Department of Gerontology, University of Massachusetts Boston, Boston, MA, USA.
Department of Child Development and Family Studies, Seoul National University, Seoul, South Korea.
J Appl Gerontol. 2024 Jun;43(6):786-796. doi: 10.1177/07334648231216382. Epub 2023 Nov 21.
This study examined daily occurrences of behavioral and psychological symptoms of dementia (BPSD) and whether caregivers' perceived distress towards BPSD varies throughout four phases of the day (i.e., morning, daytime, evening, and night). Family caregivers residing with relatives who were using adult day services (ADS) participated in an 8-day daily diary study (caregiver = 173; caregiver-day = 1,359). BPSD occurred most frequently in the evenings. ADS use, sleep disturbances, and dementia severity were significantly associated with BPSD occurrence for some phases of the day. Caregivers' distress towards BPSD occurrences increased throughout the day (i.e., most stressful at night). However, caregivers showed lower reactivity to BPSD at night on days when their relatives used ADS. Evidence of temporal patterns of BPSD in community-dwelling older adults and caregiver distress demonstrated the importance of ADS use for BPSD reactivity and identified potential target windows and associated contextual factors for individualized interventions.
本研究考察了痴呆症患者的日常行为和心理症状（BPSD），以及照料者对 BPSD 的感知压力是否会在一天的四个时段（即早晨、白天、傍晚和夜间）发生变化。居住在使用成人日间服务（ADS）的亲属家中的家庭照料者参与了为期 8 天的日常日记研究（照料者=173；照料者-天=1359）。BPSD 最常发生在晚上。对于某些时段，ADS 使用、睡眠障碍和痴呆症严重程度与 BPSD 的发生显著相关。随着时间的推移，照料者对 BPSD 发生的压力越来越大（即晚上压力最大）。然而，当他们的亲属使用 ADS 时，照料者在晚上对 BPSD 的反应性较低。社区居住的老年人 BPSD 的时间模式和照料者压力的证据表明 ADS 使用对 BPSD 反应性的重要性，并确定了个体化干预的潜在目标窗口和相关的环境因素。
