Cent Taiwan Univ Sci & Technol, Ctr Gen Educ, Taichung 406, Taiwan

[3] Changhua Christian Hosp, Dept Psychiat, Changhua 500, Taiwan

[4] Changhua Christian Hosp, Lu Tung Branch, Dept Psychiat, Lugang Township 505, Changhua County, Taiwan

[5] Changhua Christian Hosp, Yun Lin Branch, Dept Psychiat, Xiluo Township 648, Yunlin County, Taiwan

[6] Chung Shan Med Univ Hosp, Dept Family & Community Med, Taichung 402, Taiwan

[7] Chung Shan Med Univ, Ctr Educ & Res Geriatr & Gerontol, Taichung 402, Taiwan

[8] Chung Shan Med Univ, Inst Med, Taichung 402, Taiwan

[9] Changhua Christian Hosp, Dept Neurol, Changhua 500, Taiwan

来源：

ARCHIVES OF GERONTOLOGY AND GERIATRICS | 2012年 / 55卷 / 01期

关键词：

Caregiver burden; Caregiver depression; Dementia; Behavioral and psychological symptoms of dementia; MINI-MENTAL STATE; FAMILY CAREGIVERS; NEUROPSYCHIATRIC INVENTORY; DEPRESSION; PREVALENCE; IMPACT; RELATIVES; SUBTYPES; PATIENT; DISEASE;

D O I：

10.1016/j.archger.2011.04.009

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

The purpose of this study was to investigate caregiver burden associated with BPSD in Taiwanese people. The study had a cross-sectional design. Eighty-eight patients with dementia and 88 caregivers who visited the memory clinic of a medical center from January 2007 to December 2007 were recruited. The BPSD were assessed using the neuropsychiatric inventory (NPI); caregiver burden was evaluated using the NPI caregiver distress scale (NPI-D). Demographic data on the patients and caregivers along with patients' cognitive functions and clinical dementia ratings were collected. In addition to descriptive statistics, we analyzed the relationship between each parameter and caregiver burden using binary correlation. The results showed a statistically significant positive correlation between the total NPI-D score and the total NPI score (r = 0.898, p < 0.001). For individual BPSD, delusions had the highest mean NPI-D score, followed by agitation/aggression, anxiety, irritability/lability, and dysphoria/depression. The symptom frequency of anxiety, delusions, and agitation/aggression showed a statistically significant positive correlation with caregiver's NPI-D score. These findings suggest that improvement of treatments for delusions, agitation/aggression, anxiety, irritability/lability, and dysphoria/depression among dementia patients may reduce caregiver burden. (C) 2011 Elsevier Ireland Ltd. All rights reserved.

引用

页码：55 / 59

页数：5

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