Examining carer stress in dementia: the role of subtype diagnosis and neuropsychiatric symptoms

Lee, David R.; McKeith, Ian; Mosimann, Urs; Ghosh-Nodyal, Arunima; Thomas, Alan J. (2013). Examining carer stress in dementia: the role of subtype diagnosis and neuropsychiatric symptoms. International journal of geriatric psychiatry, 28(2), pp. 135-141. Wiley-Blackwell 10.1002/gps.3799

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INTRODUCTION: Caring for people with dementia incurs significant stress for carers. Stress has been related to the duration of caring role, the number of weekly hours provided and severity of cognitive impairment. What remains less clear is the impact of neuropsychiatric symptoms and subtype of dementia on carer stress and this study aimed to examine these. METHODS: Dementia carers were recruited for people with a range of dementia subtypes. Carers were interviewed using the Neuropsychiatric Inventory with the Carer Distress Scale. Cognitive fluctuations were assessed using the Dementia Cognitive Fluctuations Scale. All patients were also examined with The Cambridge Assessment for mental disorders in the elderly. RESULTS: Dementia diagnostic subtype, the presence of cognitive fluctuations and some neuropsychiatric symptoms (psychosis and mood disturbance) did predict carer stress (all at p < 0.01) but age, gender and severity of cognitive impairment did not (all p > 0.33). Carers of people with dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD) experienced more stress than those caring for patients with Alzheimer's disease and vascular dementia. Carer stress was associated with higher levels of psychosis, mood disturbances, daytime sleep and cognitive fluctuations in the person with dementia. CONCLUSIONS: This study identified the significant impact on carers of providing care for people with DLB and PDD dementia subtypes and also highlighted the significant impact of providing care for patients with high levels of psychosis, mood disturbances and cognitive fluctuations.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Geriatric Psychiatry and Psychotherapy

UniBE Contributor:

Mosimann, Urs Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0885-6230

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Daniela Zurkinden

Date Deposited:

09 Apr 2014 14:55

Last Modified:

09 Apr 2014 14:55

Publisher DOI:

10.1002/gps.3799

PubMed ID:

22422615

URI:

https://boris.unibe.ch/id/eprint/44463

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