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Burden of caregivers for patients with mild cognitive impairment in Japan

Published online by Cambridge University Press:  19 April 2013

Satoshi Hayashi ,
Seishi Terada ,
Shigeto Nagao ,
Chikako Ikeda ,
Aki Shindo ,
Etsuko Oshima ,
Osamu Yokota  and
Yosuke Uchitomi
Satoshi Hayashi
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Seishi Terada*
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Shigeto Nagao
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Chikako Ikeda
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Aki Shindo
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Etsuko Oshima
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Osamu Yokota
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Yosuke Uchitomi
Affiliation:
Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
*
Correspondence should be addressed to: Dr. Seishi Terada, Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan. Phone: +81-86-235-7242; Fax: +81-86-235-7246. Email: [email protected].
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Abstract

Background: Caregivers of patients with mild cognitive impairment (MCI) already experience a need for increased services comparable to that of individuals caring for Alzheimer's disease patients. However, there have been only a few studies on the MCI caregiver burden. In this study, we examined MCI caregiver burden in a larger number of consecutive outpatients in Japan.

Methods: One hundred and four consecutive caregivers of people with MCI participated in this study. The caregiver burden was evaluated by the short version of the Japanese version of the Zarit Burden Interview (sZBI).

Results: About 20% of the caregivers reported a clinically significant burden. The multiple linear regression analysis showed that the caregiver burden was significantly associated with neurobehavioral symptoms (p < 0.001) and memory problems (p = 0.022) of the patient.

Conclusions: The caregiver burden of MCI patients should be given more attention. The management of neurobehavioral symptoms may be important to reduce the burden on caregivers of MCI patients.

Keywords

carerscaregiver burdenmild cognitive impairment (MCI)Zarit caregiver burden interview
Type
Research Article
Information
International Psychogeriatrics , Volume 25 , Issue 8: Elder abuse an international perspective , August 2013 , pp. 1357 - 1363
Copyright
Copyright © International Psychogeriatric Association 2013 

