medigraphic.com
ISSN 1729-519X (Print)

2021, Number 4

<< Back Next >>

Revista Habanera de Ciencias Médicas 2021; 20 (4)

Overburden and correlates among caregivers of people with dementia during the COVID-19 pandemic

Llibre-Rodríguez JJ, Padrón SI, Noriega-Fernández L, Guerra-Hernández MA, Zayas LT, Hernández UE, Alfonso CRC, Gutiérrez HR

Language: Spanish
References: 26
Page: 1-8
PDF size: 446.74 Kb.


ABSTRACT

Introduction: The existence of the SARS-CoV-2 coronavirus (COVID-19) represents an unprecedented health problem around the world, including people with dementia, their families and caregivers.
Objectives: To study the characteristics of caregivers and care recipients as well as the burden among caregivers of people with dementia during the COVID-19 pandemic.
Material and Methods: Prospective observational study. The universe comprised 3000 people aged 65 years who were selected by simple random sampling without replacement from the population based study of Aging and Alzheimer’s Disease. Of them, 160 participants from Havana were evaluated at two different moments: in 2016-2018 and from October 1 to November 30, 2020.
Results: The caregivers who were evaluated during the pandemic presented higher levels of stress or higher Zarit burden Interview scores (p=0,017) as well as a greater morbidity as measured by the General Health Questionnaire (p<0,0001) in relation to the study conducted in 2016-2018.
Stress among caregivers was associated with the presence and severity of behavioral and psychological symptoms, OR = 1,02 (95 % CI 1.00-1.03); stages of dementia, OR = 1,61 (95 % CI, 1.45-1.76); greater care needs, OR = 1,56 (95 % CI, 1.14-2.77); fear of getting sick from COVID-19, OR = 1,52 (95 % CI, 1.11-4.12); insecurity about the future, OR = 1,26 (95 % CI, 1.04 -2.53) and job abandonment due to care, OR = 1,19 (95 % CI, 1.01-2.12).
Conclusions: Our findings confirm that there is greater stress and burden among caregivers of people living with dementia during the COVID-19 pandemic and that there is a need to achieve coordinated actions in the national health system strategies aimed at supporting people with dementia and caregivers.


REFERENCES

  1. Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, et al. Dementia prevention, intervention, and care: 2020report of the Lancet Commission. The Lancet [Internet]. 2020 Jul [Citado 30/11/2020];396(10248):413-446. Disponibleen: https://doi.org/10.1016/S0140-6736(20)30367-6

  2. Zissimopoulos J, Crimmins E , Clair P. The Value of Delaying Alzheimer’s Disease Onset. Forum for Health Economicsand Policy. 2015; 18 (1): 25-39.

  3. Zarit SH, Globble A, Zarit JM. Subjective burden of husband and wives as caregivers: a longitudinal study.Gerontologist. 1986; 26 (3): 260-6.

  4. Global Ageing Network. Elder Care Providers & COVID-19: Cross-Cultural Perspectives [Internet]. Washington: GlobalAgeing Network; 2020 [Citado 30/11/2020]. Disponible en: https://globalageing.org/wp-content/uploads/2021/02/Global-Ageing-Network-COVID-19-Research-Report.pdf

  5. Zhu N, Zhang D, Wang W. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382: 727-33.

  6. Ministerio de Salud Pública.Coronavirus en Cuba [Internet]. La Habana: MINSAP; 2020 [Citado 30/11/2020].Disponible en: (https://salud.msp.gob.cu/

  7. Llibre Guerra JJ, Jiménez Velázquez IZ, Llibre Rodriguez JJ, Acosta D. The impact of COVID-19 on Mental Healthin the Hispanic Caribbean Region. International Psychogeriatric [Internet]. 2020 [Citado 30/11/2020];32(10):1143-6.Disponible en: http://doi.org/10.1017/S1041610216000831

  8. Ibanez A, Santamaria Garcia H, Guerrero Barragan A. The impact of SARS-CoV-2 in dementia across LatinAmerica: A call for an urgent regional plan and coordinated response. Alzheimer’s Dement. [Internet]. 2020 [Citado30/11/2020];6:e12092. Disponible en: https://doi.org/10.1002/trc2.12092

  9. Llibre Rodríguez JJ, Valhuerdi A, López AM, Noriega L. Cuba´s Aging and Alzheimer Longitudinal Study. MEDICCReview. 2017; 19 (1): 65-8.

