Psychology Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
BMC Public Health. 2019 Jun 13;19(Suppl 4):447. doi: 10.1186/s12889-019-6868-0.
The main aim of this study was to determine the association between Behavioral and Psychological Symptoms of Dementia (BPSD) and caregiver burden, and the mediating role of coping strategy and personality style of caregivers to patients with dementia (PWD).
This cross-sectional study was conducted among 202 caregivers to PWD in home-based settings. Recruited caregivers were administered questionnaires regarding BPSD which was measured using Neuropsychiatric Inventory-Questionnaire (NPI-Q), caregiver burden using Zarit Burden Interview (ZBI), Brief COPE for coping strategies and Big-Five Inventory which measured personality traits.
Majority of the caregivers were female (71.3%), aged 50 and above (55%), single (46%), married (43.6%), working full time (45%) while the rest work part time (22.3%), unemployed (7.4%) and retiree (25.2%), and majority were parents (58.9%) and spouse (18.3%). The duration of caregiving was less than a year (33.7%) while the rest are more than a year. Results demonstrated that the most frequent types of BPSD exhibited by PWD was irritability, followed by apathy and agitation. All of the types of BPSD showed to be significantly correlated to caregiver burden except for anxiety, elation and appetite. Of personality traits, only conscientiousness was found to mediate the relationship between BPSD and caregiver burden (p < .05). Self-distraction, active coping, planning and acceptance were the coping strategies that demonstrated to have mediation effect on the relationship between BPSD and caregiver burden.
Presentation of BPSD is correlated to caregiver burden which is partially mediated by coping strategies and personality styles.
本研究的主要目的是确定痴呆患者的行为和心理症状（BPSD）与照顾者负担之间的关联，以及照顾者对痴呆患者（PWD）的应对策略和人格特质的中介作用。
本横断面研究在家庭环境中对 202 名 PWD 的照顾者进行。招募的照顾者接受了关于 BPSD 的问卷，使用神经精神问卷-问卷（NPI-Q）进行测量，使用 Zarit 负担访谈（ZBI）测量照顾者负担，使用Brief COPE 评估应对策略，使用大五人格量表测量人格特质。
大多数照顾者为女性（71.3%），年龄在 50 岁及以上（55%），单身（46%），已婚（43.6%），全职工作（45%），其余为兼职（22.3%），失业（7.4%）和退休（25.2%），大多数是父母（58.9%）和配偶（18.3%）。照顾时间不到一年（33.7%），其余超过一年。结果表明，PWD 最常见的 BPSD 类型是易怒，其次是冷漠和激越。除了焦虑、兴奋和食欲外，所有类型的 BPSD 都与照顾者负担显著相关。在人格特质方面，只有尽责性被发现中介了 BPSD 和照顾者负担之间的关系（p<.05）。自我分心、积极应对、计划和接受是应对策略，它们对 BPSD 和照顾者负担之间的关系具有中介作用。
BPSD 的表现与照顾者负担相关，而照顾者负担部分由应对策略和人格特质介导。
