Ellen Svendsboe1,2, Toril Terum3, Ingelin Testad4, Dag Aarsland5, Ingun Ulstein6, Anne Corbett7, Arvid Rongve8,9. 1. Department of Nursing, Stord/Haugesund University College, Stord, Norway. 2. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, SE-141 83, Huddinge, Sweden. 3. Department of Nursing, Sogn & Fjordane University College, Sogndal, Norway. 4. Department of Health Studies, University of Stavanger, Stavanger, Norway. 5. Stavanger Hospital, Karolinska Institute, NVS, Novum, Sweden. 6. Department of Old Age Psychiatry, Oslo University Hospital, Oslo, Norway. 7. Wolfson Centre for Age-Related Diseases, King's College London, London, UK. 8. Psychiatry, Helse Fonna, Haugesund, Norway. 9. Department of Clinical Medicine, The University of Bergen, Bergen, Norway.
Abstract
OBJECTIVE: To characterise the differences in caregiver distress between carers of people diagnosed with dementia with Lewy bodies (DLB) and people with Alzheimer's disease (AD), with a view to differentiating and improving support for caregivers. METHODS: This study is a part of two larger Norwegian studies, DemVest (n = 265) and The Norwegian Dementia Register (n = 2220), with data from caregivers and people diagnosed with AD (n = 100) and DLB (n = 86) between 2005 and 2013. The average age was 74.9 years (SD = 7.8). Caregiver distress was rated by the Relative Stress Scale. Diagnosis of the person receiving care was based on a comprehensive standardised assessment program (International Classification of Diseases, Revision 10 or Diagnostic and Statistical Manual for Mental Disorders, fourth edition). Additional data collected from people receiving care were neuropsychiatric symptoms, comorbidity and activities of daily living (ADL) score. Linear regression analyses were applied, first unadjusted and then in stepwise-adjusts in addition to descriptive analyses. RESULTS: Caregivers to people with AD (20.2%) and 40% of caregivers for people with DLB experienced moderate or high caregiver burden with an increased risk of psychiatric disorders in the early stage of dementia. High Relative Stress Scale (RSS) total scores in caregivers was significantly associated with neuropsychiatric symptoms (Neuropsychiatric Inventory, p = 0.004) and also with impaired ADL functioning (Rapid Disability Rating Scale-2, p < 0.0005). CONCLUSION: Caregiver distress differed (RSS total, p = 0.005) between people caring for someone with AD (15.0) and those caring for someone with DLB (19.9). These findings have direct implications for the needs and resources that could be available for these individuals and indicate the need for further research into caregiver burden in carers to people with DLB.
OBJECTIVE: To characterise the differences in caregiver distress between carers of people diagnosed with dementia with Lewy bodies (DLB) and people with Alzheimer's disease (AD), with a view to differentiating and improving support for caregivers. METHODS: This study is a part of two larger Norwegian studies, DemVest (n = 265) and The Norwegian Dementia Register (n = 2220), with data from caregivers and people diagnosed with AD (n = 100) and DLB (n = 86) between 2005 and 2013. The average age was 74.9 years (SD = 7.8). Caregiver distress was rated by the Relative Stress Scale. Diagnosis of the person receiving care was based on a comprehensive standardised assessment program (International Classification of Diseases, Revision 10 or Diagnostic and Statistical Manual for Mental Disorders, fourth edition). Additional data collected from people receiving care were neuropsychiatric symptoms, comorbidity and activities of daily living (ADL) score. Linear regression analyses were applied, first unadjusted and then in stepwise-adjusts in addition to descriptive analyses. RESULTS: Caregivers to people with AD (20.2%) and 40% of caregivers for people with DLB experienced moderate or high caregiver burden with an increased risk of psychiatric disorders in the early stage of dementia. High Relative Stress Scale (RSS) total scores in caregivers was significantly associated with neuropsychiatric symptoms (Neuropsychiatric Inventory, p = 0.004) and also with impaired ADL functioning (Rapid Disability Rating Scale-2, p < 0.0005). CONCLUSION: Caregiver distress differed (RSS total, p = 0.005) between people caring for someone with AD (15.0) and those caring for someone with DLB (19.9). These findings have direct implications for the needs and resources that could be available for these individuals and indicate the need for further research into caregiver burden in carers to people with DLB.
Authors: Alissa Bernstein; Krista L Harrison; Sarah Dulaney; Jennifer Merrilees; Angela Bowhay; Julia Heunis; Jeff Choi; Julie E Feuer; Amy M Clark; Winston Chiong; Kirby Lee; Tamara L Braley; Stephen J Bonasera; Christine S Ritchie; Dan Dohan; Bruce L Miller; Katherine L Possin Journal: J Alzheimers Dis Date: 2019 Impact factor: 4.472
Authors: Maria I Lapid; Karen M Kuntz; Sara S Mason; Jeremiah A Aakre; Emily S Lundt; Walter Kremers; Laura A Allen; Daniel A Drubach; Bradley F Boeve Journal: Dement Geriatr Cogn Disord Date: 2017-04-28 Impact factor: 2.959
Authors: María Vallet-Regí; Miguel Manzano; Leocadio Rodriguez-Mañas; Marta Checa López; Matti Aapro; Lodovico Balducci Journal: Oncologist Date: 2017-02-20
Authors: Jennifer A Foley; Charlotte Dore; Angeliki Zarkali; Gill Livingston; Lisa Cipolotti; Catherine J Mummery; Rimona S Weil Journal: Future Healthc J Date: 2020-10