dn
Dementia & Neuropsychologia
Dement. neuropsychol.
1980-5764
Associação de Neurologia Cognitiva e do Comportamento
Resumo
Cuidar de idosos com demência, especialmente se eles apresentam transtornos de comportamento, pode ser extremantente exaustivo para os familiares e cuidadores. Geralmente, ocorrem mudanças no estilo de vida da família, e o cuidador precisa lidar com grande diversidade de problemas. Informações sobre este tema na América Latina, incluindo o Brasil, ainda permanece escasso.
Objetivo:
Investigar a relação entre a presença de sintomas neuropsiquiátricos e o nível de sobrecarga do cuidador em um grupo de idosos brasileiros com demência.
Métodos:
As versões brasileiras do Inventário de Sobrecarga de Zarit (ISZ) e do Inventário Neuropsiquiátrico (INP) foram administrados a um total de 83 cuidadores-familiares de pacientes com demência acompanhados em um ambulatório universitário. A correlação de Pearson foi calculada para medir o nível de associação entre os escores em ambos os instrumentos.
Resultados:
Entre os cuidadores, 83,1% eram mulheres, com idade média de 55,6±12,8 anos. Os escores do ISZ variaram entre 3 a 79 (média=31,4). Os escores do INP dos pacientes alcaçaram escores entre 0 a 102 (média=26,9), compatível com elevado grau de manifestações comportamentais na maioria dos pacientes. Uma correlação positiva significativa foi encontrada entre os escores obtidos no ISZ e o INP (r=0,402; p=0,000).
Conclusão:
A presença e a gravidade das manifestações comportamentais avaliadas pelo INP estão associadas ao alto nível de sobrecarga do cuidador nesta amostra de idosos brasileiros com demência.
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References
1
1. Taub A, Andreoli SB, Bertolucci PH. Dementia caregiver burden: reliability of the Brazilian version of the Zarit caregiver burden interview. Cad Saúde Pública, Rio de Janeiro 2004;20:372-376.
Taub
A
Andreoli
SB
Bertolucci
PH
Dementia caregiver burden reliability of the Brazilian version of the Zarit caregiver burden interview
Cad Saúde Pública, Rio de Janeiro
2004
20
372
376
2
2. Rabins PV, Mace NL, Lucas MJ. The impact of dementia on the family. JAMA 1982;248:333-335.
Rabins
PV
Mace
NL
Lucas
MJ
The impact of dementia on the family
JAMA
1982
248
333
335
3
3. Mittelman MS, Ferris SH, Shulman E, et al. A comprehensive support program: effect on depression in spouse-caregivers of AD patients. Gerontologist 1995;35:792-802.
Mittelman
MS
Ferris
SH
Shulman
E
A comprehensive support program effect on depression in spouse-caregivers of AD patients
Gerontologist
1995
35
792
802
4
4. Gonçalves LHT, Alvarez AM, Santos SMA. Os cuidadores leigos de pessoas idosas. In: Duarte YAO, Diogo MJE (Eds). Atendimento domiciliar: um enfoque gerontológico. São Paulo: Editora Atheneu; 2005:102-110.
Gonçalves
LHT
Alvarez
AM
Santos
SMA
Os cuidadores leigos de pessoas idosas
Duarte
YAO
Diogo
MJE
Atendimento domiciliar: um enfoque gerontológico
São Paulo
Editora Atheneu
2005
102
110
5
5. Ory MG, Hoffman RR, Yee JL, Tennstedt S, Schulz R. Prevalence and impact f caregiving: a detailed comparison between dementia and nondementia caregivers. Gerontologist 1999;39:177-185.
Ory
MG
Hoffman
RR
Yee
JL
Tennstedt
S
Schulz
R
Prevalence and impact f caregiving a detailed comparison between dementia and nondementia caregivers
Gerontologist
1999
39
177
185
6
6. Jang Y, Clay OJ, Roth DL, Haley WE, Mittelman MS. Neuroticism and longitudinal change in caregiver depression: impact of a spouse-caregiver intervention program. Gerontologist 2004;44:311-317.
