In the field of American state politics, the tension between majoritarian institutions and equality has largely been ignored. Do state institutions that empower majority preferences exacerbate disparities in social outcomes? Under what conditions do majoritarian institutions exacerbate inequalities in the American states? Our argument is that equality is most likely to be threatened under majoritarian institutions when (1) there are systemic participatory biases and/or (2) there are widespread prejudices about particular groups in society. We find that more majoritarian institutions are associated with larger disparities between White and Black life expectancy and poverty rates across the American states, but not differences in educational attainment. We also find that this effect is moderated by racial context, with majoritarian institutions being associated with greater disparities for states with diverse racial contexts and smaller disparities in more homogenous states. These findings suggest that majoritarian institutions operate to the benefit of the White majority, while coming at the cost of minority population outcomes when a racial threat is perceived, and presumably, public opinion is biased.

Objectives: Older people living with mental illness, including schizophrenia and other psychotic disorders, experience increased physical morbidity and premature mortality rates compared to the general population. However, Advance Care Plans (ACP) are rarely documented in this group, despite ability to discuss end-of-life care and express wishes. The aim of this study is to explore mental health clinicians’ attitudes, experiences, and perceived barriers and facilitators to ACP with people living with psychotic illnesses, to better understand the reasons for this gap and develop a needs-responsive approach toimplementation.

Methods: This qualitative study involves focus groups of multidisciplinary mental health clinicians who work with people aged 55+ with psychotic illnesses. It is being conducted in three public mental health services in Sydney, Australia. Focus groups are audio-recorded, transcribed and analysed using reflexive thematic analysis, grounded within an interpretive description framework.

Results: Preliminary findings from an unsaturated sample of 12 multidisciplinary clinicians (psychiatrists, social workers, occupational therapists, psychologists) will be presented. Emerging themes regarding experiences of ACP include ‘no experience’, ‘not a priority’, ‘particular relevance for nursing home residents’ and ‘difficult to navigate consumer choices in the context of delusions’. Emerging themes in relation to attitudes about implementing ACP with people with psychotic illnesses include: ‘ACPs are needed’, ‘ambivalence’, ‘I don’t know how’, and ‘whose responsibility are ACPs?’. Barriers to ACP include: ‘misconceptions about ACP’, ‘misperceptions about psychotic illness’, ‘clinician uncertainty- capacity, emotional state, psychosis risk’, ‘systems issues’, ‘lack of knowledge and confidence’, and ‘interfering with therapeutic relationships’. Potential facilitators include: ‘get the timing right’, ‘make it multidisciplinary’, ‘opportunity to practice’, ‘embed in protocol’, ‘upskilling clinicians- modelling and training’, and ‘support from an external ACP role’.

Conclusions: Mental health clinicians may be the only healthcare professional in contact with an older person living with psychosis, providing unique opportunities to explore ACP. Clinicians recognise the need for ACP, the complexity of such Discussions, and importance of nuanced capacity assessment and appropriate timing. Proposed solutions to implementing ACP include combining targeted education with practical training for clinicians, embedding ACP in practice using a team approach and system change, or -alternatively-through a dedicated external ACP role.

Objectives: Various studies described the psychological impact of the mandatory preventive social isolation (lockdown) caused by COVID-19 across different age groups. However, no research had specifically analyzed the effects of lockdown on the cognitive performance of older adults with preexisting cognitive decline. This study aimed to determine the impact of lockdown on the cognitive functions of individuals with cognitive decline.

Methods: Argentina was one of the countries with the longest lockdown periods. Older adults in Argentina experienced extended lockdowns lasting several months, significantly limiting their social interactions and routine activities. Cognitive reevaluations were conducted on 16 patients who had attended a memory clinic with cognitive complaints and were evaluated before the lockdown (group 1). Their progression was compared with 16 patients evaluated and reevaluated over a similar period but without undergoing a lockdown (group 2). To compared the progression of both groups a “change index” (CI) were calculated for each test ((score assessment 1 – score assessment 2)/number of months between assessment 1 and assessment 2))

