Specific agitation behaviours in dementia differentially contribute to aspects of caregiver burden.
agitation
caregiver burden
dementia
Journal
Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
ISSN: 1479-8301
Titre abrégé: Psychogeriatrics
Pays: England
ID NLM: 101230058
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
revised:
26
05
2022
received:
09
03
2022
accepted:
06
06
2022
pubmed:
20
7
2022
medline:
8
9
2022
entrez:
19
7
2022
Statut:
ppublish
Résumé
Agitation is a common symptom in dementia and linked to caregiver burden, but both agitation and burden are multidimensional constructs. The current study sought to determine whether specific presentations of agitation differentially relate to aspects of caregiver burden. Medical record data from an outpatient memory clinic were extracted for 609 persons with dementia, including caregiver-reported burden and care recipient agitation. Exploratory factor analysis yielded three domains of agitation on the Cohen Mansfield Agitation Inventory ('Physically Aggressive', 'Physically Non-Aggressive', 'Verbally Agitated') and four domains of burden on the Zarit Burden Interview ('Impact on Life', 'Guilt/Uncertainty', 'Embarrassment/Frustration', 'Overwhelm'). Regression analyses demonstrated all domains of agitation positively predicted overall burden. Regarding specific aspects of burden, Physically Aggressive behaviours predicted Embarrassment/Frustration. Physically Non-Aggressive behaviours predicted Impact on Life and Guilt/Uncertainty. Verbally Agitated behaviours predicted all burden dimensions. Results suggest specific aspects of agitation may differentially contribute to facets of caregiver burden.
Sections du résumé
BACKGROUND
BACKGROUND
Agitation is a common symptom in dementia and linked to caregiver burden, but both agitation and burden are multidimensional constructs. The current study sought to determine whether specific presentations of agitation differentially relate to aspects of caregiver burden.
METHODS
METHODS
Medical record data from an outpatient memory clinic were extracted for 609 persons with dementia, including caregiver-reported burden and care recipient agitation.
RESULTS
RESULTS
Exploratory factor analysis yielded three domains of agitation on the Cohen Mansfield Agitation Inventory ('Physically Aggressive', 'Physically Non-Aggressive', 'Verbally Agitated') and four domains of burden on the Zarit Burden Interview ('Impact on Life', 'Guilt/Uncertainty', 'Embarrassment/Frustration', 'Overwhelm'). Regression analyses demonstrated all domains of agitation positively predicted overall burden. Regarding specific aspects of burden, Physically Aggressive behaviours predicted Embarrassment/Frustration. Physically Non-Aggressive behaviours predicted Impact on Life and Guilt/Uncertainty. Verbally Agitated behaviours predicted all burden dimensions.
CONCLUSIONS
CONCLUSIONS
Results suggest specific aspects of agitation may differentially contribute to facets of caregiver burden.
Identifiants
pubmed: 35853570
doi: 10.1111/psyg.12871
pmc: PMC9544824
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
688-698Informations de copyright
© 2022 The Authors. Psychogeriatrics published by John Wiley & Sons Australia, Ltd on behalf of Japanese Psychogeriatric Society.
Références
Front Psychiatry. 2021 Aug 17;12:707580
pubmed: 34483998
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2015;22(6):755-61
pubmed: 25942388
BMC Geriatr. 2021 Jan 14;21(1):59
pubmed: 33446114
J Am Geriatr Soc. 2005 Apr;53(4):695-9
pubmed: 15817019
Front Neurol. 2021 Apr 16;12:644317
pubmed: 33935943
Gerontologist. 2001 Oct;41(5):652-7
pubmed: 11574710
Int J Geriatr Psychiatry. 2005 Mar;20(3):254-60
pubmed: 15717336
J Am Geriatr Soc. 2020 Oct;68(10):2257-2263
pubmed: 32738062
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Psychol Aging. 2009 Jun;24(2):385-96
pubmed: 19485656
Am J Geriatr Psychiatry. 2014 Mar;22(3):294-300
pubmed: 23567422
Cochrane Database Syst Rev. 2021 Jul 13;7:CD010775
pubmed: 34255351
Am J Geriatr Psychiatry. 2006 Feb;14(2):139-44
pubmed: 16473978
Curr Psychiatry Rep. 2017 Aug 10;19(9):64
pubmed: 28795386
Am J Geriatr Psychiatry. 2005 Nov;13(11):991-8
pubmed: 16286443
Acta Neurol Scand. 2007 Aug;116(2):91-5
pubmed: 17661793
J Alzheimers Dis. 2020;77(3):1107-1115
pubmed: 32804093
Int J Geriatr Psychiatry. 2007 Jul;22(7):632-8
pubmed: 17136713
Int J Geriatr Psychiatry. 2014 Mar;29(3):263-71
pubmed: 23846797
Aging Ment Health. 2010 Sep;14(7):771-8
pubmed: 20635234
Int Psychogeriatr. 2018 Nov;30(11):1671-1678
pubmed: 29562953
Int J Geriatr Psychiatry. 2020 Sep;35(9):1009-1020
pubmed: 32363605
Cochrane Database Syst Rev. 2016 Jan 13;(1):CD011145
pubmed: 26760674
Gerontologist. 1980 Dec;20(6):649-55
pubmed: 7203086
Int Psychogeriatr. 2001 Sep;13(3):325-35
pubmed: 11768379
J Psychiatr Res. 2002 Jan-Feb;36(1):19-25
pubmed: 11755457
PLoS Med. 2015 Oct 06;12(10):e1001885
pubmed: 26440803
Turk Psikiyatri Derg. 2015 Summer;26(2):116-22
pubmed: 26111287
Int J Geriatr Psychiatry. 2018 May 30;:
pubmed: 29851148
J Gerontol. 1989 May;44(3):M77-84
pubmed: 2715584
J Am Acad Nurse Pract. 2008 Aug;20(8):423-8
pubmed: 18786017
Int Psychogeriatr. 2019 Mar;31(3):437
pubmed: 30606280
Int J Geriatr Psychiatry. 1997 Oct;12(10):1008-18
pubmed: 9395933
Ther Adv Neurol Disord. 2017 Aug;10(8):297-309
pubmed: 28781611
J Prev Alzheimers Dis. 2018;5(2):98-102
pubmed: 29616702
Aging Ment Health. 2019 Dec;23(12):1629-1642
pubmed: 30450915
J Geriatr Psychiatry Neurol. 2022 Jul;35(4):594-600
pubmed: 34350782