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Cognitive, functional and behavioral factors associated with the burden of caring for geriatric patients with cognitive impairment or depression
 — evidence from a South American sample
Author(s)Gerardo Machnicki, Ricardo F Allegri, Carol Dillon
Journal titleInternational Journal of Geriatric Psychiatry, vol 24, no 4, April 2009
Pagespp 382-389
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsInformal care ; Stress ; Patients ; Cognitive impairment ; Depression ; Correlation ; Argentina.
AnnotationPrimary caregivers were included in this Buenos Aires, Argentina study if the geriatric patient cared for had a cognitive impairment or dementia (degenerative, vascular or mixed; Group 1) or depression and cerebrovascular disease (CVD, Group 2). Caregivers completed the Zarit questionnaire, the Neuropsychiatric Inventory (NPI) and instrumental activities of daily living (IADLs). Patients were evaluated for dementia severity using the Clinical Dementia Rating (CDR), Mini Mental State Examination (MMSE), and Beck Depression Inventory (BDI). Structural equation modelling (SEM) was used to assess measurement models and the factors associated with burden. 258 caregiver-patient pairs were included. The best model fit was obtained with a model with two constructs: function-cognition (CDR, MMSE and IADL) and behaviour (neuropsychiatric symptoms from NPI). In Group 1, both function and behaviour were significantly correlated with caregiver burden, although the strength of the association was more than two times higher for behaviour. In Group 2, behaviour was related to caregiver burden but not function-cognition. These findings suggest that behaviour symptoms are an important factor associated with caregiver burden in patients with cognitive impairment, dementia or depression, while functional and cognitive factors seem to also have an influence in patients with cognitive impairment. (RH).
Accession NumberCPA-090824006 A
ClassmarkP6: QNH: LF: E4: ENR: 49: 7W8

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