Journal List > J Korean Med Assoc > v.53(11) > 1042344

Kim and Son: Caregiver management of psychiatric disorders of the elderly in dementia

Abstract

Dementia caregivers suffer a considerable care burden. They are confronted with a high rate of economic burden, psychological morbidity, social isolation, physical ill-health and financial hardship. Although many researchers have tried to determine the influence of the stressors in dementia caregiving on caregivers, the results remain inconclusive. However, many kinds of psychosocial interventions have been demonstrated to reduce caregivers'psychological symptoms and delay nursing home admission. Caregiver characteristics rather than objective care needs tend to be responsible for a caregiver's psychological symptoms. Future research should focus on individualizing treatment approach and developing partnerships with health professionals as well as disseminating general information about dementia caregiving.

References

1. Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, Hall K, Hasegawa K, Hendrie H, Huang Y, Jorm A, Mathers C, Menezes PR, Rimmer E, Scazufca M. Alzheimer's Disease International. Global prevalence of dementia: a Delphi consensus study. Lancet. 2005. 366:2112–2117.
crossref
2. Cho MJ. The prevalence and risk factors of dementia in the Korean elderly. Health Welf Policy Forum. 2009. (156):43–48.
3. Wimo A, Jonsson L, Winblad B. An estimate of the worldwide prevalence and direct costs of dementia in 2003. Dement Geriatr Cogn Disord. 2006. 21:175–181.
crossref
4. Cooper C, Balamurali TB, Livingston G. A systematic review of the prevalence and covariates of anxiety in caregivers of people with dementia. Int Psychogeriatr. 2007. 19:175–195.
crossref
5. Prince M. 10/66 Dementia Research Group. Care arrangements for people with dementia in developing countries. Int J Geriatr Psychiatry. 2004. 19:170–177.
crossref
6. Alzheimer's Association and National Alliance for Caregiving. Familes care: Alzheimer's caregiving in the United States 2004. 2004. Chicago: Alzheimer's Association and National Alliance for Caregiving.
7. Lealand J. More men take the lead role in caring for elderly parents. 2008. 11. 29. New York Times.
8. Pyke KD, Bengston VL. Caring more or less: individualistic and collectivist systems of family eldercare. J Marriage Fam. 1996. 58:379–392.
crossref
9. Cohen CA, Colantonio A, Vernich L. Positive aspects of caregiving: rounding out the caregiver experience. Int J Geriatr Psychiatry. 2002. 17:184–188.
crossref
10. Sanders S. Is the glass half empty or full? Reflections on strain and gain in cargivers of individuals with Alzheimer's disease. Soc Work Health Care. 2005. 40:57–73.
11. Haley WE, Roth DL, Coleton MI, Ford GR, West CA, Collins RP, Isobe TL. Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with Alzheimer's disease. J Consult Clin Psychol. 1996. 64:121–129.
crossref
12. Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues Clin Neurosci. 2009. 11:217–228.
crossref
13. Gonzalez-Salvador MT, Arango C, Lyketsos CG, Barba AC. The stress and psychological morbidity of the Alzheimer patient caregiver. Int J Geriatr Psychiatry. 1999. 14:701–710.
crossref
14. Alzheimer's Association. Alzheimer's disease facts and figures. 2007. Chicago: Alzheimer's Association.
15. Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry. 2004. 12:240–249.
crossref
16. Pearlin LI, Mullan JT, Semple SJ, Skaff MM. Caregiving and the stress process: an overview of concepts and their measures. Gerontologist. 1990. 30:583–594.
crossref
17. Campbell P, Wright J, Oyebode J, Job D, Crome P, Bentham P, Jones L, Lendon C. Determinants of burden in those who care for someone with dementia. Int J Geriatr Psychiatry. 2008. 23:1078–1085.
crossref
18. Cooper C, Katona C, Orrell M, Livingston G. Coping strategies and anxiety in caregivers of people with Alzheimer's disease: the LASER-AD study. J Affect Disord. 2006. 90:15–20.
crossref
19. Gaugler JE, Roth DL, Haley WE, Mittelman MS. Can counseling and support reduce burden and depressive symptoms in caregivers of people with Alzheimer's disease during the transition to institutionalization? Results from the New York University caregiver intervention study. J Am Geriatr Soc. 2008. 56:421–428.