Results: Patient from group 1 and 2 were paired by age (M group 1 = 77.2, DS group 1 = 6.2, M group2 = 77.3 DS group2 = 6.6, p=.98), yearsof education (M group 1 = 13.6, DS group 1 = 2.8, M group2 = 13.9 DS group2 = 3.0, p=.81), Beck depression inventory score (M group 1 = 12.2, DS group 1 = 7.2, M group2 = 13.9 DS group2 = 7.4, p = .54) and Addenbrooke’s Cognitive Examination (ACE. M group 1 = 76.2, DS group 1 = 14.4, M group2 = 76.0 DS group2 = 20.7, p = .97) score at the first assessment. Group 1 showed a significant and greater increased of false positive than group 2 in Rey Auditory Verbal Learning Test recognition (M CIgroup 1 = –.31, DS CIgroup 1 = .38, M CIgroup 2 = –.1, DS CIgroup 2 = .44, p < .05). Results indicated that patients who experienced the lockdown exhibited a greater cognitive decline compared to the control group.

Conclusions: The findings suggest that the lockdown accelerated cognitive deterioration in individuals with memory complaints.

Demographic transition and changes in the population structure has contributed to global challenges related to population ageing. World Health Organization (WHO) has proposed global strategy and action plan on ageing and health to address the challenges related to population ageing. Despite the decline in intrinsic capacity, provision of appropriate environmental support can help in improving the functional ability and promoting Healthy ageing. India and Brazil are large countries with rapid population ageing with significant needs and challenges to promote Healthy Ageing. Both countries have significant differences in the cultural and socio-economic factors related to population ageing and rich history of traditional/alternative medicine interventions (such as Yoga and Ayurveda in India). Older adults have multiple comorbidities of physical and mental health issues with many of them seeking treatment from alternative systems of medicine. Holistic approach with integrated care will be helpful in older adults to promote healthy ageing. This symposium will summarize the holistic approach to healthy ageing in the global context with specific focus on the perspectives from India and Brazil.Mental health experts from India and Brazil with expertise in Geriatric Psychiatry and Integrative Medicine will be the presenters for the symposium.

The symposium will have the following presentations

1. 1. Holistic approach to Healthy ageing: Global Perspectives: Prof. Sivakumar Palanimuthu Thangaraju, Professor of Psychiatry & Head, Geriatric Psychiatry Unit, Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India

2. 2. Lifestyle interventions through Integrative medicine to promote Healthy Ageing: Indian Perspective: Prof. Shivarama Varambally, Professor, Department of Psychiatry & Former Head, Department of Integrative Medicine, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India

3. 3. Scope for Traditional medicine and Holistic approach to Promoting Healthy Ageing in Brazil: Dr Bernardo Viana, Assistant Professor of Psychiatry, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil

Introduction: This study explores the psychological effects of the COVID-19 pandemic on elderly Chileans, focusing on the role of social isolation (SI), loneliness, depressive symptoms, and pandemic-related concerns. With 150 participants, our cross-sectional descriptive study revealed significant relationships between SI, loneliness, depressive symptoms, and gender differences in their experiences. Despite no longer being in a restrictive phase of the pandemic, the findings highlight the interconnectedness of these factors and their ongoing impact on the mental health of the elderly population.

Methods: Utilizing a cross-sectional descriptive design, this research involved 150 elderly participants from Santiago, Chile. We assessed SI, loneliness, depressive symptoms, and pandemic-related concerns using the Steptoe Social Isolation Index, the Three-item UCLA Loneliness Scale, the Yesavage Geriatric Depression Scale (GDS-15), and a Likert scale for pandemic concern, respectively. Statistical analyses were conducted using JAMOVI 2.36, employing chi-square tests, U-Mann Whitney tests, and Spearman correlations.

Results: Our findings indicate a significant portion of participants experienced SI (42%) and loneliness (26%), with women showing higher frequencies of loneliness and depressive symptoms. Significant correlations were found between SI and loneliness, and both were closely linked to depressive symptoms. Interestingly, a significant negative correlation was observed between pandemic-related concerns and loneliness, suggesting an active coping mechanism among the elderly.

