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Vascular dementia versus dementia of Alzheimer's type
 — do they have differential effects on caregivers' burden?
Author(s)Peter H Vetter, Silke Krauss, Olaf Steiner
Journal titleThe Journals of Gerontology Series B: Psychological sciences and social sciences, vol 54B, no 2, March 1999
Pagespp S93-S98
KeywordsDementia ; Domiciliary services ; Stress ; Family care ; Germany.
AnnotationHomecare patients with dementia of the Alzheimer's type (DAT; n=36) or vascular dementia (VD; n=36) and their care-providing relatives were examined in this German study, regarding clinical and psychosocial variables to determine whether DAT and VD impose different burdens on caregivers. All patients were diagnosed according to ICD-10 criteria. Diagnoses were confirmed by internal medical, clinical neurological, and psychiatric parameters. Severity of dementia was graded by the Global Deterioration Scale (GDS). Caregiving relatives responded to the Behavioural Pathology in Alzheimer's Disease Rating Scale (BAD), the Blessed Dementia Scale (BDS) and the Screen for Caregiver Burden (SCB). Analyses revealed that caregivers' burden (SCB), disease symptoms and personality changes of patients (BAD) and patients' inability to cope with everyday tasks (BDS) were sharply higher for DAT than for VD patients in the group with severe dementia. For mild or moderately severe disease, scores in the DAT group were similar or lower than those in the VD group. Differences in onset and course characteristics, and between the two dementias, indicate the need for better decision-making as to care support systems for caregivers. (RH).
Accession NumberCPA-990430010 A
ClassmarkEA: N: QNH: P6:SJ: 767

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