Characterization of behavioral symptoms of older adults with neurocognitive disorder by the report of informal caregivers

Authors

DOI:

https://doi.org/10.1590/1982-4327e3130

Keywords:

Behavior disorders, Dementia, Caregivers, Old age

Abstract

Behavioral symptoms of people with dementia can negatively affect the mental health of informal caregivers. The aims of this study were to describe the behavioral symptoms of adults diagnosed with dementia based on the report of their caregivers and to characterize the caregivers regarding the level of hope, burden and stress related to care. Twenty informal caregivers participated in the study, with an average age of 54 years, predominantly daughters and wives of the patients, who granted an interview and responded to instruments regarding burden and stress, hope, patient’s characteristics and behavioral problems. Despite a high level of hope, the participants had a burden level compatible with that of caregivers of chronic patients. The most mentioned challenging behaviors were difficulties in carrying out activities of daily living and aggressiveness, predominantly characterized as behavioral excesses. We emphasize the importance of interventions with caregivers of people with neurocognitive disorder, oriented to the management of challenging behaviors.

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Author Biographies

  • Yara Luana Pereira Souza, Universidade de São Paulo

    Universidade de São Paulo, Ribeirão Preto-SP, Brazil

  • Andreia Schmidt, Universidade de São Paulo

    Universidade de São Paulo, Ribeirão Preto-SP, Brazil

References

Aires, M., Fuhrmann, A. C., Mocellin, D., Dal Pizzol, F. L. F., Sponchiado L. F., Marchezan, C. R., … Paskulin, L. M. G. (2020). Burden of informal caregivers of dependent elderlies in the community in small cities. Revista Gaúcha de Enfermagem, 41(spe), e20190156. doi:10.1590/1983-1447.2020.20190156

Allen, A. P., Curran, E. A., Duggan, A., Cryan, J. F., Chorcoráin, A. N., Dinan, T. G., … Clarke, G. (2017). A systematic review of the psychobiological burden of informal caregiving for patients with dementia: Focus on cognitive and biological markers of chronic stress. Neuroscience & Biobehavioral Reviews, 73, 123-164. doi:10.1016/j.neubiorev.2016.12.006

Allen-Burge, R., Stevens, A. B., & Burgio, L. D. (1999). Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes. International Journal of Geriatric Psychiatry, 14(3), 213-228. doi:10.1002/(SICI)1099-1166(199903)14:3<213::AID-GPS974>3.0.CO;2-0

Alves, B. S., Oliveira, A. S., Santana, E. S., Chaves, R. N., Marinho, M. S., & Reis, L. A. (2019). Caracterização dos cuidadores informais de idosos dependentes quanto aos aspectos sociodemográficos e de saúde [Characterization of the informal caregivers of dependente elderly according the sociodemographic and health aspects]. Revista de Saúde Coletiva da UEFS, 9, 113-118. doi:10.13102/rscdauefs.v9i0.3684

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, DC: Author.

Barham, E. J., Pinto, F. N. F. R., Andrade, A. R., Lorenzini, M. F. J., & Ferreira, C. R. (2015). Fundamentos e estratégias de intervenção para a promoção de saúde mental em cuidadores de idosos [Fundamentals and intervention strategy for the promotion of mental health in elderly caregivers]. In S. G. Murta, C. Leandro-França, K. B. Santos, & L. Polejack (Orgs.), Prevenção e promoção em saúde mental: Fundamentos, planejamento e estratégias de intervenção [Prevention and promotion in mental health: Fundamentals, planning and intervention] (pp. 844-862). Novo Hamburgo, RS: Synopsys.

Brucki, S., Nitrini, R., Caramelli, P., Bertolucci, P. H. F., & Okamoto, I. H. (2003). Sugestões para o uso do mini-exame do estado mental no Brasil [Suggestions for utilization of the mini-mental state examination in Brazil]. Arquivos de Neuro-Psiquiatria, 61(3B), 777-781. doi:10.1590/S0004-282X2003000500014

Carvalho, E. B., & Neri, A. L. (2019). Patterns of use of time by family caregivers of elderly persons with dementia. Revista Brasileira de Geriatria e Gerontologia, 22(1), e180143. doi:10.1590/1981-22562019022.180143

Cesário, V. A. C., Leal, M. C. C., Marques, A. P. O., & Claudino, K. A. (2017). Estresse e qualidade de vida do cuidador familiar do idoso portador da doença de Alzheimer [Stress and quality of life of the family caregivers of elderly with Alzheimer’s disease]. Saúde em Debate, 41(112), 171-182. doi:10.1590/0103-1104201711214

Feast, A., Moniz-Cook, E., Stoner, C., Charlesworth, G., & Orrell, M. (2016). A systematic review of the relationship between behavioral and psychological symptoms (BPSD) and caregiver well-being. International Psychogeriatrics, 28(11), 1761-1774. doi:10.1017/S1041610216000922

Ferri, C. P., & Ames, D. (2004). Behavioral and psychological symptoms of dementia in developing countries. International Psychogeriatrics, 16(4), 441-459. doi:10.1017/S1041610204000833

Jesus, I. T. M., Orlandi, A. A. S., & Zazzetta, M. S. (2018). Burden, profile and care: Caregivers of socially vulnerable elderly persons. Revista Brasileira de Geriatria e Gerontologia, 21(2), 194-204. doi:10.1590/1981-22562018021.170155

Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical Research Ed.), 350, h369. doi:10.1136/bmj.h369

