High burden and frailty: association with poor cognitive performance in older caregivers living in rural areas

Brigola, Allan Gustavo ORCID: https://orcid.org/0000-0003-0265-4940, Luchesi, Bruna Moretti, Alexandre, Tiago da Silva, Inouye, Keika, Mioshi, Eneida and Pavarini, Sofia Cristina Iost (2017) High burden and frailty: association with poor cognitive performance in older caregivers living in rural areas. Trends in Psychiatry and Psychotherapy, 39 (4). pp. 257-263. ISSN 2237-6089

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Abstract

Introduction: Older caregivers living in rural areas may be exposed to three vulnerable conditions, i.e., those related to care, their own aging, and their residence context. Objective: To analyze the association of burden and frailty with cognition performance in older caregivers in rural communities. Method: In this cross-sectional survey, 85 older caregivers who cared for dependent elders were included in this study. Global cognition (Addenbrooke's Cognitive Examination – Revised; Mini Mental State Examination), burden (Zarit Burden Interview) and frailty (Fried's frailty phenotype) were assessed. All ethical principles were observed. Results: Older caregivers were mostly women (76.7%); mean age was 69 years. Cognitive impairment was present in 15.3%, severe burden in 8.2%, frailty in 9.4%, and pre-frailty in 52.9% of the older caregivers. More severely burdened or frail caregivers had worse cognitive performance than those who were not, respectively (ANOVA test). Caregivers presenting a high burden level and some frailty degree (pre-frail or frail) simultaneously were more likely to have a reduced global cognition performance. Conclusion: A significant number of older caregivers had low cognitive performance. Actions and resources to decrease burden and physical frailty may provide better cognition and well-being, leading to an improved quality of life and quality of the care provided by the caregivers.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
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Depositing User: Pure Connector
Date Deposited: 12 Jan 2018 12:30
Last Modified: 22 Oct 2022 03:28
URI: https://ueaeprints.uea.ac.uk/id/eprint/65921
DOI: 10.1590/2237-6089-2016-0085

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