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Carer burden in dementia
 — assessing the impact of behavioural and psychological symptoms via self-report questionnaire
Author(s)Wendy Neil, Peter Bowie
Journal titleInternational Journal of Geriatric Psychiatry, vol 23, no 1, January 2008
Pagespp 60-64
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Behaviour disorders ; Symptoms ; Informal care ; Stress ; Evaluation.
AnnotationThe quality of assessment of behavioural and psychological symptoms of dementia (BPSD) in routine clinical settings is variable, and validated interview-based scales are frequently under-utilised. This study reports on developing a carer self-report questionnaire, the Behavioural and Psychological Symptoms Questionnaire (BPSQ) for the assessment of neuropsychiatric symptoms of dementia and associated carer distress. The BPSQ was administered to the carers of 30 community-dwelling older people with diagnosis of Alzheimer's disease (AD) or vascular dementia (VaD). Results were compared with interview assessment using the Neuropsychiatric Inventory (NPI). BPSD were present in 96.2% of patients. There was a strong correlation (r=0.61) between the BPSQ and interview with respect to measures of symptom frequency and severity. However there was significant divergence between the two assessment schedules with respect to carer distress which was found to be significantly under-reported in the initial interview. The BPSQ tool is an effective tool to complement clinical interview in the assessment and monitoring of BPSD, and provides useful additional information with respect to carer distress, which currently may be under-recognised. A follow-up study is required to complete work on validating the BPSQ. (RH).
Accession NumberCPA-080212211 A
ClassmarkEA: EP: CT: P6: QNH: 4C

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