Psychotic Events in Alzheimer's Disease: Application of the PLST Model

This study was conducted to compare the caregiver burden with regard to Alzheimer's disease (AD) and frontotemporal dementia (FTD) and to determine the factors affecting the caregiver burden of patients with AD and FTD. A comparative descriptive study design was used. The sample consisted of 90 patients with AD and 44 patients with FTD and their caregivers. Sociodemographic questionnaire, Mini-Mental State Examination (MMSE), the Caregiver Burden Inventory (CBI), Neuropsychiatric Inventory (NPI), and Functional Activities Questionnaire (FAQ) were used. Descriptive statistics, t tests, χ test, and multinominal regression were used for analysis. No difference was found with subscales and the total score of the CBI, except time dependency scale. The total NPI and FAQ scores correlated significantly, and the MMSE score did not show a significant correlation with the AD and FTD caregiver burden. The presence and frequency of neuropsychological symptoms differ among patients with FTD and AD, and different symptoms affect the caregiver burdens in both groups.

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“…It is known that deterioration in behavioral symptoms affects caregiver burden more than deterioration in cognitive states. 13,31,32…”

Section: Discussionmentioning

confidence: 99%

Examining Factors Affecting Caregiver Burden: A Comparison of Frontotemporal Dementia and Alzheimer’s Disease

Küçükgüçlü

Söylemez

Yener

et al. 2017

Am J Alzheimers Dis Other Demen

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“…Psychological events, such as delusions, illusions, and distressed states, are also considered major stressors for both the patient and caregivers, with at least half of people with dementia (PWD) experiencing these psychological events and increasing with the progression of the disease (7). Patients' psychological behaviors are hardly understandable and controllable, and their sharp edges tend to be more toward caregivers (8). A large percentage of the experiences of psychological events in patients lead to behavioral disorders and increased stress in the caregiving process (8), so many caregivers reported severe behavioral abnormalities associated with speci c psychological events during their caregiving experience (7).…”

Section: Discussionmentioning

confidence: 99%

Determining the Impacts of Educational Intervention based on PLST Extended Care on Caregiving Methods and Improved Exposure to Challenging Behaviors of People with Dementia (PWD): A mixed-methods study

Zamani‐Alavijeh

Zahed

Emami

et al. 2021

Preprint

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BackgroundPsychological events in people with dementia (PWD) lead to behavioral disorders that require targeted planning for caregivers on how to adapt to these behaviors. A progressively lowered stress threshold (PLST) model provides effective interventions for caregivers to adapt to the behaviors of people with dementia (PWD). Therefore, this study aims to determine the impacts of educational intervention based on the progressively lowered stress threshold extended (PLSTE) model on the caregiving of people with dementia (PWD) in Isfahan, Iran.MethodsThis exploratory mixed methods study was initially conducted with a qualitative approach to content analysis type from May 2016 to June 2018. Data were collected in a qualitative stage through in-depth nonstructured interviews with 29 People with Dementia (PWD)'s caregivers using the "new comment" command and then analyzed. The researcher designed a multisectional questionnaire, including demographic characteristics, knowledge measurement, and monitoring the practice of caregivers. The validity of the questionnaire was verified by a panel of experts, and its reliability was confirmed using the Cronbach alpha coefficient (knowledge section 0.838 and practice section 0.802). To adjust the intervention program, the educational content based on the PLSTE model was used for 38 caregivers available at two elderly nursing centers in Isfahan. This educational intervention was designed and managed for the first time in our community. None of the caregivers agreed to refuse to receive the educational content, So the evaluation of the program lacks a randomized controlled group. The data were collected immediately and one month after the educational intervention using a questionnaire.ResultsAccording to the results of the qualitative section of this study, the researcher was able to add a cultural and belief class and then the related intervention method to the PLST model. In the quantitative part, paired t-test indicated that the mean scores of knowledge, caregiving practice, and exposure to Challenging Behaviors (CB) in all dimensions of practice immediately and one a month after intervention were significantly higher than the mean scores before intervention (P < 0.05).ConclusionConsidering the impacts of this intervention, educating caregivers with PLST extended the care model is recommended, with a specific focus on cultural and traditional issues of society, to improve the knowledge and practice of caregivers in caregiving skills and appropriate exposure to challenging behaviors people with dementia (CBPWD).Trial registration No. IRCT20180421039370N1 -2019-01-11-http://www.irct.ir

