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Caregiver burden of M exican dementia patients: The role of dysexecutive syndrome, sleep disorders, schooling and caregiver depression
Author(s) -
RosasCarrasco Óscar,
GuerraSilla María de Guadalupe,
TorresArreola Laura del Pilar,
GarcíaPeña Carmen,
EscamillaJiménez Cristopher Isaac,
GonzálezGonzález César
Publication year - 2014
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12072
Subject(s) - caregiver burden , dementia , medicine , depression (economics) , dysexecutive syndrome , psychological intervention , psychiatry , mental health , population , quality of life (healthcare) , clinical psychology , gerontology , cognition , disease , executive functions , environmental health , economics , macroeconomics , nursing
Aims As a result of the accelerated growth of the elderly population, reconfiguration of families and member roles, and the increase of mental disorders, it is necessary to investigate the effects of this set of factors on the caregivers of patients with dementia in M exico. Mental disorders of individuals have a negative impact on their physical and emotional quality of life, leading to greater dependence and making the caring experience a heavy burden. Several studies (none in M exico) have used either the characteristics of the patient or caregiver to determine the burden, but few studies have included both profiles within a single study. The objective of the present study was to analyze the characteristics of the patients and caregivers associated with caregiver burden. Methods A multicenter study was carried out in six health institutions located in M exico C ity, including 175 patients (and their caregivers) diagnosed with different types of dementia. We used the S panish C aregiver B urden S creen. Descriptive analysis and logistic regressions were used to estimate the effect of the covariates on the caregiver burden. Results The results showed that patient variables have a greater impact on caregiver burden than caregiver‐associated variables. Dysexecutive syndrome, sleep disorders, schooling and caregiver depression are associated with a higher level of caregiver burden. Conclusions Caregiver burden is a complex phenomenon. The results of the present study showed the need to implement multifactorial interventions targeting the caregiver to reduce the burden, strengthen the skills for patient management to avoid depression, improve patient health, and diminish functional dependence and future hospitalization. Geriatr Gerontol Int 2014; 14: 146–152.