Factors Underlying Caregiver Stress in Frontotemporal Dementia and Alzheimer's Disease

被引:98
作者
Mioshi, Eneida [1 ,3 ]
Bristow, Matt [2 ]
Cook, Rachel [2 ]
Hodges, John R. [1 ,3 ,4 ]
机构
[1] Prince Wales Med Res Inst, Sydney, NSW, Australia
[2] Anglia Ruskin Univ, Stress & Hlth Res Grp, Cambridge, England
[3] MRC, Cognit & Brain Sci Unit, London W1N 4AL, England
[4] Univ Dept Clin Neurosci, Cambridge, England
关键词
Caregiver; Carer; Stress; Depression; Activities of daily living; Frontotemporal dementia; Alzheimer's disease; BEHAVIORAL SYMPTOMS; LOBAR DEGENERATION; INVENTORY; DISTRESS; FEATURES; BURDEN;
D O I
10.1159/000193626
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Frontotemporal dementia (FTD) has devastating effects on patients and caregivers, yet the factors underlying caregiver stress are poorly understood. Methods: 108 caregivers (79 = FTD, 29 = Alzheimer's disease) participated in a postal survey. Self- report measures of perceived stress, depression, social networks, as well as patient-based measures of behaviour change and activities of daily living were completed. Results: Depression was a cardinal feature in FTD caregivers, and it accounted for more than 58% of stress scores. Both depression and stress were significantly higher than in AD. Neither the severity of behaviour changes nor functional disability explained caregiver stress. Conclusion: Caregiver stress is a multidimensional construct, and FTD caregivers should receive more support than currently available. Depression plays a key role in coping ability. Copyright (c) 2009 S. Karger AG, Basel
引用
收藏
页码:76 / 81
页数:6
相关论文
共 21 条
[11]   Development of a functional measure for persons with Alzheimer's disease:: The disability assessment for dementia [J].
Gélinas, I ;
Gauthier, L ;
McIntyre, M ;
Gauthier, S .
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 1999, 53 (05) :471-481
[12]   Frontotemporal dementia (Pick's disease): Clinical features and assessment [J].
Hodges, JR .
NEUROLOGY, 2001, 56 (11) :S6-S10
[13]   Validation of the NPI-Q, a brief clinical form of the neuropsychiatric inventory [J].
Kaufer, DI ;
Cummings, JL ;
Ketchel, P ;
Smith, V ;
MacMillan, A ;
Shelley, T ;
Lopez, OL ;
DeKosky, ST .
JOURNAL OF NEUROPSYCHIATRY AND CLINICAL NEUROSCIENCES, 2000, 12 (02) :233-239
[14]  
Lough S, 2007, FRONTOTEMPORAL DEMEN, P277
[15]   A model for management of behavioral symptoms in frontotemporal lobar degeneration [J].
Merrilees, Jennifer .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2007, 21 (04) :S64-S69
[16]   Activities of daily living in frontotemporal dementia and Alzheimer disease [J].
Mioshi, E. ;
Kipps, C. M. ;
Dawson, K. ;
Mitchell, J. ;
Graham, A. ;
Hodges, J. R. .
NEUROLOGY, 2007, 68 (24) :2077-2084
[17]   Frontotemporal dementia: Behavioral symptoms and caregiver distress [J].
Mourik, JC ;
Rosso, SM ;
Niermeijer, MF ;
Duivenvoorden, HJ ;
van Swieten, JC ;
Tibben, A .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2004, 18 (3-4) :299-306
[18]   Frontotemporal lobar degeneration - A consensus on clinical diagnostic criteria [J].
Neary, D ;
Snowden, JS ;
Gustafson, L ;
Passant, U ;
Stuss, D ;
Black, S ;
Freedman, M ;
Kertesz, A ;
Robert, PH ;
Albert, M ;
Boone, K ;
Miller, BL ;
Cummings, J ;
Benson, DF .
NEUROLOGY, 1998, 51 (06) :1546-1554
[19]   Family conflict in dementia: prodigal sons and black sheep [J].
Peisah, Carmelle ;
Brodaty, Henry ;
Quadrio, Carolyn .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2006, 21 (05) :485-492
[20]  
RADLOFF L S, 1977, Applied Psychological Measurement, V1, P385, DOI 10.1177/014662167700100306