Introduction: In public discourse and media, as well as in medical settings, dementia is often portrayed as a tragedy, a perspective that contributes to stigma. Descriptions using metaphors like decaying fruit, or statements labeling dementia as death in life’’ and a tsunami for healthcare systems,’’ not only perpetuate negative emotions like fear and helplessness, but also promote social distance. These dehumanizing expressions can intensify the suffering of those living with dementia and those around them, besides complicating understanding of the condition, exacerbating social isolation, and hindering timely medical attention. Questioning the narrative of dementia as a tragedy does not imply denying or underestimating the challenges and suffering associated with this condition. However, diagnosis should not hinder the recognition of moments of pleasure, the potential for internal growth of the person living with dementia and those around them, as well as the persistence of connection and dignity. The philosophy of ambiguity offers a useful framework for countering a stigmatizing narrative and addressing dementia with a more compassionate and nuanced approach. The philosophy of ambiguity, primarily expounded by Simone de Beauvoir, invites us to recognize the coexistence of multiple realities and the simultaneous presence of contradictions. This is reflected in the complex contradictions and paradoxes present in our experiences, both personal and social. Health itself is an ambiguous concept, representing not only the absence of illness but also a dynamic and multifaceted state, culturally and contextually influenced. By focusing on preserved abilities, we can contribute to the well-being of those living with dementia, reinforcing their dignity and self-esteem. The success of this approach depends on having adequate social support and an effective healthcare system. Understanding dementia in a broad social and cultural context allows us to overcome the traditional Manichean view that categorizes it strictly as either tragedy or well-being. It is crucial for medical personnel to use empathetic and respectful communication to maintain dignity and foster hope in those living with dementia. Listening carefully and avoiding stigmatizing language are fundamental to recognizing individual worth and creating a more compassionate and humane care environment.

Objectives: The Objectives of this study is to demonstrate the response of patients with neurocognitive disorders to a combination of antidementia drugs and repetitive transcranial magnetic stimulation (rTMS).

Methods: We conducted a descriptive and retrospective study with a sample of 13 geriatric patients, randomly selected from the private psychogeriatric clinic at the Nina Institute of Clinical Neurosciences in Santo Domingo. These patients were presented with various neurocognitive disorders: 3 with mild cognitive impairment, 3 with Alzheimer’s dementia, 2 with vascular dementia, and 5 with mixed dementia. All patients signed an informed consent form. Prior to starting rTMS treatment, they underwent EEG, laboratory analysis, and neuropsychological testing using the Mini-Mental State Examination (MMSE). Additionally, they were medicated with rivastigmine (12 mg) and memantine (20 mg). The rTMS parameters for the 20-session protocol were as follows: for mild cognitive impairment, 110% motor threshold (MT), 10 Hz, and 2,000 pulses; for Alzheimer’s diagnosis, 80% MT, 20 Hz, 1,200 pulses, 80% MT, 5 Hz, 600 pulses, and theta wave at 10 Hz, 110% MT, and 2,500 pulses. The results were tabulated, and consistent were drawn.

Results: Our findings showed that all the patients improved their levels of cognitive impairment.

Conclusions: Patients improved their cognitive impairment level with the combination treatment of antidementia drugs: cholinesterase inhibitors and memantine, along with repetitive transcranial magnetic stimulation (rTMS). Repetitive transcranial magnetic stimulation (rTMS) is a developing treatment, and further clinical studies are needed to confirm its potential in treating Alzheimer’s disease and other neurocognitive disorders alongside antidementia medications.

Objectives: Caregiving can be a daunting and isolating experience, especially when supporting a loved one with Dementia The Objectives of this intervention was to provide a series of educational sessions available to caregivers to help educate them on strategies to enhance their well-being and interactions with a loved one living with dementia.

Methods: The Caregiver Literacy Series is a compilation of 18 webinar sessions with therapeutic workbooks designed to help caregivers understand the nature of specific dementia-related issues and designed to help the caregiver build some personal strategy to help better manage their caregiving role. Based upon a Framework that uses the Perceived Self-Efficacy Theory, each webinar provides educational materials, and resources and is designed to help build an action plan for the caregiver. Topics include “What is Caregiving?”, “Caregiving and Compassion Fatigue and Self-Care” and topics address coping and communication strategies. The webinar sessions were administered monthly and semi-monthly to consumers through a local Alzheimer’s Association network in the rural Midwest of the United States.

Results: Feedback from consumers who have used the materials suggest that the materials have provided some measure of information and helpful educational materials. The workbooks have also been an effective tool to help guide and empower the caregivers.

Conclusions: The Caregiver Literacy Series provides some effective and needed materials to help equip caregivers living with a loved one that has Dementia or Alzheimer’s disease with some measure of health literacy and empowers them to feel some sense of empowerment and comfort in the process.

