Depression, anxiety, burden and coping mechanisms in the family caregivers of Alzheimer's dementia patients in a turkish sample

2014 ◽  
Vol 22 (3) ◽  
pp. S124
Author(s):  
Ozlem Erden Aki ◽  
Yildiz Kaya ◽  
Sedat Isikli ◽  
Seda Kibaroglu ◽  
Eda Derle Ciftci ◽  
...  
2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1095-1095
Author(s):  
Y. Matsui ◽  
R. Fujita ◽  
A. Harada ◽  
T. Sakurai ◽  
T. Nemoto ◽  
...  

1993 ◽  
Vol 2 (2) ◽  
pp. 160-175 ◽  
Author(s):  
Mary Lucero ◽  
Sally Hutchinson ◽  
Sue Leger-Krall ◽  
Holly Skodol Wilson

2021 ◽  
Vol 3 ◽  
Author(s):  
Amit Meghanani ◽  
C. S. Anoop ◽  
Angarai Ganesan Ramakrishnan

Alzheimer’s dementia (AD) is a type of neurodegenerative disease that is associated with a decline in memory. However, speech and language impairments are also common in Alzheimer’s dementia patients. This work is an extension of our previous work, where we had used spontaneous speech for Alzheimer’s dementia recognition employing log-Mel spectrogram and Mel-frequency cepstral coefficients (MFCC) as inputs to deep neural networks (DNN). In this work, we explore the transcriptions of spontaneous speech for dementia recognition and compare the results with several baseline results. We explore two models for dementia recognition: 1) fastText and 2) convolutional neural network (CNN) with a single convolutional layer, to capture the n-gram-based linguistic information from the input sentence. The fastText model uses a bag of bigrams and trigrams along with the input text to capture the local word orderings. In the CNN-based model, we try to capture different n-grams (we use n = 2, 3, 4, 5) present in the text by adapting the kernel sizes to n. In both fastText and CNN architectures, the word embeddings are initialized using pretrained GloVe vectors. We use bagging of 21 models in each of these architectures to arrive at the final model using which the performance on the test data is assessed. The best accuracies achieved with CNN and fastText models on the text data are 79.16 and 83.33%, respectively. The best root mean square errors (RMSE) on the prediction of mini-mental state examination (MMSE) score are 4.38 and 4.28 for CNN and fastText, respectively. The results suggest that the n-gram-based features are worth pursuing, for the task of AD detection. fastText models have competitive results when compared to several baseline methods. Also, fastText models are shallow in nature and have the advantage of being faster in training and evaluation, by several orders of magnitude, compared to deep models.


2012 ◽  
Vol 2 (5) ◽  
pp. 115-118
Author(s):  
C. Brock Woodis ◽  
David Fuentes ◽  
Lorraine Sease

Clinicians frequently encounter the use of antipsychotic medications in elderly patients with Alzheimer's dementia (AD). The use of these agents may be a concern since they are not approved by the Food and Drug Administration (FDA) for the treatment of AD and have been shown to increase mortality in the elderly population. This case report focuses on the gradual de-escalation of antipsychotic medications in an 80 year-old female with AD residing in an assisted living facility who was prescribed three antipsychotic medications to help manage behavioral and psychotic symptoms consistent with progressing AD. Following a request by the assisted living facility, a local family medicine practice assessed the resident's treatment regimen. A collaborative consultation between the family medicine practice's clinical pharmacist, the family medicine physician, and the health care providers at the assisted living facility resulted in the decision to gradually discontinue each antipsychotic agent at subsequent facility visits by the family medicine team.


2008 ◽  
Vol 29 (10) ◽  
pp. 1474-1484 ◽  
Author(s):  
Úrsula Muñoz ◽  
Fernando Bartolomé ◽  
Félix Bermejo ◽  
Ángeles Martín-Requero

2019 ◽  
Vol 7 (1) ◽  
pp. 674-684
Author(s):  
Idauli Simbolon ◽  
Christine Sacha ◽  
Evelyn Hemme ◽  
Sapti Heru Widyarti

Introduction: Previous phenomenological studies explain that family member faced many consequences in caring for family members with Alzheimer’s Dementia at home. The consequences are in the form of the impact of financial, social and psychological pressure. Considering such consequences, families especially in Eastern cultures will continue to care for their elderly at home for reasons of compassion or retribution toward parents even though they feel frustrated and burdened. The purpose of this study is to describe the life experience of Seventh-day Adventist church member in caring for their parent who suffer from Alzheimer’s Dementia. Method: This qualitative study is using phenomenological design. There are 3 participants are selected who are fit with the inclusion criterions: immediate family member, seventh-day Adventist church member, live together with their Alzheimer’s Dementia parent who suffer at least 2 years of dementia, and agree to sign inform consent after the full explanation of the study. Data are gathered using semi structured face to face interview in participant’s home setting. Data than transcribed in to world document and analysed using Cresswel step by step content analysis. Result: There are five negative categories of family member experiences in taking care of their Alzheimer’s Dementia parent: 1) physical abuse, 2) psychological abuse, 3) social limitation, 4) spiritual distress, and 5) knowledge deficit. It also found that there are several coping mechanism or adaptation made by family member in caring their Alzheimer Dementia parent: 1) family members are motivated to learn more about Alzheimer Dementia, 2) spiritual growth that they pray more often and surrendered to God, 3) increase understanding toward elderly. Discussion:  Based on the result of the study, all the informants experienced pressures in all holistic aspects of life. If they are not able to cope with the pressure, illness may be arrived and made the family situation become worse. Therefore, professional health care must provide support to the family who take care of their Alzheimer Dementia family, Introduction: Previous phenomenological studies explain that family member faced many consequences in caring for family members with Alzheimer’s Dementia at home. The consequences are in the form of the impact of financial, social and psychological pressure. Considering such consequences, families especially in Eastern cultures will continue to care for their elderly at home for reasons of compassion or retribution toward parents even though they feel frustrated and burdened. The purpose of this study is to describe the life experience of Seventh-day Adventist church member in caring for their parent who suffer from Alzheimer’s Dementia. Method: This qualitative study is using phenomenological design. There are 3 participants are selected who are fit with the inclusion criterions: immediate family member, seventh-day Adventist church member, live together with their Alzheimer’s Dementia parent who suffer at least 2 years of dementia, and agree to sign inform consent after the full explanation of the study. Data are gathered using semi structured face to face interview in participant’s home setting. Data than transcribed in to world document and analysed using Cresswel step by step content analysis. Result: There are five negative categories of family member experiences in taking care of their Alzheimer’s Dementia parent: 1) physical abuse, 2) psychological abuse, 3) social limitation, 4) spiritual distress, and 5) knowledge deficit. It also found that there are several coping mechanism or adaptation made by family member in caring their Alzheimer Dementia parent: 1) family members are motivated to learn more about Alzheimer Dementia, 2) spiritual growth that they pray more often and surrendered to God, 3) increase understanding toward elderly. Discussion:  Based on the result of the study, all the informants experienced pressures in all holistic aspects of life. If they are not able to cope with the pressure, illness may be arrived and made the family situation become worse. Therefore, professional health care must provide support to the family who take care of their Alzheimer Dementia family,


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