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Centre for Policy on Ageing | |
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The problem with 'problem behaviors'
— a systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver dyad | | Author(s) | Katherine Ornstein, Joseph E Gaugler |
| Journal title | International Psychogeriatrics, vol 24, no 10, October 2012 |
| Pages | pp 1536-1552 |
| Source | www.journals.cambridge.org/ipg |
| Keywords | Dementia ; Behaviour disorders ; Informal care ; Stress ; Depression ; Correlation ; Literature reviews. |
| Annotation | Behavioural and psychological symptoms of dementia (BPSDs) are routinely cited as important predictors of caregiver burden and depression. Although BPSDs include a wide variety of patient behaviours, they are routinely grouped together as one construct to differentiate them from cognitive symptoms of dementia. Determining the specific BPSDs that result in increased depression and burden for caregivers may elucidate the stress process for caregivers and facilitate the development of effective interventions for caregivers. The authors conducted a systematic review of English language articles published from 1990 to 2010, to determine whether there are known symptoms or symptom clusters which exert undue negative impact on caregiver depression and burden. They also review systems used for classifying BSPD symptom clusters, and determine whether there have been any mechanisms studied by which individual BPSD symptoms negatively affect caregivers. Lastly, they examine how the role of timing of symptoms has been examined within the literature. 35 original research articles examined the impact of an individual behaviour symptom on caregiver burden or depression or depressive symptoms. The studies had no consistent system for categorising symptoms. Although depression, aggression and sleep disturbances were the most frequently identified patient symptoms to affect caregivers negatively, a wide range of symptoms was associated with caregiver burden and depression. The evidence is not conclusive as to whether some symptoms are more important than others. The studies reviewed were largely exploratory, relative to the differential impact of individual BPSDs and did not focus on testing causal mechanisms by which specific symptoms exert more impact on caregiver mental health than others. (RH). |
| Accession Number | CPA-121026104 A |
| Classmark | EA: EP: P6: QNH: ENR: 49 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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