Spontaneous abortion (SA) is considered one of the most prevalent adverse outcomes of pregnancy. SA may occur due to genetic susceptibility and various maternal factors such as nutritional status. The aim of this study was to assess how dietary carotenoids and the FTO gene are related to SA. This case–control study included 192 women with a history of SA as the case group and 347 healthy women without history of SA as the control group. To evaluate carotenoid intake, a valid 168-item food frequency questionnaire (FFQ) was used. The FTO gene was genotyped for the presence of the rs9939609 polymorphism using the tetra-primer amplification refractory mutation system-polymerase chain (ARMS-PCR). The results indicated a significant negative association between dietary intake of β-cryptoxanthin and SA in carriers of the TT genotype of the FTO rs9939609 polymorphism after adjustment for age, BMI, physical activity, smoking, alcohol drinking, and calorie intake (β = −0.28, P = 0.02). No association was found between SA with dietary intake of beta-carotene, alpha-carotene, lutein, and lycopene among carriers of different FTO genotypes. The FTO genotype may have an effect on the association between SA and carotenoid intake. Dietary intake of β-cryptoxanthin may act as a protective factor against SA only in carriers of the TT genotype of the FTO rs9939609 polymorphism.

This paper presents numerical simulations of the free fall of homogenous cylinders of length-to-diameter ratios $2$, $3$ and 5 and solid-to-fluid-density ratios $\rho _s/\rho$ going from 0 to 10 in transitional regimes. The path instabilities are shown to be due to two types of transitional states. The well-known fluttering state is a solid mode, characterised by significant oscillations of the cylinder axis due to a strong interaction between the vortex shedding in the wake and the solid degrees of freedom. Weakly oscillating, mostly irregular trajectories, are fluid modes, associated with purely fluid instabilities in the wake. The interplay of solid and fluid modes leads to a varying scenario in which the length-to-diameter and density ratios play an important role. The description is accompanied by the presentation of the identified transitional states in terms of path characteristics and vorticity structure of the wakes and by bifurcation diagrams showing the evolution of asymptotic states with increasing Galileo numbers. There appears to be a strong difference between the behaviour of cylinders of aspect ratio $L/d=3$ and 5. A similar contrast is stated between light cylinders of density ratios $\rho _s/\rho \le 2$ and dense cylinders of density ratios 5 and 10. Finally, the question of the scatter of values of the drag coefficient and of the frequency of oscillations raised in the literature is addressed. It is shown, that in addition to external parameters (Galileo number, density and aspect ratio) the amplitude of oscillations characterising the instability development is to be taken into account to explain this scatter. Fits of the simulation results to simple correlations are proposed. Namely that of the drag coefficient proves to be accurate (better than 1 % of accuracy) but also that of the Strouhal number (a few per cent of accuracy) may be of practical use.

We study the existence and strong instability of standing wave solutions for the fractional nonlinear Schrödinger equation

\begin{equation*}\begin{cases}\mathrm{i} \psi_{t}=\left(-\Delta\right)^s \psi-\left(|\psi|^{p-2}\psi+\mu|\psi|^{q-2}\psi\right), & \quad(t,x)\in(0,\infty)\times\mathbb{R}^N,\\\psi(0,x)=\psi_0(x),&\quad x\in\mathbb{R}^N,\end{cases}\end{equation*}

where $N\geq2$, $0 \lt s \lt 1$, $2 \lt q \lt p \lt 2_s^*=2N/(N-2s)$, and $\mu\in\mathbb{R}$. The primary challenge lies in the inhomogeneity of the nonlinearity.We deal with the following three cases: (i) for $2 \lt q \lt p \lt 2+4s/N$ and µ < 0, there exists a threshold mass a0 for the existence of the least energy normalized solution; (ii) for $2+4s/N \lt q \lt p \lt 2_s^*$ and µ > 0, we reveal the existence of the ground state solution, explore the strong instability of standing waves, and provide a blow-up criterion; (iii) for $2 \lt q\leq2+4s/N \lt p \lt 2_s^*$ and µ < 0, the strong instability of standing wave solutions is demonstrated. These findings are illuminated through variational characterizations, the profile decomposition, and the virial estimate.

