The Functional Ability of MCI and Alzheimer's Patients Predicts Caregiver Burden.

IF 0.8 Q4 PSYCHOLOGY, DEVELOPMENTAL GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry Pub Date : 2019-03-01 Epub Date: 2019-03-05 DOI:10.1024/1662-9647/a000200

Jose Lara-Ruiz, Kaitlyn Kauzor, Marina Nakhala, Dayana Banuelos, Ellen Woo, Liana G Apostolova, Jill Razani

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Abstract

Sixty patients and their caregivers participated in this study. Patients completed activities of daily living tasks and several neuropsychological tests assessing memory, abstract reasoning, and language. Caregivers completed self-report measures assessing caregiver burden and psychological distress. Results revealed that the mAD caregivers endorsed greater physical burden and feelings of missing out on life compared to MCI caregivers. The mAD caregivers indicated greater depression and anxiety relative to MCI caregivers. Stepwise regression found that fewer patient neuropsychological scores predicted caregiver burden, as compared to patients' daily functioning. Overall, mAD displayed more severe types of burden and psychological distress relative to MCI caregivers and patients' daily functional abilities better predicated caregivers' burden and psychological distress than patients' neuropsychological functioning.

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MCI和阿尔茨海默病患者的功能能力预测照顾者负担

研究表明，痴呆症患者的照顾者会经历负担和心理困扰，但不清楚那些不符合痴呆症诊断的认知障碍患者的照顾者是否也会经历类似的负担和心理问题。60名病人和他们的照顾者参加了这项研究，旨在检查照顾者的负担。患者完成了日常生活任务和一些评估记忆、抽象推理和语言的神经心理学测试。照顾者完成自我报告测量，评估照顾者负担和心理困扰。结果显示，与轻度认知障碍(MCI)照顾者相比，轻度阿尔茨海默病(mAD)患者的照顾者报告了更大的身体负担和错失生活的感觉。与MCI护理者相比，mAD护理者表现出更大的抑郁和焦虑。逐步回归发现，患者神经心理评分对护理者负担的预测比患者的日常功能更差。本研究的结论表明:(1)mAD患者的照顾者可能比MCI患者的照顾者经历更严重的负担类型和心理困扰;(2)患者的日常功能能力比患者的神经心理功能更能预测照顾者的负担和心理困扰。研究结果表明，早期痴呆症患者的护理人员，即使是尚未达到诊断的患者，也会经历心理症状和负担，并且这些护理人员的经历可以通过患者的日常功能能力而不是患者的神经心理测试分数来最好地预测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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