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Centre for Policy on Ageing | |
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| A systematic review of the association between the Behavioral and Psychological Symptoms of Dementia and burden of care | | Author(s) | Warwick Black, Osvaldo P Almeida |
| Journal title | International Psychogeriatrics, vol 16, no 3, September 2004 |
| Pages | pp 295-316 |
| Source | http://journals.cambridge.org |
| Keywords | Dementia ; Symptoms ; Behaviour disorders ; Personality disorders ; Cross sectional surveys ; Longitudinal surveys ; Literature reviews. |
| Annotation | Several aspects have indicated that the Behavioral and Psychological Symptoms of Dementia (BPSD) are associated with increased burden of care, carer depression and increased rates of institutionalisation of patients. This study reviews the association between these variables in cross-sectional amd longitudinal studies. A systematic review and meta-analysis of all available information published in English between 1990 and 2001, leads to inclusion of 30 cross-sectional data and 12 longitudinal data articles. Pooled correlation coefficients were generated by the relationship between BPSD and caregiver burden, caregiver psychological distress, and caregiver depression, suggesting that these concepts have a moderately strong association. Multivariate data, on the whole, further supported the notion that BPSDs are a predictor of burden of care and of psychological distress and depression. Limited longitudinal data made clarifying the temporal relationship between BPSD and psychological sequalae of care (PSC) difficult. The limited data pertaining to the relationship between BPSD and institutionalisation suggest that caregiver variables may be more important in predicting institutionalisation than BPSD. Methodological issues and limitations associated with this type of investigation were also considered. The results of this review support, but do not conclusively establish, the association between BPSD and PSC. The authors propose that the concept of burden of care be abandoned in favour of more clinically relevant outcomes such as caregiver depression. (RH). |
| Accession Number | CPA-050216202 A |
| Classmark | EA: CT: EP: EK: 3KB: 3J: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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