Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home
Abstract Objectves To identify patient-related factors associated with depressive state in caregivers of patients with dementia, we investigated the caregivers' and patients' characteristics in relation to the depressive state in their caregivers. Design Prospective hospital-based cohort s...
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| Veröffentlicht in: | Journal of the American Medical Directors Association 2014-05, Vol.15 (5), p.371.e15-371.e18 |
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| creator | Hasegawa, Noriko, MD Hashimoto, Mamoru, MD, PhD Koyama, Asuka, PhD Ishikawa, Tomohisa, MD, PhD Yatabe, Yusuke, MD, PhD Honda, Kazuki, MD, PhD Yuuki, Seiji, MD Araki, Kunio, MD Ikeda, Manabu, MD, PhD |
| description | Abstract Objectves To identify patient-related factors associated with depressive state in caregivers of patients with dementia, we investigated the caregivers' and patients' characteristics in relation to the depressive state in their caregivers. Design Prospective hospital-based cohort study. Setting Two memory clinics in Japan. Participants Outpatients with dementia (n = 135) and their caregivers at home. Measurements The outpatients and their caregivers were divided into 2 groups according to the Center for Epidemiologic Studies Depression Scale for caregivers. To identify the patient-related factors that cause depressive state in caregivers, Mini-Mental State Examination (MMSE), the Physical Self-Maintenance Scale for fundamental activities of daily living (ADL), and the instrumental ADL scale (IADL) scores for instrumental ADL and the neuropsychiatric inventory (NPI) subscale score for behavioral and psychological symptoms of dementia were compared between the 2 groups. We used logistic regression to determine the independent predictors of caregiver depressive state. Results There was no significant difference in MMSE score between the 2 groups. Logistic regression analysis revealed that the depressive state in caregivers was related with IADL score and delusion in NPI subscale of patients. Conclusions Depressive state in caregivers was independent of the decline in cognitive function in patients with dementia but was associated with decline in instrumental ADL and severity of delusion. |
| doi_str_mv | 10.1016/j.jamda.2014.02.007 |
| format | Article |
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Design Prospective hospital-based cohort study. Setting Two memory clinics in Japan. Participants Outpatients with dementia (n = 135) and their caregivers at home. Measurements The outpatients and their caregivers were divided into 2 groups according to the Center for Epidemiologic Studies Depression Scale for caregivers. To identify the patient-related factors that cause depressive state in caregivers, Mini-Mental State Examination (MMSE), the Physical Self-Maintenance Scale for fundamental activities of daily living (ADL), and the instrumental ADL scale (IADL) scores for instrumental ADL and the neuropsychiatric inventory (NPI) subscale score for behavioral and psychological symptoms of dementia were compared between the 2 groups. We used logistic regression to determine the independent predictors of caregiver depressive state. Results There was no significant difference in MMSE score between the 2 groups. Logistic regression analysis revealed that the depressive state in caregivers was related with IADL score and delusion in NPI subscale of patients. Conclusions Depressive state in caregivers was independent of the decline in cognitive function in patients with dementia but was associated with decline in instrumental ADL and severity of delusion.</description><identifier>ISSN: 1525-8610</identifier><identifier>EISSN: 1538-9375</identifier><identifier>DOI: 10.1016/j.jamda.2014.02.007</identifier><identifier>PMID: 24685406</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of daily living ; Activities of Daily Living - psychology ; Aged ; Aged, 80 and over ; caregiver ; Caregivers - psychology ; Dementia ; depression ; Depression - etiology ; Female ; Home Care Services ; Humans ; Internal Medicine ; Logistic Models ; Male ; Medical Education ; Prospective Studies ; Psychiatric Status Rating Scales</subject><ispartof>Journal of the American Medical Directors Association, 2014-05, Vol.15 (5), p.371.e15-371.e18</ispartof><rights>2014</rights><rights>Copyright © 2014. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-5847973859c89b5836d67e008920b958cb55a1d5b725e1e98bea0aa97de9d573</citedby><cites>FETCH-LOGICAL-c414t-5847973859c89b5836d67e008920b958cb55a1d5b725e1e98bea0aa97de9d573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jamda.2014.02.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24685406$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasegawa, Noriko, MD</creatorcontrib><creatorcontrib>Hashimoto, Mamoru, MD, PhD</creatorcontrib><creatorcontrib>Koyama, Asuka, PhD</creatorcontrib><creatorcontrib>Ishikawa, Tomohisa, MD, PhD</creatorcontrib><creatorcontrib>Yatabe, Yusuke, MD, PhD</creatorcontrib><creatorcontrib>Honda, Kazuki, MD, PhD</creatorcontrib><creatorcontrib>Yuuki, Seiji, MD</creatorcontrib><creatorcontrib>Araki, Kunio, MD</creatorcontrib><creatorcontrib>Ikeda, Manabu, MD, PhD</creatorcontrib><title>Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home</title><title>Journal of the American Medical Directors Association</title><addtitle>J Am Med Dir Assoc</addtitle><description>Abstract Objectves To identify patient-related factors associated with depressive state in caregivers of patients with dementia, we investigated the caregivers' and patients' characteristics in relation to the depressive state in their caregivers. Design Prospective hospital-based cohort study. Setting Two memory clinics in Japan. Participants Outpatients with dementia (n = 135) and their caregivers at home. Measurements The outpatients and their caregivers were divided into 2 groups according to the Center for Epidemiologic Studies Depression Scale for caregivers. To identify the patient-related factors that cause depressive state in caregivers, Mini-Mental State Examination (MMSE), the Physical Self-Maintenance Scale for fundamental activities of daily living (ADL), and the instrumental ADL scale (IADL) scores for instrumental ADL and the neuropsychiatric inventory (NPI) subscale score for behavioral and psychological symptoms of dementia were compared between the 2 groups. We used logistic regression to determine the independent predictors of caregiver depressive state. Results There was no significant difference in MMSE score between the 2 groups. Logistic regression analysis revealed that the depressive state in caregivers was related with IADL score and delusion in NPI subscale of patients. Conclusions Depressive state in caregivers was independent of the decline in cognitive function in patients with dementia but was associated with decline in instrumental ADL and severity of delusion.</description><subject>Activities of daily living</subject><subject>Activities of Daily Living - psychology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>caregiver</subject><subject>Caregivers - psychology</subject><subject>Dementia</subject><subject>depression</subject><subject>Depression - etiology</subject><subject>Female</subject><subject>Home Care Services</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical Education</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><issn>1525-8610</issn><issn>1538-9375</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQhkVpadK0v6BQdOzFzsi2bOnQQNh8QqClCfQoZGm2kWtbG0kbyL-vnN30kEtPkobnnUHPEPKZQcmAtcdDOejJ6rIC1pRQlQDdG3LIeC0KWXf87XKveCFaBgfkQ4wDQEZl-54cVE0reAPtIbn_oZPDORU_cdQJLb3QJvkQ6WmM3rjn0i-X7ukZbgLG6B6R3qZcpm6mKx3wd65k3K_pvlN84af8cJrqRK_8hB_Ju7UeI37an0fk7uL8bnVV3Hy_vF6d3hSmYU0quGg62dWCSyNkz0Xd2rZDACEr6CUXpudcM8v7ruLIUIoeNWgtO4vS8q4-Il93bTfBP2wxJjW5aHAc9Yx-GxXjTIqG1VxmtN6hJvgYA67VJrhJhyfFQC2G1aCeDavFsIJKZcM59WU_YNtPaP9lXpRm4NsOwPzLR4dBRZO9GLQuoEnKevefASev8mZ0szN6_INPGAe_DXMWqJiKOaBulyUvO2YNAGOiqv8C08ShrA</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Hasegawa, Noriko, MD</creator><creator>Hashimoto, Mamoru, MD, PhD</creator><creator>Koyama, Asuka, PhD</creator><creator>Ishikawa, Tomohisa, MD, PhD</creator><creator>Yatabe, Yusuke, MD, PhD</creator><creator>Honda, Kazuki, MD, PhD</creator><creator>Yuuki, Seiji, MD</creator><creator>Araki, Kunio, MD</creator><creator>Ikeda, Manabu, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home</title><author>Hasegawa, Noriko, MD ; Hashimoto, Mamoru, MD, PhD ; Koyama, Asuka, PhD ; Ishikawa, Tomohisa, MD, PhD ; Yatabe, Yusuke, MD, PhD ; Honda, Kazuki, MD, PhD ; Yuuki, Seiji, MD ; Araki, Kunio, MD ; Ikeda, Manabu, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-5847973859c89b5836d67e008920b958cb55a1d5b725e1e98bea0aa97de9d573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of daily living</topic><topic>Activities of Daily Living - psychology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>caregiver</topic><topic>Caregivers - psychology</topic><topic>Dementia</topic><topic>depression</topic><topic>Depression - etiology</topic><topic>Female</topic><topic>Home Care Services</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical Education</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasegawa, Noriko, MD</creatorcontrib><creatorcontrib>Hashimoto, Mamoru, MD, PhD</creatorcontrib><creatorcontrib>Koyama, Asuka, PhD</creatorcontrib><creatorcontrib>Ishikawa, Tomohisa, MD, PhD</creatorcontrib><creatorcontrib>Yatabe, Yusuke, MD, PhD</creatorcontrib><creatorcontrib>Honda, Kazuki, MD, PhD</creatorcontrib><creatorcontrib>Yuuki, Seiji, MD</creatorcontrib><creatorcontrib>Araki, Kunio, MD</creatorcontrib><creatorcontrib>Ikeda, Manabu, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Medical Directors Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasegawa, Noriko, MD</au><au>Hashimoto, Mamoru, MD, PhD</au><au>Koyama, Asuka, PhD</au><au>Ishikawa, Tomohisa, MD, PhD</au><au>Yatabe, Yusuke, MD, PhD</au><au>Honda, Kazuki, MD, PhD</au><au>Yuuki, Seiji, MD</au><au>Araki, Kunio, MD</au><au>Ikeda, Manabu, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home</atitle><jtitle>Journal of the American Medical Directors Association</jtitle><addtitle>J Am Med Dir Assoc</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>15</volume><issue>5</issue><spage>371.e15</spage><epage>371.e18</epage><pages>371.e15-371.e18</pages><issn>1525-8610</issn><eissn>1538-9375</eissn><abstract>Abstract Objectves To identify patient-related factors associated with depressive state in caregivers of patients with dementia, we investigated the caregivers' and patients' characteristics in relation to the depressive state in their caregivers. Design Prospective hospital-based cohort study. Setting Two memory clinics in Japan. Participants Outpatients with dementia (n = 135) and their caregivers at home. Measurements The outpatients and their caregivers were divided into 2 groups according to the Center for Epidemiologic Studies Depression Scale for caregivers. To identify the patient-related factors that cause depressive state in caregivers, Mini-Mental State Examination (MMSE), the Physical Self-Maintenance Scale for fundamental activities of daily living (ADL), and the instrumental ADL scale (IADL) scores for instrumental ADL and the neuropsychiatric inventory (NPI) subscale score for behavioral and psychological symptoms of dementia were compared between the 2 groups. We used logistic regression to determine the independent predictors of caregiver depressive state. Results There was no significant difference in MMSE score between the 2 groups. Logistic regression analysis revealed that the depressive state in caregivers was related with IADL score and delusion in NPI subscale of patients. Conclusions Depressive state in caregivers was independent of the decline in cognitive function in patients with dementia but was associated with decline in instrumental ADL and severity of delusion.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24685406</pmid><doi>10.1016/j.jamda.2014.02.007</doi></addata></record> |
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| subjects | Activities of daily living Activities of Daily Living - psychology Aged Aged, 80 and over caregiver Caregivers - psychology Dementia depression Depression - etiology Female Home Care Services Humans Internal Medicine Logistic Models Male Medical Education Prospective Studies Psychiatric Status Rating Scales |
| title | Patient-Related Factors Associated With Depressive State in Caregivers of Patients With Dementia at Home |
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