Jang
Y
Clay
OJ
Roth
DL
Haley
WE
Mittelman
MS
Neuroticism and longitudinal change in caregiver depression impact of a spouse-caregiver intervention program
Gerontologist
2004
44
311
317
7
7. Gaugler JE, Roth DL, Haley WE, Mittelman MS. Can counseling and support reduce burden and depressive symptoms in caregivers of people with Alzheimer's disease during the transition to institutionalization? Results from the New York University Caregiver Intervention Study. J Am Geriatr Soc 2008;56:421-428.
Gaugler
JE
Roth
DL
Haley
WE
Mittelman
MS
Can counseling and support reduce burden and depressive symptoms in caregivers of people with Alzheimer's disease during the transition to institutionalization Results from the New York University Caregiver Intervention Study
J Am Geriatr Soc
2008
56
421
428
8
8. Ferreti CE, Bertolucci PHF, Minett TSC. Behavior disorders and subjective burden among caregivers of demented patients. Dement Neuropsychol 2007;2:190-195.
Ferreti
CE
Bertolucci
PHF
Minett
TSC
Behavior disorders and subjective burden among caregivers of demented patients
Dement Neuropsychol
2007
2
190
195
9
9. Foss MP, Lange C, Filho JHS, Brunini F, Vale FAC. Support groups for caregivers of patients with dementia: a comparative study. Dement Neuropsychol 2007;2:196-202.
Foss
MP
Lange
C
Filho
JHS
Brunini
F
Vale
FAC
Support groups for caregivers of patients with dementia a comparative study
Dement Neuropsychol
2007
2
196
202
10
10. Cummings JL, Mega M, Gray K, Rosemberg-Thompson S, Carusi DA, Gornbein J. The neuropsychiatric inventory: comprehensive assessment of psychopathology in dementia - NPI. Neurology 1994;44:2308-2314.
Cummings
JL
Mega
M
Gray
K
Rosemberg-Thompson
S
Carusi
DA
Gornbein
J
The neuropsychiatric inventory comprehensive assessment of psychopathology in dementia - NPI
Neurology
1994
44
2308
2314
11
11. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Health Disorders (DSM-IV) 4th ed. Washington, D.C.: American Psychiatric Association;1994.
American Psychiatric Association
Diagnostic and Statistical Manual of Mental Health Disorders (DSM-IV)
4th
Washington, D.C.
American Psychiatric Association
1994
12
12. Camozzato AL, Kochhann R, Simeoni C, Konrath CS, Franz AP, Carvalho A, Chaves ML. Reliability of the Brazilian Portuguese version of the neuropsychiatric inventory (NPI) for patients with Alzheimer's disease and their caregivers. Int Psychogeriatr 2008;20:383-393.
Camozzato
AL
Kochhann
R
Simeoni
C
Konrath
CS
Franz
AP
Carvalho
A
Chaves
ML
Reliability of the Brazilian Portuguese version of the neuropsychiatric inventory (NPI) for patients with Alzheimer's disease and their caregivers
Int Psychogeriatr
2008
20
383
393
13
13. Néri AL, Carvalho VAML. O bem-estar do cuidador: aspectos psicossociais. In: Freitas EV, Py L, Néri AL, Cançado FAX, Gorzoni ML, Rocha SM, Organizadores. Tratado de Geriatria e Gerontologia. Rio de Janeiro: Ed Guanabara Koogan; 2002: 778-790.
Néri
AL
Carvalho
VAML
O bem-estar do cuidador aspectos psicossociais
Freitas
EV
Py
L
Néri
AL
Cançado
FAX
Gorzoni
ML
Rocha
SM
Tratado de Geriatria e Gerontologia
Rio de Janeiro
Ed Guanabara Koogan
2002
778
790
14
14. Gaugler JE, Zarit SH, Pearlin LI. The onset of dementia caregiving and its longitudinal implications. Psychol Aging 2003; 18:171-80.
