Predicting Caregiver Burden from Daily Functional Abilities of Patients with Mild Dementia

OBJECTIVES: To assess the relationship between performance‐ and informant‐based measures of activities of daily living (ADLs) in patients with early dementia and burden or psychological distress experienced by the patients' caregivers. DESIGN: Descriptive study. SETTING: Ambulatory center. PART...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2007-09, Vol.55 (9), p.1415-1420
Main Authors: Razani, Jill, Kakos, Bernadette, Orieta-Barbalace, Carla, Wong, Jennifer T., Casas, Rachel, Lu, Po, Alessi, Cathy, Josephson, Karen
Format: Article
Language:English
Subjects:
activities of daily living
Activities of Daily Living - psychology
Adult and adolescent clinical studies
Aged
Biological and medical sciences
caregiver burden
caregiver psychological distress
Caregivers
Caregivers - psychology
cognitive impairment
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia
Dementia - psychology
Effects
Emotional disorders
Female
functional ability
functional assessment
General aspects
Geriatric Assessment
Hostility
Humans
informant-based ADLs
Male
Medical sciences
Middle Aged
Miscellaneous
Neurology
observation-based ADLs
Professional-Patient Relations
Prognosis
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Stress, Psychological - diagnosis
Stress, Psychological - etiology
Stress, Psychological - psychology
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Summary:OBJECTIVES: To assess the relationship between performance‐ and informant‐based measures of activities of daily living (ADLs) in patients with early dementia and burden or psychological distress experienced by the patients' caregivers. DESIGN: Descriptive study. SETTING: Ambulatory center. PARTICIPANTS: Thirty‐four patient‐caregiver dyads in which the patient had mild dementia (Mini‐Mental State Examination score >17). MEASUREMENTS: A performance‐based ADL measure (the Direct Assessment of Functional Status (DAFS)) was administered to patients with mild dementia. Caregivers completed an informant‐based measure of patient functional status (instrumental activities of daily living). Caregivers also completed the Caregiver Burden Inventory (CBI) and the Brief Symptom Inventory (BSI). RESULTS: Significant correlations were found between the informant‐based ADL measure and caregiver burden (CBI) and psychological distress (BSI) (correlation coefficient (r)=−0.34 to −0.71, all P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2007.01307.x