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Mental health among younger and older caregivers of dementia patients.

Abstract

AIM

Caregiver burden in dementia is an important issue, but few studies have examined the mental health of younger and older family caregivers by comparing them with age- and gender-matched community residents. We aimed to compare the mental health of dementia caregivers with that of community residents and to clarify factors related to mental health problems in younger and older caregivers.

METHODS

We studied 104 dementia caregivers; 46 were younger (<65 years) and 58 were older (≥65 years). A total of 104 community residents who were matched for age and gender were selected. We compared depression (Center for Epidemiologic Studies Depression Scale for younger participants; Geriatric Depression Scale for older participants), health-related quality of life (QOL) short-form health survey (SF-8), sleep problems, and suicidal ideation between the caregivers and community residents by age. Behavioural and psychological symptoms of dementia, activities of daily living (ADL), and instrumental ADL were assessed among patients with dementia using the Neuropsychiatric Inventory, Physical Self-Maintenance Scale, and Lawton Instrumental ADL Scale, respectively.

RESULTS

According to SF-8 results, both younger and older caregivers had significantly worse mental QOL than community residents (younger caregivers: 46.3 vs community residents: 49.7, P = 0.017; older caregivers: 48.2 vs community residents: 51.1, P = 0.024) but were not more depressive. Sleep problems were significantly more frequent in younger caregivers (39.1%) than in community residents (17.0%) (P = 0.017). Multiple regression analysis revealed that caregivers' deteriorated mental QOL was associated with patients' behavioural and psychological symptoms of dementia in younger caregivers and with dementia patients' instrumental ADL and female gender in older caregivers.

CONCLUSIONS

Dementia caregivers had a lower mental QOL than community residents. To maintain caregivers' mental QOL, it is necessary to provide younger caregivers with skills or professional interventions for dealing with behavioural and psychological symptoms of dementia, and older caregivers must be offered adequate care support.

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  • Authors+Show Affiliations

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    ,

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.

    Source

    MeSH

    Activities of Daily Living
    Adaptation, Psychological
    Aged
    Aged, 80 and over
    Caregivers
    Dementia
    Depression
    Female
    Health Status
    Humans
    Independent Living
    Japan
    Male
    Mental Health
    Middle Aged
    Psychiatric Status Rating Scales
    Quality of Life
    Regression Analysis
    Surveys and Questionnaires

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    26968528

    Citation

    Koyama, Asuka, et al. "Mental Health Among Younger and Older Caregivers of Dementia Patients." Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society, vol. 17, no. 2, 2017, pp. 108-114.
    Koyama A, Matsushita M, Hashimoto M, et al. Mental health among younger and older caregivers of dementia patients. Psychogeriatrics. 2017;17(2):108-114.
    Koyama, A., Matsushita, M., Hashimoto, M., Fujise, N., Ishikawa, T., Tanaka, H., ... Ikeda, M. (2017). Mental health among younger and older caregivers of dementia patients. Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society, 17(2), pp. 108-114. doi:10.1111/psyg.12200.
    Koyama A, et al. Mental Health Among Younger and Older Caregivers of Dementia Patients. Psychogeriatrics. 2017;17(2):108-114. PubMed PMID: 26968528.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Mental health among younger and older caregivers of dementia patients. AU - Koyama,Asuka, AU - Matsushita,Masateru, AU - Hashimoto,Mamoru, AU - Fujise,Noboru, AU - Ishikawa,Tomohisa, AU - Tanaka,Hibiki, AU - Hatada,Yutaka, AU - Miyagawa,Yusuke, AU - Hotta,Maki, AU - Ikeda,Manabu, Y1 - 2016/03/10/ PY - 2015/12/20/received PY - 2016/01/25/revised PY - 2016/02/03/accepted PY - 2016/3/13/pubmed PY - 2017/3/31/medline PY - 2016/3/13/entrez KW - activities of daily living (ADL) KW - behavioural and psychological symptoms of dementia (BPSD) KW - carers KW - depression KW - quality of life (QOL) SP - 108 EP - 114 JF - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society JO - Psychogeriatrics VL - 17 IS - 2 N2 - AIM: Caregiver burden in dementia is an important issue, but few studies have examined the mental health of younger and older family caregivers by comparing them with age- and gender-matched community residents. We aimed to compare the mental health of dementia caregivers with that of community residents and to clarify factors related to mental health problems in younger and older caregivers. METHODS: We studied 104 dementia caregivers; 46 were younger (<65 years) and 58 were older (≥65 years). A total of 104 community residents who were matched for age and gender were selected. We compared depression (Center for Epidemiologic Studies Depression Scale for younger participants; Geriatric Depression Scale for older participants), health-related quality of life (QOL) short-form health survey (SF-8), sleep problems, and suicidal ideation between the caregivers and community residents by age. Behavioural and psychological symptoms of dementia, activities of daily living (ADL), and instrumental ADL were assessed among patients with dementia using the Neuropsychiatric Inventory, Physical Self-Maintenance Scale, and Lawton Instrumental ADL Scale, respectively. RESULTS: According to SF-8 results, both younger and older caregivers had significantly worse mental QOL than community residents (younger caregivers: 46.3 vs community residents: 49.7, P = 0.017; older caregivers: 48.2 vs community residents: 51.1, P = 0.024) but were not more depressive. Sleep problems were significantly more frequent in younger caregivers (39.1%) than in community residents (17.0%) (P = 0.017). Multiple regression analysis revealed that caregivers' deteriorated mental QOL was associated with patients' behavioural and psychological symptoms of dementia in younger caregivers and with dementia patients' instrumental ADL and female gender in older caregivers. CONCLUSIONS: Dementia caregivers had a lower mental QOL than community residents. To maintain caregivers' mental QOL, it is necessary to provide younger caregivers with skills or professional interventions for dealing with behavioural and psychological symptoms of dementia, and older caregivers must be offered adequate care support. SN - 1479-8301 UR - https://www.unboundmedicine.com/medline/citation/26968528/Mental_health_among_younger_and_older_caregivers_of_dementia_patients_ L2 - https://doi.org/10.1111/psyg.12200 DB - PRIME DP - Unbound Medicine ER -