照顾负担
痴呆
配偶
照顾者压力
焦虑
疾病
心理学
社会孤立
精神科
社会支持
应对(心理学)
家庭照顾者
临床心理学
阿尔茨海默病
医学
老年学
心理治疗师
社会学
病理
人类学
作者
Ahmet Turan Işık,Pınar Soysal,Marco Solmi,Nicola Veronese
摘要
Objective The aim of this review is to make a state of the art of the potential influence of neuropsychiatric symptoms (NPs) on caregiver stress and vice versa. Methods We searched PubMed and Google Scholar for potential eligible articles. Results Patients with Alzheimer's disease (AD) usually need high levels of care in all activities of daily living, most of them provided by family members, friends, or informal caregivers. Caregivers have to cope with both age‐related conditions and dementia‐related factors. Therefore, caregiving in dementia is more difficult and stressful than caregiving for older adults, affected by other conditions. Neuropsychiatric symptoms, such as anxiety, agitation, disinhibition, aggressive behavior, and sleep disturbances are more closely related to caregiver burden, and associated with more negative outcomes such as decline in their general health, quality of life, and social isolation. Caregiver burden worsens relationship between caregiver and patients with AD. Thus, this relationship may increase the frequency and severity of NPs. Predictors of burden were being a woman, a spouse, and old person with immature coping mechanisms, social isolation, with insufficient knowledge about dementia, poor premorbid relationship with patient, and high levels of negative expressed emotions. Conclusion Because of the bidirectional relationship between caregiver burden and NPs, the active management strategies of dementia care should include early identification and treatment risk factors for both caregiver stress and NPs in patients with AD. Therefore, to improve one of them can be exert beneficial for the other.
科研通智能强力驱动
Strongly Powered by AbleSci AI