Behaviour disturbance and other predictors of carer burden inAlzheimer's disease
R.F. Coen
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 331- 336
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| Opplysninger | Objective. To investigate predictors of carer burden in Alzheimer'sdisease (AD).Design. Two cohorts were formed, one comprising AD patients, theother comprising their primary carers. The relationship of patientand carer variables to carer burden was investigated.Setting. An urban hospital memory clinic.Participants. A convenience sample of 50 patients meeting NINCDS-ADRDA for probable AD, age range 60-87, and their primary carers, agerange 31-84.Measures. The Cambridge Cognitive Examination (CAMCOG), the Mini-Mental State Examination (MMSE), the Baumgarten et al. DementiaBehaviour Disturbance Scale, the Blessed-Roth Dementia Scale, thePersonal Self-Maintenance Scale, the Zarit Burden Interview and theVaux et al. Social Support Appraisals (SS-A) and Social SupportBehaviours (SS-B) Scales.Results. Daughters were particularly prone to burden. Neither patientcognitive nor functional status predicted burden. Behaviourdisturbance in particular, and informal support were significant, butindependent, predictors of carer burden.Conclusions. In this study increased carer burden was relatedindependently to increased levels of patient behaviour disturbanceand decreased levels of informal social support. This may haverelevance to appropriate interventions for carers. As the study wasbased on a convenience sample of memory clinic attenders, replicationin less highly selected samples is desirable. ((C) 1997 by John Wiley& Sons, Ltd.)
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