  10. Prina M, Acosta D, Acostas I, Guerra M, Llibre Rodríguez JJ, Prince M. Cohort Profile: The 10/66 study.International Journal Epidemiology [Internet].2017 [Citado 30/11/2020];46(2):406-6. Disponible en: http://doi.org/10.1093/ije/dyw056

  11. Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules [see comments]. Neurology. 1993;43 (11): 2412-4.

  12. Hall KS, Hendrie HH, Brittain HM, Norton JA, Rodgers DD, Prince CS, et al. The development of a dementia screeinginterview in two distinct languages. International Journal Methods Psychiatric Research. 1993; 3: 1-28.

  13. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state ofpatients for the clinician. J Psychiatr Res. 1975; 12: 189-98.

  14. Kaufer DI, Cummings JL, Ketchel P, Smith V, MacMillan A, Shelley T, et al. Validation of the NPI-Q, a brief clinicalform of the Neuropsychiatric Inventory. J Neuropsychiatry Clin Neurosci. 2000; 12 (2): 233-9.

  15. Mari JJ, Williams P. A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20)in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychol Med. 1985; 15 (3): 651-9.

  16. Zarit SH, Reever KE, Bach Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. TheGerontologist. 1980; 20: 649-55.

  17. Davis KL, Marin DB, Kane R, Patrick D, Peskind ER, Raskind MA, et al. The Caregiver Activity Survey (CAS): developmentand validation of a new measure for caregivers of persons with Alzheimer’s disease. Int J Geriatr Psychiatry. 1997; 12(10): 978-88.

  18. Chisholm D, Knapp MRJ, Knudsen HC, Amaddeo F, Gaite L, Van Wijngaarden B. Client Socio-Demographic andService Receipt Inventory - European Version: development of an instrument for international research. EPSILONstudy 5. British Journal Psychiatry. 2000; 117 (Suppl.39): s28-s33.

  19. Prince M. Care arrangements for people with dementia in developing countries. Int J Geriatr Psychiatry 2004; 19(2):170-177.

  20. Pinquart M, Sorensen S. Associations of stressors and uplifts of caregiving with caregiver burden and depressivemood: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2003; 58 (2): 112-28.

  21. Sorensen S, Duberstein P, Gill D, Pinquart M. Dementia care: mental health effects, intervention strategies, andclinical implications. Lancet Neurol. 2006; 5 (11): 961-73.

  22. Cheng S, Au A, Losada A, Thompson W, Gallagher Thompson D. Psychological Interventions for Dementia Caregivers:What We Have. Achieved, What We Have Learned. Current Psychiatry Reports. 2019; 21: 59.

  23. Oficina Nacional de Estadística e Información. Cuba: Dinámica demográfica. Impacto de los factores demográficosen la pandemia COVID-19 [Internet]. La Habana: ONEI; 2020 [Citado 23/05/2020]. Disponible en: http://www.onei.gob.cu/node/14818

  24. Santini Z, Jose P, Cornwell E. Social disconnectedness, perceived isolation, and symptoms of depression and anxietyamong older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020; 5: e62-70.

  25. Robb CE, de Jager CA, Ahmadi Abhari S, Giannakopoulou P, Udeh Momoh C, McKeand J, et al. Associationsof Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults inLondon, UK. Front Psychiatry [Internet]. 2020 [Citado 30/11/2020];11:591120. Disponible en: http://doi.org/10.3389/fpsyt.2020.591120

  26. Díaz Canel Bermúdez M, Núñez Jover J. Gestión gubernamental y ciencia cubana en el enfrentamiento a laCOVID-19. Anales de la Academia de Ciencias de Cuba [Internet]. 2020 [Citado 30/11/2020];10(2):[Aprox. 2 p.].Disponible en: http://www.revistaccuba.cu/index.php/revacc/article/view/881




2020     |     www.medigraphic.com