Caregiver Burden and Coping in Early-stage Alzheimer Disease

2012 ◽  
Vol 26 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Chiara Zucchella ◽  
Michelangelo Bartolo ◽  
Chiara Pasotti ◽  
Laura Chiapella ◽  
Elena Sinforiani
Keyword(s):  
Alzheimer Disease ◽  
Caregiver Burden ◽  
Early Stage ◽  
And Coping

scholarly journals Adapting Resources for Enhancing Alzheimer's Caregiver Health for Dementia-Capable Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 55-55
Author(s):  
Mindi Spencer ◽  
Maggi Miller ◽  
Diana Jahries ◽  
James Davis ◽  
S Melinda Spencer
Keyword(s):  
Problem Behaviors ◽  
Caregiver Burden ◽  
Care Recipient ◽  
Caregiver Training ◽  
Training Support ◽  
Caregiver Health ◽  
Dementia Patients ◽  
Post Test ◽  
And Coping ◽  
Training And Support

Abstract The overall goal of the PRISMA Health - REACH (PH-REACH) project was to reduce caregiver burden and improve caregiving skills among caregivers of community-living Alzheimer's disease and related dementia patients and, as a result, improve care and quality of life for both the patients and their caregivers. This evidence-based, person-centered program emphasizes positive aspects of caregiving and provides tools to improve stress management, caregiver self-care, and coping skills for managing problem behaviors. PH-REACH provided in-home caregiver training, support, and service referral to 126 caregivers in the Greenville area. Trained coaches delivered the program to caregivers of persons with moderate to severe dementia in its original format but later adapted it to better fit the caregivers’ needs. Analysis of pre- and post-test data showed that both the standard and adapted interventions provided benefits across multiple caregiver outcomes, including reduced caregiver burden, ability to manage disruptive behaviors of the care recipient, increased caregiver self-efficacy, reduced depression, and a slight improvement in the number of chronic health conditions. This supports and expands on previous research that has demonstrated the ability of this program to translate across different community-based and clinical settings. The tailored version of PH-REACH succeeded in assisting these caregivers, meeting them where they were in their caregiving journey, and provided measurable benefits to both their mental and physical health. Overall, this project provided evidence of the utility of the PH-REACH intervention and laid the groundwork to extend caregiver training and support to other institutions, both inside and outside the health system.

scholarly journals Analyzing the Research Evolution in Response to COVID-19

2021 ◽  
Vol 10 (4) ◽  
pp. 237
Author(s):  
Weirong Li ◽  
Kai Sun ◽  
Yunqiang Zhu ◽  
Jia Song ◽  
Jie Yang ◽  
...  
Keyword(s):  
Psychological Health ◽  
Early Stage ◽  
The United States ◽  
Growth Trend ◽  
Related Research ◽  
The United Kingdom ◽  
Control And Prevention ◽  
Cyclical Trend ◽  
And Coping ◽  
Number Of Authors

In order to understand how these studies are evolving to respond to COVID-19 and to facilitate the containment of COVID-19, this paper accurately extracted the spatial and topic information from the metadata of papers related to COVID-19 using text mining techniques, and with the extracted information, the research evolution was analyzed from the temporal, spatial, and topic perspectives. From a temporal view, in the three months after the emergence of COVID-19, the number of published papers showed an obvious growth trend, and it showed a relatively stable cyclical trend in the later period, which is basically consistent with the development of COVID-19. Spatially, most of the authors who participated in related research are concentrated in the United States, China, Italy, the United Kingdom, Spain, India, and France. At the same time, with the continuous spread of COVID-19 in the world, the distribution of the number of authors has gradually expanded, showing to be correlated with the severity of COVID-19 at a spatial scale. From the perspective of topic, the early stage of COVID-19 emergence, the related research mainly focused on the origin and gene identification of the virus. After the emergence of the pandemic, studies related to the diagnosis and analysis of psychological health, personal security, and violent conflict are added. Meanwhile, some categories are most closely related to the control and prevention of the epidemic, such as pathology analysis, diagnosis, and treatment; epidemic situation and coping strategies; and prediction and assessment of epidemic situation. In most time periods, the majority of studies focused on these three categories.

