Consumption of Drugs and Nonpharmacological Therapies in Caregivers of Patients with Alzheimer's Disease: A Case-Control Study in Madrid

Martín-García, Raquel; Martín-Avila, Guillermo; Rubia-Marcos, María De la; Maroto-Rodríguez, Raquel; Ortega-Angulo, Celia; Rodríguez, María Teresa Carreras; Abad‐Santos, Francisco; Gago-Veiga, Ana Beatriz

doi:10.1159/000442942

Cited by 7 publications

(6 citation statements)

References 57 publications

(75 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present study, a high proportion of caregivers took hypnotics (32.9%). Some studies described a low use of hypnotics in caregivers because of their sedative effect [ 6 ], but other studies have noted that the intake of hypnotics is higher than expected and can reach up to 22.3% [ 46 ]. Chronic pharmacological treatment has been related to serious adverse events.…”

Section: Discussionmentioning

confidence: 99%

Insomnia Symptoms and Associated Factors in Caregivers of Adult Hospitalized Patients

et al. 2023

View full text Add to dashboard Cite

Caregivers experience high levels of emotional stress and must cope with several clinical and hospital-related environmental factors that seriously impact their night’s rest. The purpose of this study was to establish the prevalence of insomnia symptoms in a sample of caregivers of adult hospitalized patients and to examine the relationships between insomnia symptoms and patient and caregiver-associated factors. A total of 152 caregivers were enrolled from the two main hospitals in Granada, Spain. Sociodemographic, economic, and care-related data were collected. Insomnia symptoms, burden, anxiety and depression, social support, and resilience were assessed. Information on patients’ hospital admission, dependence, and neuropsychiatric symptoms was also obtained. Most caregivers were middle-aged women caring for their spouses. Self-reported insomnia prevalence was set at 45.4%. Comparison analyses between caregivers suffering from insomnia symptoms and non-insomniacs showed significantly higher burden, anxiety and depression and patients’ neuropsychiatric symptoms (p < 0.05) and lower resilience and social support in the former (p < 0.01). A regression analysis showed that anxiety (ORa = 1.15; p < 0.05) and higher caregiver education level (ORa = 5.50; p < 0.05) were factors significantly associated with insomnia symptoms. Patients’ neuropsychiatric symptoms showed a trend toward statistical significance as well (ORa = 1.09; p = 0.06). There is an acute need to address, prevent and treat insomnia problems in caregivers.

show abstract

Section: Discussionmentioning

confidence: 99%

Insomnia Symptoms and Associated Factors in Caregivers of Adult Hospitalized Patients

et al. 2023

View full text Add to dashboard Cite

show abstract

“…They consumed more anxiolytics, antidepressants, and antiplatelet medications than the control group. They found as well that nonpharmacological therapies were used significantly more in the caregivers' group than in the control group [9].…”

Section: Introductionmentioning

confidence: 98%

Impact of Caregiving for Dementia Patients on Healthcare Utilization of Caregivers

2019

View full text Add to dashboard Cite

The elderly, whom are vulnerable to the physical, mental and chronic diseases of aging, are the fastest growing segment of the US population. Dementia is of particular concern in this population, and caregivers of people with dementia are subjected to psychological, physical, emotional and functional stress. The purpose of this study was to investigate the impact of caregiving for dementia patients on health care services utilization of caregivers and to examine if caregivers utilize more healthcare services than the control group. The study recruited a total of 143 people in control and non-control groups through non-probability convenience sampling. The control group (non-caregivers) comprised of 71 people, whereas the experimental group (caregivers) consisted of 72 participants. The focus of the study was the health care utilization questionnaire, asking the caregiver about the frequency of specific health care services utilization—including medication use in the last six months, on the scale from 0 to 10. Results were statistically significant for each of the healthcare service utilization when comparing caregivers to the control group. By providing adequate support and assistance in form of support groups, we can alleviate caregivers’ burden and more effectively address the needs of caregivers—thereby reducing the utilization of healthcare services.

show abstract

“…Therefore, psychotropic drug use is higher among these than in the general population. 9,10 Reported utilization rates vary by drug type, with 4-13% using antidepressants, 13-22% using anxiolytics, and 3-8% using sedatives and hypnotics. [9][10][11] Evidence suggests that caregiver characteristics predict psychotropic drug use, and not the severity of disease in the PWD or the perception of how well he or she is supported.…”

Section: Introductionmentioning

confidence: 99%

“…9,10 Reported utilization rates vary by drug type, with 4-13% using antidepressants, 13-22% using anxiolytics, and 3-8% using sedatives and hypnotics. [9][10][11] Evidence suggests that caregiver characteristics predict psychotropic drug use, and not the severity of disease in the PWD or the perception of how well he or she is supported. 9 Interventions aimed at supporting both the PWD and the caregiver may therefore reduce neuropsychiatric symptoms in PWD and promote good mental health in their caregivers, which in turn, may reduce psychotropic drug use.…”

Section: Introductionmentioning

confidence: 99%

Effects of Caregiver Dementia Training in Caregiver–Patient Dyads on Psychotropic Drug Prescription: A Randomized Controlled Study

Birkenhäger-Gillesse¹,

Janus²,

Achterberg³

et al. 2021

CIA

View full text Add to dashboard Cite

Purpose: Does participating in a multicomponent intervention targeting caregivers change the prescription rates of psychotropic drugs of caregivers or the person with dementia (PWD) they live with and care for. Patients and Methods: Participants were 142 dyads of community-dwelling cohabiting caregivers and PWD randomized to intervention or control (care as usual). Participating caregivers received the intervention in a holiday accommodation over five days in groups of two to six dyads. During this time, caregivers attended 14 psychoeducational group sessions on relevant emotional, relational, practical, financial, and social changes related to living with PWD. These sessions were delivered by a psychologist, a physiotherapist, an occupational therapist, an elderly care physician, a dietician and a social worker and included combating social isolation, planning for the future, re-rolling, medical aspects of dementia, fitness, therapeutic use of facilities, nutrition and using community services. The design was a randomized controlled trial. Outcomes were compared 3 months after baseline. Drug use for both caregivers and PWD were reported as all psychotropic drug use and specified as antipsychotic, antidepressant, and anxiolytic and hypnotic drug use based on Anatomical Therapeutic Chemical (ATC) classifications. Results: Compared to the control group, no significant difference was observed in psychotropic drug use by 3 months after baseline among caregivers (p 0.22 MD −0.08 95% CI −0.20-0.05) or PWD (p 0.61, MD 0.04 95% −0.12-0.21) in the intervention group. Conclusion:A multicomponent course for caregivers living with PWD did not affect psychotropic drug use by either person. This may be explained by the low level of baseline drug use and the lack of the prescribing physician involvement in the present study. The low baseline drug use likely reflects selection bias for caregiver participants who were more inclined to use psychosocial interventions in preference to psychotropic medication, making them more likely to participate in caregiver training.

show abstract

Consumption of Drugs and Nonpharmacological Therapies in Caregivers of Patients with Alzheimer's Disease: A Case-Control Study in Madrid

Cited by 7 publications

References 57 publications

Insomnia Symptoms and Associated Factors in Caregivers of Adult Hospitalized Patients

Insomnia Symptoms and Associated Factors in Caregivers of Adult Hospitalized Patients

Impact of Caregiving for Dementia Patients on Healthcare Utilization of Caregivers

Effects of Caregiver Dementia Training in Caregiver–Patient Dyads on Psychotropic Drug Prescription: A Randomized Controlled Study

Contact Info

Product

Resources

About