Altintas Emin, Luyat Marion, Gallouj Karim, Hülür Gizem, El Haj Mohamad
Univ. Lille, ULR 4072 - PSITEC - Psychologie: Interactions, Temps, Emotions, Cognition, Lille, France.
Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France.
Appl Neuropsychol Adult. 2024 Jul 5:1-7. doi: 10.1080/23279095.2024.2367102.
This study examined the role of caregivers' perception of cognitive impairment in burden of family caregivers in Alzheimer's disease (AD). We hypothesized that the evaluation of cognitive impairment by family caregivers plays a pivotal role in burden.
The study included 110 dyads (person with AD and their caregiver) recruited from a Memory Unit in France. The cognitive impairment and depressive symptoms of person with AD were evaluated by a geriatrician using the Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS-15). Caregivers provided self-reports on the perception of cognitive impairment (IQCODE) of the care recipient, the caregiving burden (ZBI), depressive symptoms (GDS-15), and self-esteem (RSE). Descriptive analyses, comparison of different caregiver burden groups, and multinomial logistic regression analyses to understand correlates of caregiver burden were conducted with SPSS, version 20.
The findings show that the caregivers are on average 60 years old and the majority are women. They care for persons with AD, who are on average 82 years old and most of whom are women. Our results show that the duration of caregiving, depression of the caregiver, and caregivers' perception of cognitive impairment contribute significantly to burden of caregiver.
This study shows that it is necessary to adopt the caregiver-centered approach to support the dyad. The role of the caregivers' perception of cognitive impairment in AD should be developed when supporting caregivers in suffering.
本研究探讨了照顾者对认知障碍的认知在阿尔茨海默病（AD）家庭照顾者负担中的作用。我们假设家庭照顾者对认知障碍的评估在负担中起关键作用。
该研究纳入了从法国一个记忆单元招募的110对（AD患者及其照顾者）。AD患者的认知障碍和抑郁症状由一名老年病医生使用简易精神状态检查表（MMSE）和老年抑郁量表（GDS - 15）进行评估。照顾者提供关于受照顾者认知障碍认知（IQCODE）、照顾负担（ZBI）、抑郁症状（GDS - 15）和自尊（RSE）的自我报告。使用SPSS 20版进行描述性分析、不同照顾者负担组的比较以及多项逻辑回归分析，以了解照顾者负担的相关因素。
研究结果显示，照顾者平均年龄为60岁，大多数为女性。他们照顾的AD患者平均年龄为82岁，大多数为女性。我们的结果表明，照顾时长、照顾者的抑郁以及照顾者对认知障碍的认知对照顾者负担有显著影响。
本研究表明，有必要采用以照顾者为中心的方法来支持这对组合。在支持痛苦中的照顾者时，应重视照顾者对AD中认知障碍的认知作用。