A novel biomarker to detect early-stage Alzheimer disease

2011 ◽  
Vol 7 (8) ◽  
pp. 420-420 ◽  
Author(s):  
Katy Malpass
Keyword(s):  
Alzheimer Disease ◽  
Early Stage

scholarly journals Caregiver burden and coping strategies in caregivers of older patients with stroke

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Azar Kazemi ◽  
Jalil Azimian ◽  
Maryam Mafi ◽  
Kelly-Ann Allen ◽  
Seyedeh Ameneh Motalebi
Keyword(s):  
Coping Strategies ◽  
Caregiver Burden ◽  
Older Patients ◽  
Coping Skills ◽  
Well Being ◽  
Positive Reappraisal ◽  
Burden Of Care ◽  
Stroke Patients ◽  
Psychological Burden ◽  
And Coping

Abstract Background Coping strategies play a key role in modulating the physical and psychological burden on caregivers of stroke patients. The present study aimed to determine the relationship between the severity of burden of care and coping strategies amongst a sample of Iranian caregivers of older stroke patients. It also aimed to examine the differences of coping strategies used by male and female caregivers. Methods A total of 110 caregivers of older patients who previously had a stroke participated in this descriptive and cross-sectional study. The Zarit Burden Interview and Lazarus coping strategies questionnaires were used for data collection. Questionnaires were completed by the caregivers, who were selected using convenience sampling. The collected data were analyzed using Pearson's correlations and independent t-tests. Results The mean age of participants was 32.09 ± 8.70 years. The majority of the caregivers sampled reported mild to moderate (n = 74, 67.3%) burden. The most commonly used coping strategies reported were positive reappraisal and seeking social support. Results of the independent t-test showed that male caregivers used the positive reappraisal strategy (t(110) = 2.76; p = 0.007) and accepting responsibility (t(110) = 2.26; p = 0.026) significantly more than female caregivers. Pearson’s correlations showed a significant positive correlation between caregiver burden and emotional-focused strategies, including escaping (r = 0.245, p = 0.010) and distancing (r = 0.204, p = 0.032). Conclusions Caregivers with higher burden of care used more negative coping strategies, such as escape-avoidance and distancing. In order to encourage caregivers to utilize effective coping skills, appropriate programs should be designed and implemented to support caregivers. Use of effective coping skills to reduce the level of personal burden can improve caregiver physical health and psychological well-being.

The Impact of Dementia Severity on Caregiver Burden in Frontotemporal Dementia and Alzheimer Disease

2013 ◽  
Vol 27 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Eneida Mioshi ◽  
David Foxe ◽  
Felicity Leslie ◽  
Sharon Savage ◽  
Sharpley Hsieh ◽  
...  
Keyword(s):  
Alzheimer Disease ◽  
Frontotemporal Dementia ◽  
Caregiver Burden ◽  
Dementia Severity ◽  
The Impact

scholarly journals Mitochondrial DNA mutations increase in early stage Alzheimer disease and are inconsistent with oxidative damage

2016 ◽  
Vol 80 (2) ◽  
pp. 301-306 ◽  
Author(s):  
Jake G. Hoekstra ◽  
Michael J. Hipp ◽  
Thomas J. Montine ◽  
Scott R. Kennedy
Keyword(s):  
Mitochondrial Dna ◽  
Alzheimer Disease ◽  
Oxidative Damage ◽  
Early Stage ◽  
Mitochondrial Dna Mutations ◽  
Dna Mutations

The Personal Functioning of Pastors: A Review of Empirical Research with Implications for the Care of Pastors

1997 ◽  
Vol 25 (2) ◽  
pp. 240-253 ◽  
Author(s):  
Todd W. Hall
Keyword(s):  
Present Article ◽  
Empirical Research ◽  
Early Stage ◽  
Well Being ◽  
Stress And Coping ◽  
Future Research ◽  
Spiritual Functioning ◽  
Divorce Adjustment ◽  
Personal Functioning ◽  
And Coping

The present article surveys the available empirical research on the personal (psychological/spiritual) functioning of pastors. The literature is divided into six major areas: emotional well-being, stress and coping, marital/divorce adjustment, family adjustment, burnout, and impairment. The research in each area is critically reviewed and summarized, and directions for future research are suggested. The primary conclusion is that interpersonal/relational deficits are associated with the vast majority of psychological problems faced by pastors, and thus need to be addressed, particularly at an early stage of the pastor's career.

scholarly journals Association of epileptiform abnormalities and seizures in Alzheimer disease

