Patient and Caregiver Perspectives of Quality of Life in Dementia

Dementia and Geriatric Cognitive Disorders - Tập 26 Số 2 - Trang 138-146 - 2008
Catherine S. Hurt1, S. Bhattacharyya2, Alistair Burns2, Vincent Camus3, Rosa Liperoti4, Anna Marriott5, Flavio Nobili6, Philippe Robert7, Magda Tsolaki8, Bruno Vellas9, Frans R.J. Verhey10, E. Jane Byrne2
1King's College London Institute of Psychiatry, London
2Division of Psychiatry, University of Manchester, Manchester, and
3Clinique Psychiatrique Universitaire, Centre Hospitalier Régional Universitaire, Tours,
4Centro Medicina dell’Invecchiamento, Università Cattolica del Sacro Cuore, Rome, and
5Kingshill Research Centre, Victoria Hospital, Swindon, UK
6Clinical Neurophysiology Service, Department of Internal Medicine, University of Genoa, Genoa, Italy
7Centre Mémoire de Ressources et de Recherche au CHU, Université de Nice Sophia-Antipolis, Nice, and
8Memory and Dementia Centre, Aristotle University of Thessaloniki, Thessaloniki, Greece
9Centre Mémoire de Ressources et de Recherche de Toulouse, Toulouse, France
10University Hospital of Maastricht, Alzheimer Centre Limburg, Limburg, The Netherlands

Tóm tắt

<i>Background/Aims:</i> Behavioural and psychological symptoms have a high prevalence amongst patients with dementia and can be a significant source of distress to both patients and carers. The present study explored the relationships between quality of life and behavioural and psychological symptoms in dementia (BPSD) from both patient and carer perspectives. Contextual factors surrounding the occurrence of BPSD were explored. <i>Methods:</i> Forty-six patients and 116 carers completed questionnaire measures of BPSD and quality of life. <i>Results:</i> BPSD were negatively associated with both patient and carer ratings of patient quality of life. The symptoms related to lower quality of life differed between patient and carer ratings: depression and irritability were found to predict lower carer ratings of quality of life, whilst delusions and apathy indicated lower patient ratings. Carers were found to be poor at identifying antecedents and consequences of BPSD. <i>Conclusions:</i> The presence of BPSD is associated with lower quality of life in dementia. Interventions designed to improve the quality of life for patients should focus on the BPSD specifically associated with the patient’s rating of quality of life. Information regarding the role of contextual factors in behaviour management should be made available to carers.

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Thông tin xuất bản

Dementia and Geriatric Cognitive Disorders

Tập 26 Số 2

138-146

Thông tin tác giả