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Cognitive function and caregiver burden
 — predictive factors for eating behaviour disorders in Alzheimer's disease
Author(s)Stephanie Riviere, Sophie Gillette-Guyonnet, Sandrine Andrieu
Journal titleInternational Journal of Geriatric Psychiatry, vol 17, no 10, October 2002
Pagespp 950-955
KeywordsDementia ; Malnutrition ; Family care ; Stress ; France ; Italy ; Spain.
AnnotationPatients with Alzheimer's disease (AD) commonly develop aversive feeding behaviours (AFBs), leading to weight loss. The authors report a 1-year study in 1999 of 224 AD patients and their caregivers in Toulouse, Brescia and Barcelona. Feeding difficulty was measured using the Feeding Dependency Scale and the Aversive Feeding Behaviour Inventory. The Burden Interview was also done to assess material and emotional burden. Initial feeding difficulties were significantly associated with caregiver's age, the severity of the disease, and the patient's initial autonomy and psychological functioning (mood and behaviour disorders). AD patients living with a more affected caregiver at baseline developed feeding difficulties and AFBs during the follow-up. Logistic regression analysis showed a positive association between AFBs worsening and the initial caregiver's burden; on the other hand, memory impairment was inversely associated with AFBs. Nutritional information and support to families are probably the best strategies for preventing AFBs during AD and for improving both the patient's and the caregiver's quality of life. (RH).
Accession NumberCPA-021109209 A
ClassmarkEA: CSM: P6:SJ: QNH: 765: 76V: 76S

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