Neurology ◽  
2020 ◽  
Vol 95 (16) ◽  
pp. e2259-e2270 ◽  
Author(s):  
Alice D. Lam ◽  
Rani A. Sarkis ◽  
Kyle R. Pellerin ◽  
Jin Jing ◽  
Barbara A. Dworetzky ◽  
...  
Keyword(s):  
Alzheimer Disease ◽  
Late Onset ◽  
Early Stage ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Cognitively Normal ◽  
Scalp Eeg ◽  
Epileptiform Discharges ◽  
Potential Biomarker ◽  
The Relationship

ObjectiveTo examine the relationship between scalp EEG biomarkers of hyperexcitability in Alzheimer disease (AD) and to determine how these electric biomarkers relate to the clinical expression of seizures in AD.MethodsIn this cross-sectional study, we performed 24-hour ambulatory scalp EEGs on 43 cognitively normal elderly healthy controls (HC), 41 participants with early-stage AD with no history or risk factors for epilepsy (AD-NoEp), and 15 participants with early-stage AD with late-onset epilepsy related to AD (AD-Ep). Two epileptologists blinded to diagnosis visually reviewed all EEGs and annotated all potential epileptiform abnormalities. A panel of 9 epileptologists blinded to diagnosis was then surveyed to generate a consensus interpretation of epileptiform abnormalities in each EEG.ResultsEpileptiform abnormalities were seen in 53% of AD-Ep, 22% of AD-NoEp, and 4.7% of HC. Specific features of epileptiform discharges, including high frequency, robust morphology, right temporal location, and occurrence during wakefulness and REM, were associated with clinical seizures in AD. Multiple EEG biomarkers concordantly demonstrated a pattern of left temporal lobe hyperexcitability in early stages of AD, whereas clinical seizures in AD were often associated with bitemporal hyperexcitability. Frequent small sharp spikes were specifically associated with epileptiform EEGs and thus identified as a potential biomarker of hyperexcitability in AD.ConclusionEpileptiform abnormalities are common in AD but not all equivalent. Specific features of epileptiform discharges are associated with clinical seizures in AD. Given the difficulty recognizing clinical seizures in AD, these EEG features could provide guidance on which patients with AD are at high risk for clinical seizures.

Effects of Inappropriate Sexual Behaviors and Neuropsychiatric Symptoms of Patients With Alzheimer Disease and Caregivers’ Depression on Caregiver Burden

2019 ◽  
Vol 33 (5) ◽  
pp. 243-249 ◽  
Author(s):  
Faik Ilik ◽  
Hüseyin Büyükgöl ◽  
Fatih Kayhan ◽  
Devrimsel Harika Ertem ◽  
Timur Ekiz
Keyword(s):  
Alzheimer Disease ◽  
Caregiver Burden ◽  
Sexual Behaviors ◽  
Rating Scale ◽  
Neuropsychiatric Symptoms ◽  
Clinical Dementia Rating ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Prevalence Of Depression ◽  
State Examination

Objective: We investigated the effects of inappropriate sexual behaviors (ISBs) and neuropsychiatric symptoms (NPSs) of patients with Alzheimer disease (AD), and of caregivers’ depression, on the caregiver burden. Method: One hundred forty three patients with AD and their caregivers were included in the study. Sixty-five patients without AD who needed care due to their disability and their caregivers were enrolled for the comparison. Depression in caregivers was diagnosed using The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (SCID-I). The Mini-Mental State Examination (MMSE) and Clinical Dementia Rating Scale were used to evaluate the severity of AD. The Neuropsychiatric Inventory (NPI) was used to assess the NPSs of patients. Caregiver burden was evaluated using the Zarit Burden Interview (ZBI). Results: Inappropriate sexual behaviors were found in 13 (9.1%) of the AD group. Inappropriate sexual behaviors were more common in moderate or severe AD ( P = .009, χ2 = 9.396). The prevalence of depression (n = 38, 26.6%) was higher in caregivers of AD group with ISBs ( P = .000, χ2 = 24.69). The ZBI scores of caregivers of patients with AD were higher than the comparison group. In addition, the ZBI scores of caregivers of patients with AD were significantly higher in the AD group with ISB, a high total score of NPI, and a low score of MMSE. The caregivers of AD group with depression had higher ZBI scores ( P < .05). Conclusions: The severity of AD, the presence of NPSs in patients, and major depression in caregivers were risk factors for an increased caregiver burden.

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