Differences between physician and caregiver evaluations in Alzheimer’s disease

Sinforiani, Elena and Pasotti, Chiara and Chiapella, Laura and Malinverni, Paola and Zucchella, Chiara (2010) Differences between physician and caregiver evaluations in Alzheimer’s disease. Functional Neurology; New Trends in Interventional Neurosciences, 25 (4). pp. 205-209. ISSN 1971-3274

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Abstract

In Alzheimer’s disease (AD) differences are often reported between caregivers’ and physicians’ aims and evaluations. The aim of this study was to investigate the presence of discrepancies between the evaluations of caregivers and physicians. Two hundred and eighteen caregivers of outpatients diagnosed with mild-to-moderate AD, referred to our Alzheimer’s Disease Assessment Unit, entered the study. Caregiver burden was investigated using the Caregiver Burden Inventory (CBI) and the Neuropsychiatric Inventory Caregiver Distress Scale (NPIDS). Caregivers were also administered a four-point scale to assess quantitatively whether their expectations in relation to the efficacy of the pharmacological treatment had been satisfied and a scale exploring clinical global impression of change. Caregivers whose expectations had not been satisfied had significantly higher CBI and NPIDS scores and a lower level of education; moreover, caregivers tended to overestimate the degree of cognitive decline during the course of the disease. These results underline the importance of correct and constant communication with AD patients and their families

Item Type:	Article
Uncontrolled Keywords:	Alzheimer’s disease, caregiver burden, caregiver expectations, clinical impression of change
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia) > 616.83 Altre malattie organiche del sistema nervoso centrale (Include la corea ed i disturbi coreici ad eccezione della malattia di Huntington (in 616.851) (Classificare qui, in 616.83, le malattie dei gangli vasali, del midollo spinale) > 616.831 Malattia di Alzheimer (Classificare le opere d’insieme sulla demenza in 616.83) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia) > 616.89 Disturbi psichici (Classificare qui Psicologia patologica e clinica, Psichiatria, Psichiatria computazionale, Neuropsicologia, il comportamento anormale comparato degli animali, le psicosi) (Include le manifestazioni dei disturbi mentali)
Depositing User:	Danilo Dezzi
Date Deposited:	01 Jun 2012 16:26
Last Modified:	01 Jun 2012 16:26
URI:	http://eprints.bice.rm.cnr.it/id/eprint/3583

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