Gaugler
JE
Zarit
SH
Pearlin
LI
The onset of dementia caregiving and its longitudinal implications
Psychol Aging
2003
18
171
180
15
15. Schreiner AS, Morimoto T, Arai Y, Zarit S. Assessing family caregiver's mental health using a statistically derived cut-off score for the Zarit Burden Interview. Aging Ment Health 2006;10:107-111.
Schreiner
AS
Morimoto
T
Arai
Y
Zarit
S
Assessing family caregiver's mental health using a statistically derived cut-off score for the Zarit Burden Interview
Aging Ment Health
2006
10
107
111
16
16. Cassis SVA, Karnakis T, Moraes TA, Curiati JAE, Quadrante ACR, Magaldi RM. Correlação entre o estresse do cuidador e as características clínicas do paciente portador de demência. Rev Assoc Med Bras 2007;53:497-501.
Cassis
SVA
Karnakis
T
Moraes
TA
Curiati
JAE
Quadrante
ACR
Magaldi
RM
Correlação entre o estresse do cuidador e as características clínicas do paciente portador de demência
Rev Assoc Med Bras
2007
53
497
501
17
17. Torti FM, Gwyther LP, Reed SD, Friedman JY, Schulman KA. A multinational review of recent trends and reports in dementia caregiver burden. Alzheimer Dis Assoc Disord 2004;18:99-109.
Torti
FM
Gwyther
LP
Reed
SD
Friedman
JY
Schulman
KA
A multinational review of recent trends and reports in dementia caregiver burden
Alzheimer Dis Assoc Disord
2004
18
99
109
18
18. Almberg B, Grafström M, Winblad B. Caring for a demented elderly person-burden and burnout among caregiving relations. J Adv Nurs 1997;25:109-116.
Almberg
B
Grafström
M
Winblad
B
Caring for a demented elderly person-burden and burnout among caregiving relations
J Adv Nurs
1997
25
109
116
19
19. Truzzi A, Souza W, Bucasio E, et al. Burnout in a sample of Alzheimer's disease caregivers in Brazil. Eur J Psychiat 2008; 22:151-160.
Truzzi
A
Souza
W
Bucasio
E
Burnout in a sample of Alzheimer's disease caregivers in Brazil
Eur J Psychiat
2008
22
151
160
20
20. Takai M, Takahashi M, Iwamitsu Y, et al. The experience of burnout among home caregivers of patients with dementia: Relations to depression and quality of life. Arch Gerontol Geriatr 2008;49:1-5.
Takai
M
Takahashi
M
Iwamitsu
Y
The experience of burnout among home caregivers of patients with dementia Relations to depression and quality of life
Arch Gerontol Geriatr
2008
49
1
5
21
21. Dunkin JJ, Anderson-Hanley C. Dementia caregiver burden: a review of the literature and guidelines for assessment and intervention. Neurology 1998;51:53-60.
Dunkin
JJ
Anderson-Hanley
C
Dementia caregiver burden a review of the literature and guidelines for assessment and intervention
Neurology
1998
51
53
60
Autoria
Patrícia Paes Araujo Fialho
MSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Anne Marise Koenig
MSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Etelvina Lucas dos Santos
BSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilBSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Henrique Cerqueira Guimarães
MD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Rogério Gomes Beato
MD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Viviane Amaral Carvalho
BSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilBSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Thais Helena Machado
MSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Paulo Caramelli
MD, PhD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMD, PhD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Disclosure: The authors report no conflicts of interest.
SCIMAGO INSTITUTIONS RANKINGS
MSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
BSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilBSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
MD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
MD, PhD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.Federal University of Minas GeraisBrazilBelo Horizonte, MG, BrazilMD, PhD, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e EnvelhecimentoR. Vergueiro, 1353 sl.1404 - Ed. Top Towers Offices, Torre Norte, São Paulo, SP, Brazil, CEP 04101-000, Tel.: +55 11 5084-9463 | +55 11 5083-3876 -
São Paulo -
SP -
Brazil E-mail: revistadementia@abneuro.org.br | demneuropsy@uol.com.br
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