Kanfer, F. H., & Saslow, G. (1965). Behavioral analysis: An alternative to diagnostic classification. Archives of General Psychiatry, 12(6), 529-538. doi:10.1001/archpsyc.1965.01720360001001

Kaufer, D. I., Cummings, J. L., Ketchel, P., Smith, V., MacMillan, A., Shelley, T., … DeKosky, S. T. (2000). Validation of the NPI-Q, a brief clinical form of the neuropsychiatric inventory. The Journal of Neuropsychiatry and Clinical Neurosciences, 12(2), 233-239. doi:10.1176/jnp.12.2.233

Kilik, L. A., Hopkins, R. W., Day, D., Prince, C. R., Prince, P. N., & Rows, C. (2008). The progression of behavior in dementia: An in-office guide for clinicians. American Journal of Alzheimer's Disease & Other Dementias, 23(3), 242-249. doi:10.1177/1533317507313676

Martins, G., Corrêa, L., Caparrol, A. J. S., Santos, P. T. A., Brugnera, L. M., & Gratão, A. C. M. (2019). Sociodemographic and health characteristics of formal and informal caregivers of elderly people with Alzheimer’s Disease. Escola Anna Nery, 23(2), e20180327. doi:10.1590/2177-9465-ean-2018-0327

Medeiros, M. M. C., Ferraz, M. B., Quaresma, M. R., & Menezes, A. P. (1998). Adaptação ao contexto cultural brasileiro e validação do “Caregiver Burden scale” [Adaptation and validation of the caregiver burden scale to Brazilian cultural milieu]. Revista Brasileira de Reumatologia, 38(4), 193-199.

Montaño, M. B. M. M., & Ramos, L. R. (2005). Validity of the Portuguese version of Clinical Dementia Rating. Revista de Saúde Pública, 39(6), 912-917. doi:10.1590/S0034-89102005000600007

Patterson, C. (2018). World Alzheimer report 2018. The state of the art of dementia research: New frontiers. London, United Kingdom: Alzheimer’s Disease International.

Pavarini, S. C. I., Brigola, A. G., Ottaviani, A. C., Luchesi, B. M., Souza, E. N., Rossetti, E. S., ... Tavares Neto, R. F. (2018). Factors associated with cognitive performance in elderly caregivers. Arquivos de Neuro-Psiquiatria, 76(10), 685-691. doi:10.1590/0004-282x20180101

Rodrigues, S. L. A., Watanabe, H. A. W., & Derntl, A. M. (2006). A saúde de idosos que cuidam de idosos [The health of the elderly that care for elders]. Revista Escola de Enfermagem da USP, 40(4), 493-500. doi:10.1590/S0080-62342006000400007

Santos, R. L., & Virtuoso Júnior, J. S. (2008). Confiabilidade da versão brasileira da escala de atividades instrumentais da vida diária [Realiability of the Brazilian version of the scale of instrumental activities of daily living]. Revista Brasileira em Promoção da Saúde, 21(4), 290-296. doi:10.5020/18061230.2008.p290

Sartore, A. C. S., & Grossi, S. A. A. (2008). Escala de Esperança de Herth: Instrumento adaptado e validado para a língua portuguesa [Herth Hope index: Instrument adapted and validated to portuguese]. Revista da Escola de Enfermagem da USP, 42(2), 227-232. doi:10.1590/S0080-62342008000200003

Schutte, C., Richardson, W., Devlin, M., Hill, J., Ghossainy, M., & Hewitson, L. (2018). The relationship between social affect and restricted and repetitive behaviors measured on the ADOS-2 and maternal stress. Journal of Autism and Developmental Disorders, 48(3), 751-758. doi:10.1007/s10803-017-3453-1

Shiri, E., Pouretemad, H., Fathabadi, J., & Narimani, M. (2020). A pilot study of family-based management of behavioral excesses in young Iranian children with autism spectrum disorder. Asian Journal of Psychiatry, 47, 101845. doi:10.1016/j.ajp.2019.101845

Souza, E. N., Oliveira, N. A., Luchesi, B. M., Gratão, A. C. M., Orlandi, F. S., & Pavarini, S. C. I. (2017). Relationship between hope and spirituality of elderly caregivers. Texto & Contexto-Enfermagem, 26(3), e6780015. doi:10.1590/0104-07072017006780015

Trahan, M. A., Kahng, S., Fisher, A. B., & Hausman, N. L. (2011). Behavior-analytic research on dementia in older adults. Journal of Applied Behavior Analysis, 44(3), 687-691. doi:10.1901/jaba.2011.44-687

World Health Organization. (2017). Dementia: Number of people affected to triple in next 30 years. Retrieved from https://www.who.int/news/item/07-12-2017-dementia-number-of-people-affected-to-triple-in-next-30-years

Yildiz, E., Karakas, S. A., Güngörmüs, Z., & Cengiz, M. (2017). Levels of care burden and self-efficacy for informal caregiver of patients with cancer. Holistic Nursing Pratica, 31(1), 7-15. doi:10.1097/HNP.0000000000000185

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Published

2021-12-31

Issue

Section

Psychology of Health

How to Cite

Souza, Y. L. P., & Schmidt, A. (2021). Characterization of behavioral symptoms of older adults with neurocognitive disorder by the report of informal caregivers. Paidéia (Ribeirão Preto), 31, e3130. https://doi.org/10.1590/1982-4327e3130