Elodie Pongan1,2, Jean-Michel Dorey3, Céline Borg1, Jean Claude Getenet1, Romain Bachelet2, Charles Lourioux3, Bernard Laurent1, Romain Rey3, Isabelle Rouch1,2,4. 1. Neurology Unit, CM2R, CHU de Saint Etienne, Hôpital Nord, Saint Etienne, France. 2. Clinical and Research Memory Center of Lyon, Hospices civils de Lyon, Hôpital des Charpennes, Villeurbanne, France. 3. Psychiatry Unit, Centre hospitalier le Vinatier, Bron, France. 4. INSERM, U1219, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France.
Abstract
BACKGROUND: From March 2020, the support and care systems for caregivers and people with dementia (PWD) were suspended or dramatically changed due to the lockdown during the world pandemic of COVID-19. Thus, these changes in living conditions have had deleterious consequences on the behavior of PWD and subsequently on their caregivers' mental health, the two being linked. OBJECTIVE: Our study aimed to examine changes in behavior among PWD and to look for associations between the evolution of behavioral and psychological symptoms of dementia (BPSD) and caregivers' mental health in the context of COVID-19. METHODS: The study was conducted among caregivers of PWD living at home in France. Caregivers were interviewed via an anonymous cross-sectional online survey during the first lockdown between April 15 and June 15, 2020. RESULTS: Three hundred and eighty-nine caregivers accompanying a relative living at home participated in the study; 43.3%of the PWD presented a worsening of BPSD during the lockdown. With multivariate logistic regressions, a significant association was observed between "more BPSD" and burden, anxiety and depression, between "BPSD equivalent" and anxiety and depression, and between "emerging BPSD" and only depression. CONCLUSION: The lockdown seems to have an impact on behavioral disorders in PWD and these disorders are associated with poorer mental health of caregivers. Our findings suggest attention should be given to caregivers of PWD who have BPSD before lockdown and the need for continued consultations and professional help in case of new lockdowns.
BACKGROUND: From March 2020, the support and care systems for caregivers and people with dementia (PWD) were suspended or dramatically changed due to the lockdown during the world pandemic of COVID-19. Thus, these changes in living conditions have had deleterious consequences on the behavior of PWD and subsequently on their caregivers' mental health, the two being linked. OBJECTIVE: Our study aimed to examine changes in behavior among PWD and to look for associations between the evolution of behavioral and psychological symptoms of dementia (BPSD) and caregivers' mental health in the context of COVID-19. METHODS: The study was conducted among caregivers of PWD living at home in France. Caregivers were interviewed via an anonymous cross-sectional online survey during the first lockdown between April 15 and June 15, 2020. RESULTS: Three hundred and eighty-nine caregivers accompanying a relative living at home participated in the study; 43.3%of the PWD presented a worsening of BPSD during the lockdown. With multivariate logistic regressions, a significant association was observed between "more BPSD" and burden, anxiety and depression, between "BPSD equivalent" and anxiety and depression, and between "emerging BPSD" and only depression. CONCLUSION: The lockdown seems to have an impact on behavioral disorders in PWD and these disorders are associated with poorer mental health of caregivers. Our findings suggest attention should be given to caregivers of PWD who have BPSD before lockdown and the need for continued consultations and professional help in case of new lockdowns.
Entities:
Keywords:
Behavioral disorder; COVID-19; caregivers; lockdown; mental health
Authors: Catherine Quinn; Laura D Gamble; Sophie Parker; Anthony Martyr; Rachel Collins; Christina Victor; Eleanor Dawson; Anna Hunt; Claire Pentecost; Louise Allan; Linda Clare Journal: Int J Geriatr Psychiatry Date: 2022-03-24 Impact factor: 3.850
Authors: Claire Pentecost; Rachel Collins; Sally Stapley; Christina Victor; Catherine Quinn; Alexandra Hillman; Rachael Litherland; Louise Allan; Linda Clare Journal: Health Soc Care Community Date: 2022-06-13
Authors: Vanessa Bertuzzi; Michelle Semonella; Denise Bruno; Chiara Manna; Julian Edbrook-Childs; Emanuele M Giusti; Gianluca Castelnuovo; Giada Pietrabissa Journal: Int J Environ Res Public Health Date: 2021-06-28 Impact factor: 3.390