dc.contributor |
Universitat de Barcelona |
dc.contributor.author |
Conde Sala, Josep Lluís |
dc.contributor.author |
Reñé Ramírez, Ramon |
dc.contributor.author |
Turró-Garriga, Oriol |
dc.contributor.author |
Gascón-Bayarri, Jordi |
dc.contributor.author |
Juncadella i Puig, Montserrat |
dc.contributor.author |
Moreno-Cordón, Laura |
dc.contributor.author |
Viñas-Diez, Vanesa |
dc.contributor.author |
Vilalta-Franch, Joan |
dc.contributor.author |
Garre Olmo, Josep |
dc.date |
2014-10-24T11:27:15Z |
dc.date |
2014-10-24T11:27:15Z |
dc.date |
2013-03-20 |
dc.date |
2014-10-24T11:27:15Z |
dc.identifier.citation |
0891-9887 |
dc.identifier.citation |
619911 |
dc.identifier.uri |
http://hdl.handle.net/2445/59011 |
dc.format |
11 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
Sage Publications |
dc.relation |
Versió postprint del document publicat a: DOI: 10.1177/0891988713481266 |
dc.relation |
Journal of Geriatric Psychiatry and Neurology, 2013, vol. 26, num. 2, p. 86-94 |
dc.relation |
http://dx.doi.org/10.1177/0891988713481266 |
dc.rights |
(c) Conde-Sala, JL et al., 2013 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Malaltia d'Alzheimer |
dc.subject |
Cuidadors |
dc.subject |
Qualitat de vida |
dc.subject |
Alzheimer's disease |
dc.subject |
Caregivers |
dc.subject |
Quality of life |
dc.title |
Factors associated with the variability in caregiver assessments of the capacities of the patients with Alzheimer"s disease |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/acceptedVersion |
dc.description.abstract |
Abstract Background: Several studies have identified certain caregiver factors that can produce variability in their assessments of the capacities of patients with Alzheimer"s disease (AD). Objectives: To identify the caregiver variables associated with variability in their ratings of patients" capacities. Methods: Consecutive sample of 221 out-patients with AD and their family caregivers. The capacities evaluated by caregivers were: the degree of functional disability, using the Disability Assessment for Dementia (DAD); psychological and behavioral symptoms, via the Neuropsychiatric Inventory (NPI); anosognosia, with the Anosognosia Questionnaire Dementia (AQ-D); and quality of life, using the Quality of Life in AD (QOL-AD). The relationship between these measures and caregiver gender, burden, depression, and health was analyzed by means of a bivariate analysis, calculating the effect size (Cohen"s d), and subsequently by a regression analysis, calculating the contribution coefficient (CC). Results: The greatest variability in caregiver assessments was observed in relation to patients with early-stage dementia, where caregiver burden was the main factor associated with a more negative evaluation (d = 1.02 to 1.25). Depression in the caregiver was associated with less variability and only in the assessments of patients with moderate dementia (d = 0.38 to 0.69). In the regression analysis, caregiver factors were associated with greater variance in scores on the NPI (CC = 37.4%) and QOL-AD (CC = 27.2%), and lower variance in AQ-D (CC = 21.6%) and DAD (CC = 10.3%) scores. Conclusions: Caregiver burden and depression were associated with more negative assessments of patients" psychological and behavioral symptoms and quality of life. Key words: Alzheimer"s disease, family caregivers, functional capacity, neuropsychiatric symptoms, anosognosia, quality of life. |