Introduction: Motor impairment remains underexplored in Alzheimer’s disease. We previously described the functional impairment of gait and exploratory activity of male 3xTg-AD mice at different stages of Alzheimer’s disease progression. We describe movement limitations and muscle weakness as indicators of severity.

Methods: In the present report, a cross-sectional study was carried out that analyzed the muscular structure of the quadriceps and triceps surae muscles of transgenic (3xTg-AD) and non-transgenic males in the early (6 months), intermediate (12 months), and advanced (16 months) stages of Alzheimer’s disease. Longitudinal sections of the quadriceps and triceps surae stained with hematoxylin and eosin (H&E) were evaluated. Using conventional histological techniques, they were then rinsed with PBS, pH 7.4. For the F-actine immunohistochemistry, the sections were blocked by incubating them in IgG-free 2% bovine serum albumin (BSA, Sigma) for 60 min. Then specimens were incubated for 10 minutes with 0.2% Triton X-100 in PBS at room temperature. The slides were incubated overnight at 4 °C with F-actin (Santa Cruz Biotechnology Inc., CA, USA). Slides were counterstained with VectaShield using 4, 60-diamino-2-phenylindole dihydrochloride (DAPI) (Vector Labs., CA, USA) for nuclei staining and visualized in the blue channel.

Results: Lower fluorescence labeling was detected in 3xTg-AD mice at all ages, with a greater decline at older ages. Signs of sarcopenia are also present in an advanced stage of AD, with differences in fiber distribution, the number of cell nuclei, and the presence of adipose tissue.

Conclusions: The previously reported gait alterations in Alzheimer’s disease could be the result of structural deficiencies due to sarcopenia and poor muscle contraction, which leads to the limitations of movement in locomotion reported in 3xTg-AD mice.

The mental health of older people in Latin America has become increasingly significant due to population ageing and changes in social structures across the region. Older adults in the region, as in many parts of the world, face significant challenges that can impact their mental health, including poverty, social isolation, limited access to healthcare, and the stigma associated with both mental health issues and ageing.

Access to mental healthcare services in the region is particularly limited for older adults, with a shortage of geriatric specialists and mental health professionals trained to address their specific needs. Changes in family structures, and the lack of support received by informal caregivers, can influence the availability and quality of informal support and caregiving networks, affecting both older people and caregivers’ mental health.

While the mental health of older people in Latin America is a subject that is gaining attention, significant gaps persist in terms of healthcare access, social support, and effective policy implementation. We will explore some of the key factors influencing the mental health of older adults in the region, alongside the current efforts and challenges in developing innovative policies and programs aimed at promoting their mental health and well-being.

Objectives: Evidence is limited on the comparative impact of specific anesthetic agents used in electroconvulsive therapy (ECT) on outcomes in treatment-resistant depression (TRD). Our study aimed to compare the efficacy of methohexital vs propofol by examining the number of treatment sessions needed to transition from acute to maintenance ECT (NTS) (i.e., change from minimum of two to one or fewer treatments per week), missed treatment sessions, and seizure durations.

Methods: We conducted a retrospective cohort study via chart review of patients with TRD receiving ECT from October 2017 to October 2019. We included adult patients (3 18 years) diagnosed with TRD who received at least six ECT sessions. We analyzed our data using multilevel structural equation modeling(MSEM).

Results: We included 149 patients (36.9% or 55/149 were ³ 65 years): 54 were methohexital-treated (mean age 59 ± 17 years; 41% male) and 95 were propofol-treated (mean age 55 ± 17 years; 36% male). No significant differences between methohexital vs propofol groups were found in NTS (mean ± SD: 12.6 ± 6.6 vs 11.5 ± 6.1; p = 0.3) and missed treatment sessions (0.63 ± 1.2 vs 0.69 ± 1.2; p = 0.75). Patients receiving methohexital manifested longer motor (25.5 ± 10.6s vs 19.9 ± 8.4s; p < .001) and electroencephalographic (EEG) seizure durations (42 ± 17.5s vs .9± 13.1s; p < .001) vs propofol. MSEM revealed that (1) methohexital was associated with longer first-session seizure durations (motor seizure: b = 6.28, p < 0.05; EEG seizure: b = 8.03, p < 0.05) and more rapid decline in motor seizure duration across sessions (b = –.38, p < .05) over propofol, while accounting for relevant covariates; (2) regardless of anesthesia used, faster reductions in seizure durations across sessions predicted fewer NTS; and (3) methohexital was associated with fewer NTS adjusted for covariates which were driven by two indirect effects: (a) sharper decline in motor duration across sessions and (b) the association between a sharper decline in motor duration across sessions with fewer missed treatments. The outcomes were not influenced by age, indicating that the findings are relevant to older adults.

