Prevalence of stress, anxiety and depression in with Alzheimer caregivers

Ferrara, Maria; Langiano, Elisa; Brango, Tommasina Di; Cioccio, Luigi Di; Bauco, C.; Vito, Elisabetta De

doi:10.1186/1477-7525-6-93

Cited by 148 publications

(149 citation statements)

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“…Anxiety, mood swings, stress, a lack of preparation for coping with the demands of patients, and feelings of anger, fear, guilt, and loneliness are all common complaints among informal caregivers. [1][2][3][4][5][6] The burden on caregivers may be understood as the need for work and adjustment experienced by a family with a chronic patient as one of its members. Family burden is a multidimensional event that includes constant care for the patient, financial worries, and coping with the disruption of the family routine and changes in family member roles.…”

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confidence: 99%

Patients on the waiting list for liver transplantation: Caregiver burden and stress

et al. 2010

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Over the last few decades, informal caregivers of patients with chronic diseases have received more attention, and there is a growing volume of studies demonstrating high rates of burden, stress, and mental disorders in this group of individuals. The objective of this study was to evaluate the burden, stress, and psychosocial characteristics of informal caregivers of liver transplantation candidates. Participants were assessed by individual evaluations with the following instruments: a semistructured interview, the Caregiver Burden Scale, the Inventá rio de Sintomas de Stress para Adultos de Lipp, and the Beck Depression Inventory. The Mann-Whitney test was used for statistical analysis with a significance level of 0.05. The characteristics of the study group (n ¼ 61) were similar to those of groups in other studies with respect to gender (82% were women), kinship (64% were spouses), and age (the mean age was 47.6 years). The main stressors identified by the participants were as follows: doubts about ways to react in a crisis or in emergency situations (42.6%), mood swings of the patient (29.5%), and care involving food and medications (27.9%). Approximately 25% of the caregivers reported that they felt unprepared to adequately perform their roles. Data analysis indicated a greater burden overall on caregivers when the patient's Model for End-Stage Liver Disease score was greater than or equal to 15 points (P ¼ 0.041). Furthermore, caregivers of patients with alcoholic liver disease showed higher depression (P ¼ 0.034) and overall burden scores (P ¼ 0.031) versus caregivers of patients with liver disease due to other etiologies. In conclusion, the participants showed significantly high levels of burden, stress, and depression. Support measures and caregiver preparation should be implemented by health care providers. A loss of health can be seen as a crisis situation, with effects extending to the relatives of patients and affecting their quality of life. Studies have warned of the high incidence of mental disorders among caregivers of the chronically sick. Anxiety, mood swings, stress, a lack of preparation for coping with the demands of patients, and feelings of anger, fear, guilt, and loneliness are all common complaints among informal caregivers.

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Patients on the waiting list for liver transplantation: Caregiver burden and stress

et al. 2010

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“…In this study, the majority of caregivers was the unemployed sons/daughters of patients who did not have a job but had a high level of education. The involvement of sons/daughters as caregivers and their advanced age (a mean of 48 years-old) have also been observed in other national and international studies 7,15,17 .…”

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confidence: 59%

“…Caregivers of elderly patients with dementia have a poor quality of life and are more likely to have insomnia and depression, as well as more severe health conditions 7,8,18 . Their symptoms depend on the severity of the patient's dementia 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Their symptoms depend on the severity of the patient's dementia 7 . It was not an objective of the present study to evaluate the presence of insomnia or depression in caregivers.…”

Section: Discussionmentioning

confidence: 99%

“…There is a large number of publications that describe the burden of caregivers of patients with dementia 6 . They have a poor quality of life, and show symptoms of anxiety, depression, insomnia, and stress 7,8 . As a consequence, the caregivers of elderly people with dementia are more susceptible to the use of psychotropic medications than other groups of people of the same age.…”

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Use of psychotropic medications by caregivers of elderly patients with dementia: is this a sign of caregiver burden?

Camargos¹,

Souza²,

Nascimento³

et al. 2012

Arq. Neuro-Psiquiatr.

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This study evaluated the consumption of psychotropic medications by caregivers of elderly patients with or without dementia. This was a cross-sectional study conducted at all geriatric units in Brasília, Brazil, during a two-month period. Structured interviews were performed with 311 caregivers of people with or without dementia and they completed questionnaires. Among the caregivers, 196 (63%) were caregivers of patients with dementia and 115 (37%) were caregivers of patients without dementia. Forty-four caregivers (14.1%) were taking psychotropic drugs (benzodiazepines or antidepressants), and this usage was more frequent among caregivers of patients with dementia (p<0.01). Twenty-two caregivers of patients with dementia (11.4%) had used sleeping pills after beginning care, compared with only five (4.3%) caregivers of patients without dementia (p<0.01). In conclusion, this study found that caregivers of patients with dementia took psychotropic drugs (benzodiazepines and antidepressants) more frequently than the ones of patients without dementia.

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Caregiver-Centered Care

Rosenthal

2014

JAMA

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Prevalence of stress, anxiety and depression in with Alzheimer caregivers

Abstract: Background: Alzheimer's disease presents a social and public health problem affecting millions of Italians. Those affected receive home care from caregivers, subjected to risk of stress.

Cited by 148 publications

References 14 publications

Patients on the waiting list for liver transplantation: Caregiver burden and stress

Patients on the waiting list for liver transplantation: Caregiver burden and stress

Use of psychotropic medications by caregivers of elderly patients with dementia: is this a sign of caregiver burden?

Caregiver-Centered Care

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