crossref
20. Clare L, Wilson BA, Carter G, Breen K, Berrios GE, Hodges JR. Depression and anxiety in memory clinic attenders and their carers: implications for evaluating the effectiveness of cognitive rehabilitation interventions. Int J Geriatr Psychiatry. 2002. 17:962–967.
crossref
21. Pinquart M, Sorensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging. 2003. 18:250–267.
crossref
22. Schulz R, O'Brien AT, Bookwala J, Fleissner K. Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. Gerontologist. 1995. 35:771–791.
crossref
23. Brodaty H, Hadzi-Pavlovic D. Psychosocial effects on carers of living with persons with dementia. Aust N Z J Psychiatry. 1990. 24:351–361.
crossref
24. Lowery K, Mynt P, Aisbett J, Dixon T, O'Brien J, Ballard C. Depression in the carers of dementia sufferers: a comparison of the carers of patients suffering from dementia with Lewy bodies and the carers of patients with Alzheimer's disease. J Affect Disord. 2000. 59:61–65.
crossref
25. Baumgarten M, Battista RN, Infante-Rivard C, Hanley JA, Becker R, Gauthierγ S. The psychological and physical health of family members caring for an elderly person with dementia. J Clin Epidemiol. 1992. 45:61–70.
crossref
26. Riedijk SR, De Vugt ME, Duivenvoorden HJ, Niermeijer MF, Van Swieten JC, Verhey FR, Tibben A. Caregiver burden, health-related quality of life and coping in dementia caregivers: a comparison of frontotemporal dementia and Alzheimer's disease. Dement Geriatr Cogn Disord. 2006. 22:405–412.
crossref
27. Livingston G, Mahoney R, Regan C, Katona C. The Caregivers for Alzheimer's disease Problems Scale (CAPS): development of a new scale within the LASER-AD study. Age Ageing. 2005. 34:287–290.
crossref
28. Pruchno RA, Michaels JE, Potashnik SL. Predictors of institutionalization among Alzheimer disease victims with caregiving spouses. J Gerontol. 1990. 45:S259–S266.
crossref
29. Schulz R, Belle SH, Czaja SJ, McGinnis KA, Stevens A, Zhang S. Long-term care placement of dementia patients and caregiver health and well-being. JAMA. 2004. 292:961–967.
crossref
30. Brodaty H, Green A, Koschera A. Meta-analysis of psychosocial interventions for caregivers of people with dementia. J Am Geriatr Soc. 2003. 51:657–664.
crossref
31. Selwood A, Johnston K, Katona C, Lyketsos C, Livingston G. Systematic review of the effect of psychological interventions on family caregivers of people with dementia. J Affect Disord. 2007. 101:75–89.
crossref
32. Mittelman MS, Brodaty H, Wallen AS, Burns A. A three-country randomized controlled trial of a psychosocial intervention for caregivers combined with pharmacological treatment for patients with Alzheimer disease: effects on caregiver depression. Am J Geriatr Psychiatry. 2008. 16:893–904.
crossref
33. Pinquart M, Sorensen S. Helping caregivers of persons with dementia: which interventions work and how large are their effects? Int Psychogeriatr. 2006. 18:577–595.
crossref
34. Teri L, McCurry SM, Logsdon R, Gibbons LE. Training community consultants to help family members improve dementia care: a randomized controlled trial. Gerontologist. 2005. 45:802–811.
crossref
35. Belle SH, Burgio L, Burns R, Coon D, Czaja SJ, Gallagher-Thompson D, Gitlin LN, Klinger J, Koepke KM, Lee CC, Martindale-Adams J, Nichols L, Schulz R, Stahl S, Stevens A, Winter L, Zhang S. Resources for Enhancing Alzheimer's Caregiver Health (REACH) II Investigators. Enhancing the quality of life of dementia caregivers from different ethnic or racial groups: a randomized, controlled trial. Ann Intern Med. 2006. 145:727–738.
crossref
36. Brodaty H, Gresham M. Effect of a training programme to reduce stress in carers of patients with dementia. BMJ. 1989. 299:1375–1379.
crossref
37. Mittelman MS, Haley WE, Clay OJ, Roth DL. Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology. 2006. 67:1592–1599.
crossref
38. Eisdorfer C, Czaja SJ, Loewenstein DA, Rubert MP, Arguelles S, Mitrani VB, Szapocznik J. The effect of a family therapy and technology-based intervention on caregiver depression. Gerontologist. 2003. 43:521–531.
crossref
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