Conclusions: Our findings suggest that methoxexital had fewer NTS and longer seizure durations than propofol, indicating better ECT outcomes using methohexital for TRD. Further research is warranted to verify methohexital’s effects on cognitive and additional recovery outcomes within clinical practice.

To date, there is no systematic research on the overlapping challenges of wildlife conservation and security in South Sudan, where the wildlife service (WLS) has institutionally survived for over a century while contending with poor state capacity and responsibility for protected areas (PAs) that cover vast territories characterized by chronic insecurity and food scarcity. Integrated into the country’s “Organized Forces,” South Sudan’s park rangers play roles beyond conservation as armed actors in complex conflicts. Data obtained from archival research and field interviews shows that South Sudan’s wildlife authorities have persisted since the colonial period in spite and because of chronic warfare.

Larval settlement is an important process that drives population and community dynamics of marine invertebrates. Barnacles are frequently used to investigate settlement mechanisms of marine invertebrate larvae. Adult barnacles induce settlement of conspecific larvae nearby which ultimately facilitates copulation with neighbouring individuals. A significant factor involved in the larval induction process is the proteinaceous waterborne settlement pheromone (WSP), which is purified from adult barnacles. A previous study suggested that the concentration of WSP informs barnacle cyprid larvae about the abundance of adult barnacles in the environment nearby but it is unclear whether WSP works in a species-specific or non-species-specific manner. In this study, we conducted settlement assays using recombinant WSPs and cyprids of two congenic barnacle species, Amphibalanus amphitrite and A. improvisus, to investigate the species specificity of WSPs. We found that A. amphitrite and A. improvisus cyprids responded similarly to con-specific WSPs as to allo-specific WSP stimuli indicating that WSPs are not species-specific. Our findings suggest that cyprids approach potential settlement sites using WSPs, non-species-specific settlement pheromones, before performing a closer search of the substratum using a species-specific pheromone.

Background: Day care programs for older adults with dementia is an effective strategy that allows prolonging the functionality of the elderly, their support and that of their family reducing home care costs and delaying the institutionalization of patients with cognitive impairment.

Objectives: The aim of the present work is to describe the main goals and the implementation of a multidisciplinary day care program for patients with dementia and their family caregivers in Argentina.

Methods: Design: Prospective cohort study. Subjects: 22 patients and their family caregivers, who attend a day care program in Argentina. Instruments: socio-demographic and psychosocial questionnaire of both patient and caregiver (built ad hoc) Patient: MMSE, GDS, HAD-A, PANAS- VRARG, EQ-5D and instrumental and basic abilities of daily living. Family caregiver: Zarit Burden Interview. Procedure: The intervention for patients consists of two different lines of work, one for the patient, and another for the family member. The activities are coordinated by a multidisciplinary group of professionals. Regarding the caregiver, individual orientation interviews and therapeutic group spaces and psycho-educational material are offered.

Results: Preliminary data of 22 patients and caregivers, who have taken part in the program so far, indicate that: Patient: median age was years 75,27 old (ds = 9,28), % 63,6 of which are woman. The values obtain in the instrument are: MMSE 22,45 (ds = 4,78) GDS 4,47 (ds = 3,73), HAD-A 3,66 (ds = 3,39), (PANAS -E-VRARG) Negative items 7,70 (ds = 3,11) (PANAS -E-VRARG) Positive ítems 18,7 (ds = 3,13), EQ-5D 77,35 (ds = 16,21) and BHDL 93,63 (ds = 13,10), IHDL 9,1 (ds = 3,31). And for family caregivers the mean age was 65,27 old (ds = 11,37), % 66,71 of which are woman. Caregivers Zarit Burden Interview mean score was 40, 18 (ds = 11,35).

Discussion: Our findings concur with those presented in scientific literature and support the WHO recommendations regarding the need to implement multidisciplinary programs for patients with dementia and family caregivers, in order to moderate the impact that providing care for an elderly relative with a neurological disease has on them.