Dementia Caregiver Burden: A Research Update and Critical Analysis

Cheng, Sheung Tak (2017) Dementia Caregiver Burden: A Research Update and Critical Analysis. Current Psychiatry Reports, 19 (9). ISSN 1523-3812

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Abstract

Purpose of Review: This article provides an updated review of the determinants of caregiver burden and depression, with a focus on care demands and especially the differential effects of various neuropsychiatric symptoms or symptom clusters. Moreover, studies on caregivers for frontotemporal and Lewy body dementias were referred to in order to identify differences and similarities with the mainstream literature based largely on Alzheimer caregivers. Recent Findings: As a group, neuropsychiatric symptoms are most predictive of caregiver burden and depression regardless of dementia diagnosis, but the effects appear to be driven primarily by disruptive behaviors (e.g., agitation, aggression, disinhibition), followed by delusions and mood disturbance. Disruptive behaviors are more disturbing partly because of the adverse impact on the emotional connection between the caregiver and the care-recipient and partly because they exacerbate difficulties in other domains (e.g., caring for activities of daily living). In behavioral variant frontotemporal dementia, not only are these disruptive behaviors more prominent but they are also more disturbing due to the care-recipient’s insensitivity to others’ feelings. In Lewy body dementia, visual hallucinations also appear to be distressing. Summary: The disturbing nature of disruptive behaviors cuts across dementia conditions, but the roles played by symptoms that are unique or particularly serious in a certain condition need to be explored further.

Item Type: Article
Uncontrolled Keywords: behavioral and psychological symptoms of dementia,burden,dementia caregiving,depression,functional impairments,neuropsychiatric symptoms,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/2700/2738
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: Pure Connector
Date Deposited: 30 Aug 2017 05:08
Last Modified: 22 Apr 2020 05:27
URI: https://ueaeprints.uea.ac.uk/id/eprint/64694
DOI: 10.1007/s11920-017-0818-2

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