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References

Arai, Y. and Zarit, S. H. (2011). Exploring strategies to alleviate caregiver burden: effects of the National Long-Term Care insurance scheme in Japan. Psychogeriatrics, 11, 183–189. doi:10.1111/j.1479-8301.2011.00367.x.CrossRefGoogle ScholarPubMed
Arai, Y., Tamiya, N. and Yano, E. (2003). The short version of the Japanese version of the Zarit Caregiver Burden Interview (J-ZBI_8): its reliability and validity. Nihon Ronen Igakkai Zasshi, 40, 497–503 (in Japanese).CrossRefGoogle ScholarPubMed
Blieszner, R. and Roberto, K. A. (2010). Care partner responses to the onset of mild cognitive impairment. Gerontologist, 50, 11–22. doi:10.1093/geront/gnp068.CrossRefGoogle Scholar
Bruce, J. M., McQuiggan, M., Williams, V., Westervelt, H. and Tremont, G. (2008). Burden among spousal and child caregivers of patients with mild cognitive impairment. Dementia and Geriatric Cognitive Disorders, 25, 385–390. doi:10.1159/000122587.CrossRefGoogle ScholarPubMed
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A. and Gornbein, J. (1994). The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308–2314.CrossRefGoogle ScholarPubMed
Dubois, B., Slachevsky, A., Litvan, I. and Pillon, B. (2000). The FAB: a Frontal Assessment Battery at bedside. Neurology, 55, 1621–1626. doi:10.1212/WNL.55.11.1621.CrossRefGoogle ScholarPubMed
Etters, L., Goodall, D. and Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: a review of the literature. Journal of American Academy of Nurse Practitioners, 20, 423–428. doi:10.1111/j.1745-7599.2008.00342.x.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatry Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Garand, L., Dew, M. A., Eazor, L. R., DeKosky, S. T. and Reynolds, C. F. 3rd. (2005). Caregiving burden and psychiatric morbidity in spouses of persons with mild cognitive impairment. International Journal of Geriatric Psychiatry, 20, 512–522. doi:10.1002/gps.1318.CrossRefGoogle ScholarPubMed
Gaugler, J. E., Kane, R. L., Kane, R. A., Clay, T. and Newcomer, R. C. (2005). The effects of duration of caregiving on institutionalization. Gerontologist, 45, 78–89. doi:10.1093/geront/45.1.78.CrossRefGoogle ScholarPubMed
Gort, A. M.et al. (2007). Use of the Zarit scale for assessing caregiver burden and collapse in caregiving at home in dementias. International Journal of Geriatric Psychiatry, 22, 957–962. doi:10.1002/gps.1770.CrossRefGoogle ScholarPubMed
Hashidate, H.et al. (2012). Behavioral and psychological symptoms in elderly people with cognitive impairment. Differences between assessment at home and at an adult daycare facility. Nihon Koshu Eisei Zasshi, 59, 532–543. (in Japanese with English abstract)Google Scholar
Hirakawa, Y., Kuzuya, M., Enoki, H., Hasegawa, J. and Iguchi, A. (2008). Caregiver burden among Japanese informal caregivers of cognitively impaired elderly in community settings. Archives of Gerontology and Geriatrics, 46, 367–374. doi:10.1016/j.archger.2007.05.011.CrossRefGoogle ScholarPubMed
Hirono, N.et al. (1997). Japanese version of the Neuropsychiatric Inventory – a scoring system for neuropsychiatric disturbance in dementia patients. No To Shinkei, 49, 266–271 (in Japanese).Google ScholarPubMed
Kashiwagi, M., Tamiya, N., Sato, M. and Yano, E. (2013). Factors associated with the use of home-visit nursing services covered by the long term care insurance in rural Japan: a cross-sectional study. BMC Geriatrics, 13, 1. doi:10.1186/1471-2318-13-1.CrossRefGoogle Scholar
Kobayashi, Y. (2008). Evaluation of needs ford consultation of caregivers of patients with dementia. Ronen Seishin Igaku Zasshi, 19, 681–686 (in Japanese).Google Scholar
Kugo, A.et al. (2007). Japanese version of the Frontal Assessment Battery for dementia. Psychiatry Research, 153, 69–75. doi:10.1016/j.psychres.2006.04.004.CrossRefGoogle ScholarPubMed
Kumamoto, K., Arai, Y., Ueda, T. and Washio, M. (2004). Cross-validation of the short version of the Japanese version of the Zarit Caregiver Burden Interview (J-ZBI 8). Nihon Ronen Igakkai Zasshi, 41, 204–210 (in Japanese).CrossRefGoogle ScholarPubMed
Kume, K.et al. (2011). Frontal Assessment Battery and brain perfusion images in amnestic mild cognitive impairment. Geriatrics & Gerontology International, 11, 77–82. doi:10.1111/j.1447-0594.2010.00645.x.CrossRefGoogle ScholarPubMed
Mioshi, E., Dawson, K., Mitchell, J., Arnold, R. and Hodges, J. R. (2006). The Addenbrooke's Cognitive Examination Revised (ACE-R): a brief cognitive test battery for dementia screening. International Journal of Geriatric Psychiatry, 21, 1078–1085. doi:10.1002/gps.1610.CrossRefGoogle ScholarPubMed
Muangpaisan, W., Intalapaporn, S. and Assantachai, P. (2008). Neuropsychiatric symptoms in the community-based patients with mild cognitive impairment and the influence of demographic factors. International Journal of Geriatric Psychiatry, 23, 699–703. doi:10.1002/gps.1963.CrossRefGoogle ScholarPubMed
Olivares-Tirado, P., Tamiya, N. and Kashiwagi, M. (2012). Effect of in-home and community-based services on the functional status of elderly in the long-term care insurance system in Japan. BMC Health Services Research, 12, 239. doi:10.1186/1472-6963-12-239.CrossRefGoogle ScholarPubMed
Ornstein, K. and Gaugler, J. E. (2012). The problem with “problem behaviors”: a systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver dyad. International Psychogeriatrics, 24, 1536–1552. doi:10.1017/S1041610212000737.CrossRefGoogle ScholarPubMed
Pearlin, L. I., Mullan, J. T., Semple, S. J. and Skaff, M. M. (1990). Caregiving and the stress process: an overview of concepts and their measures. Gerontologist, 30, 583–594.CrossRefGoogle ScholarPubMed
Pfeffer, R. I., Kurosaki, T. T., Harrah, C. H., Chance, J. M. and Filos, S. (1982). Measurement of the functional activities in older adults in the community. Journal of Gerontology, 37, 323–329.CrossRefGoogle ScholarPubMed
Ryan, K. A.et al. (2010). Caregiver support service needs for patients with mild cognitive impairment and Alzheimer disease. Alzheimer Disease and Associated Disorders, 24, 171–176. doi:10.1097/WAD.0b013e3181aba90d.CrossRefGoogle ScholarPubMed
Schoenmakers, B., Buntinx, F. and Delepeleire, J. (2010). Factors determining the impact of care-giving on caregivers of elderly patients with dementia. A systematic literature review. Maturitas, 66, 191–200. doi:10.1016/j.maturitas.2010.02.009.CrossRefGoogle ScholarPubMed
Seeher, K., Low, L. F., Reppermund, S. and Brodaty, H. (2012). Predictors and outcomes for caregivers of people with mild cognitive impairment: a systematic literature review. Alzheimer's & Dementia. (in press) doi:10.1016/j.jalz.2012.01.012.CrossRefGoogle Scholar
Sink, K. M., Holden, K. F. and Yaffe, K. (2005). Pharmacological treatment of neuropsychiatric symptoms of dementia: a review of the evidence. Journal of the American Medical Association, 293, 596–608. doi:10.1001/jama.293.5.596.CrossRefGoogle ScholarPubMed
Sugishita, M. (2001). Japanese Wechsler Memory Scale-Revised. Tokyo: Nihon Bunka Kagakusha (in Japanese).Google Scholar
Takechi, H.et al. (2012). Both conventional indices of cognitive function and frailty predict levels of care required in a long-term care insurance program for memory clinic patients in Japan. Geriatrics & Gerontology International, 12, 630–636. doi:10.1111/j.1447-0594.2011.00828.x.CrossRefGoogle Scholar
Tatsumi, H., Tanaka, S., Sugiyama, H., Hayakawa, T. and Yamamoto, M. (2012). Quality of life in mild cognitive impairment. Journal of the Institute for Psychological and Physical Science, 4, 17–24. (in Japanese with English abstract)Google Scholar
Wade, D. T. and Collin, C. (1988). The Barthel ADL Index: a standard measure of physical disability? International Disability Studies, 10, 64–67.CrossRefGoogle ScholarPubMed
Wechsler, D. (1987). Wechsler Memory Scale Manual, Revised. San Antonio, TX: Psychological Corporation.Google Scholar
Whitlatch, C. J., Zarit, S. H. and von Eye, A. (1991). Efficacy of interventions with caregivers: a reanalysis. Gerontologist, 31, 9–14.CrossRefGoogle ScholarPubMed
Yoshida, H.et al. (2012). Validation of the revised Addenbrooke's Cognitive Examination (ACE-R) for detecting mild cognitive impairment and dementia in a Japanese population. International Psychogeriatrics, 24, 28–37. doi:10.1017/S1041610211001190.CrossRefGoogle Scholar