dc.contributor |
Universitat de Barcelona |
dc.contributor.author |
Perales-Puchalt, Jaime |
dc.contributor.author |
Turró-Garriga, Oriol |
dc.contributor.author |
Gascón-Bayarri, Jordi |
dc.contributor.author |
Reñé Ramírez, Ramon |
dc.contributor.author |
Conde Sala, Josep Lluís |
dc.date |
2017-02-27T19:00:00Z |
dc.date |
2017-02-27T19:00:00Z |
dc.date |
2016-04-27 |
dc.date |
2017-02-27T19:00:00Z |
dc.identifier.citation |
1387-2877 |
dc.identifier.citation |
662447 |
dc.identifier.uri |
http://hdl.handle.net/2445/107496 |
dc.format |
11 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
IOS Press |
dc.relation |
Reproducció del document publicat a: https://doi.org/10.3233/JAD-160065 |
dc.relation |
Journal of Alzheimer's Disease, 2016, vol. 53, num. 3, p. 1133-1143 |
dc.relation |
https://doi.org/10.3233/JAD-160065 |
dc.rights |
(c) Perales-Puchalt, J. et al., 2016 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Malaltia d'Alzheimer |
dc.subject |
Depressió psíquica |
dc.subject |
Cuidadors |
dc.subject |
Alzheimer's disease |
dc.subject |
Mental depression |
dc.subject |
Caregivers |
dc.title |
The longitudinal association between a discrepancy measure of anosognosia in patients with dementia, caregiver burden and depression |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/publishedVersion |
dc.description.abstract |
Background: According to cross-sectional studies, there is an association between anosognosia in people with dementia and caregiver's burden and depression. Anosognosia in patients may be a cause of caregiver burden and depression. However, variability in caregiver anosognosia ratings may exist as caregivers with burden and depression may have a more pessimistic view of the patients' health. Objective: to assess the variability of caregiver anosognosia ratings of patients with dementia using a widely used anosognosia scale and its longitudinal relationship with caregiver burden and depression. Methods: A convenience cohort of 221 consecutive dementia outpatient and caregiver dyads was followed up at 12 and 24 months. The main instruments used were the Anosognosia Questionnaire-Dementia (AQ-D), Caregiver Burden Interview, and Geriatric Depression Scale. Linear mixed models were used including time as a factor in every model. Multivariate analyses controlled for caregiver's socio-demographic and possible confounding factors. Results: Attrition at 12 and 24 months was 24.9% and 42.5% respectively. Patients at baseline were on average 77.8 years of age, 63.3% were women, and 63.3% had <5 years of education. In the bivariate analyses, caregiver burden, depression, and gender were associated with caregiver ratings of total, cognitive, and personality AQ-D of the patient at different time points. Multivariate analyses revealed burden as the caregiver variable most consistently associated with total, cognitive, and personality caregiver AQ-D ratings of the patient. Conclusion: Some caregiver characteristics, especially burden, are associated with caregiver ratings of AQ-D with regard to the patient. |