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“…53 tarefa de cuidar; além de outros aspectos como viver sob o mesmo teto, com mesmos meios financeiros e tempo disponível, os laços afetivos, aspectos da personalidade do cuidador, relacionamento passado com a pessoa idosa, a razão e a capacidade de se doar, também afetam essa disponibilidade (Cachioni et al, 2011). A tarefa de cuidar de indivíduos com DA normalmente recai sobre os membros da família, que podem ser seus responsáveis por muitos anos (Lindsey & Buckwalter, 2009), tornando os idosos dependentes de alguma forma. Esta postura entre idosos e familiares muitas vezes se resume a uma questão de cultura, uma vez que a maioria das sociedades considera a interação entre as gerações como o esteio da sua (Fonseca & Soares, 2008 & Gaugler, 2010).…”

Section: Quem Pratica Esta Atividadeunclassified

Estresse em cuidadores de pacientes com Alzheimer: uma revisão de literatura

2014

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Universidade Federal do Rio Grande do Norte -UFRN, Natal, Rio Grande do norte, Brasil RESUMO Verifica publicações referentes à temática do estresse em cuidadores de pacientes com Alzheimer, a partir de uma análise das publicações dos anos de 2006 a abril de 2013, sendo os mais recentes em termos de publicação na área. Método: revisa sistematicamente através de buscas nas bases de dados: Scielo, Bireme, PubMed com descritor: "estresse em cuidadores de Alzheimer", escrito em inglês e Português. Resultados: encontra 32 artigos que estavam dentro dos critérios de inclusão, sendo avaliados com base em uma análise temática acerca de questões práticas da atividade, aspectos físico-patológicos e alternativas de intervenções. Dos 32 artigos, 9 se referiam a estudos da prática do cuidar; 13 tratavam dos aspectos físicos-psicopatológicos; e 9 sobre intervenção. Conclusão: conclui que o estresse nos cuidadores é um ponto que se expande em muitos outros problemas que desencadeiam comprometimentos na qualidade de vida, do ponto de vista físico, mental, psicológico e emocional. Palavras-chaves: estresse fisiológico, cuidadores, doença de Alzheimer. ABSTRACTCheck publications related to the topic of stress in caregivers of patients with Alzheimer's, from an analysis of publications from 2006 to April 2013, being the latest in terms of publication in the area. Method: A systematic review by searching the following databases Scielo, Bireme, PubMed with the descriptor: "Stress in caregivers of Alzheimer's;" written in English and Portuguese. Results: 32 articles were found and were within the inclusion criteria and were assessed based on a thematic analysis on issues of practical activity, physical and pathological aspects of alternative interventions. 9 of the 32 articles referred to the practice of care, 13 dealt about the physical-psychopathological, and 9 on interventions. Conclusion:

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Psychotic Events in Alzheimer's Disease: Application of the PLST Model

Cited by 13 publications

References 12 publications

Examining Factors Affecting Caregiver Burden: A Comparison of Frontotemporal Dementia and Alzheimer’s Disease

Examining Factors Affecting Caregiver Burden: A Comparison of Frontotemporal Dementia and Alzheimer’s Disease

Determining the Impacts of Educational Intervention based on PLST Extended Care on Caregiving Methods and Improved Exposure to Challenging Behaviors of People with Dementia (PWD): A mixed-methods study

Estresse em cuidadores de pacientes com Alzheimer: uma revisão de literatura

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