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Published in: Neurological Sciences 4/2022

01-04-2022 | Dementia | Original Article

The patient–caregiver dyad: the impact of cognitive and functional impairment

Authors: Valeria Torlaschi, Marina Maffoni, Giulia Maltauro, Antonia Pierobon, Martina Vigorè, Roberto Maestri, Pierluigi Chimento, Michelangelo Buonocore, Gianluigi Mancardi, Cira Fundarò

Published in: Neurological Sciences | Issue 4/2022

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Abstract

This study evaluates the cognitive impairment impact on the caregiver’s burden and quality of life.
Patient–caregiver dyads admitted to dementia Diagnostic-Therapeutic Care Pathway underwent a psychological and neuropsychological assessment. Overall, 30 caregivers (age 58.97 ± 14.68) of patients with dementia and 28 caregivers (age 58.57 ± 12.22) of patients with MCI were recruited. Caregiver’s burden is positively correlated to the number (r = .37, p = .003) and severity (r = .37, p = .003) of neuropsychiatric patient’s symptoms and with the caregiver’s distress (r = .36, p = .004). It is also negatively related to good quality of life perception (r =  − .52, p =  < .0001), to lower cognitive impairment (r =  − .26, p = .05), to higher patient’s residual functional abilities in daily living (r =  − .32, p = .010) and to positive perception of the physician’s communication (r =  − .28, p = .026). Moreover, the caregiver’s burden is significantly predicted by the patient’s low level of instrumental activity of daily living (β =  − .74; p = .043) and by the number of neuropsychiatric symptoms (β = .74; p = .029). Thus, this study suggests that the autonomy and neuropsychiatric symptoms may determine the caregiver’s burden.
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Metadata
Title
The patient–caregiver dyad: the impact of cognitive and functional impairment
Authors
Valeria Torlaschi
Marina Maffoni
Giulia Maltauro
Antonia Pierobon
Martina Vigorè
Roberto Maestri
Pierluigi Chimento
Michelangelo Buonocore
Gianluigi Mancardi
Cira Fundarò
Publication date
01-04-2022
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 4/2022
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-021-05712-2

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